FACE-PC: Family-Centered Care for Older Adults With Depression and Chronic Medical Conditions in Primary Care
Study Details
Study Description
Brief Summary
Comorbid depression and multiple medical conditions in older adults are a serious public health problem. As an important facilitator of health-related activities, families are already involved in various aspects of self-management of chronic disease in older adults. Despite the benefits they provide, informal caregiving activities currently are organized outside the medical system, which potentially creates redundant or misaligned efforts.The purpose of the mentored research is to examine the feasibility and acceptability of the FACE-PC, a theory-driven, multi- component, technology-assisted interdisciplinary team-based care model that systematically involves family in chronic disease management. It aims to optimize the patient and family's collective ability to self-manage chronic disease.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
Comorbid depression and multiple medical conditions in older adults are a serious public health problem. As an important facilitator of health-related activities, families are already involved in various aspects of self-management of chronic disease in older adults. Despite the benefits they provide, informal caregiving activities currently are organized outside the medical system, which potentially creates redundant or misaligned efforts.The purpose of the mentored research is to examine the feasibility and acceptability of the FACE-PC, a theory-driven, multi- component, technology-assisted interdisciplinary team-based care model that systematically involves family in chronic disease management. It aims to optimize the patient and family's collective ability to self-manage chronic disease.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Intervention group FACE-PC comprises 3 weekly and 2 bi-weekly sessions (total 5 sessions), delivered by a bachelors' prepared nurse care manager (CM) over 8 weeks. Over the five sessions, the nurse care manager will (1) review the patient medical history and set health goals for depression and chronic condition with the dyad, (2) review all medication, the level of adherence, challenges and facilitating factors of adherence, (3) deliver brief behavioral activation therapy. |
Behavioral: FACE-PC
|
No Intervention: Enhanced usual care group Participants in this group will receive a typical primary care enhanced with reporting of their depression status and their goal for medical condition to their PCP for 8 weeks. Upon enrolment, a research nurse will review the patient medical history and identify goals for depression and a chronic condition with the dyad. |
Outcome Measures
Primary Outcome Measures
- Changes in Mood assessed with Patient Health Questionnaire [at baseline, 2-months post-intervention, and 5-months follow-up]
Patient Health Questionnaire
Eligibility Criteria
Criteria
Inclusion Criteria for Patient:
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60 years of age or older
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Receives primary care
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PHQ-9 score ≥ 5
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Must have at least one medical condition actively managed at the study site.
Inclusion Criteria for Family:
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Age 18 or older
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Identified as family by the patient
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Has a minimum of twice weekly total of 4 hour face-to face contact with the patient
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Is willing and available to participate in the study;
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Has access to internet.
Exclusion Criteria for Patient:
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Inability to understand screening and assessment questions
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Montreal Cognitive Assessment Scores <18
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Known diagnosis of a severe chronic mental illness such as schizophrenia
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Meeting the criteria for bipolar disorder or schizophrenia in PRIME-MD
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Deemed to be a danger to self or others that may require treatment outside a primary care setting.
Exclusion Criteria for Family:
- Institutionalized at the time of study.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University of California San Francisco | San Francisco | California | United States | 94143 |
Sponsors and Collaborators
- University of California, San Francisco
Investigators
- Principal Investigator: Mijung Park, PhD, University of California, San Francisco
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 17-23224