The Effectiveness of the Integrated Care Model among Community-Dwelling Older Adults with Depression: A Quasi-Randomized Controlled Trial

Su-Jung Liao, Shu-Mei Chao, Yu-Wen Fang, Jiin-Ru Rong and Chia-Jou Hsieh
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Su-Jung Liao: Department of Nursing, College of Nursing, Tzu Chi University of Science and Technology, Hualien 970302, Taiwan
Shu-Mei Chao: Department of Nursing, College of Nursing, Tzu Chi University of Science and Technology, Hualien 970302, Taiwan
Yu-Wen Fang: Department of Nursing, College of Nursing, Tzu Chi University of Science and Technology, Hualien 970302, Taiwan
Jiin-Ru Rong: School of Nursing, National Taipei University of Nursing and Health Science, Taipei 112303, Taiwan
Chia-Jou Hsieh: Department of Nursing, Yuli Hospital, Ministry of Health and Welfare, Hualien 981, Taiwan

IJERPH, 2022, vol. 19, issue 6, 1-12

Abstract: Depression is the second-leading cause of disability among older patients worldwide. This study examined the effectiveness of the Integrated Care Model (ICM) intervention in decreasing depression, suicide ideation, and psychological symptoms and improving life satisfaction among old patients with depression living in communities. The participants were allocated to either the intervention ( n = 67) or control group ( n = 76) from July 2018 to November 2018. All participants received the usual geriatric care for three months in eastern Taiwan. Additionally, participants in the intervention group were treated according to the ICM, including the assessment and management of health problems, improvements in spiritual and mental wellbeing, helping with activities of daily life and mobility, providing social welfare resources, and prevention of elder abuse. The patients in the experimental group showed significant improvement in the group-by-time effect on the Center for Epidemiologic Studies Depression Scale, the Brief Symptom Rating Scale, suicide ideation measures, and the Life Satisfaction Index over 18 weeks. The ICM should be included in routine geriatric care and adopted in hospitals, long-term care facilities, and communities

Keywords: depression; old patients; integrated care model; community; quasi-randomized controlled trial (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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