Adherence to a Telephone-Supported Depression Self-Care Intervention for Adults With Chronic Physical Illnesses

Russell Simco, Jane McCusker, Maida Sewitch, Martin G. Cole, Mark Yaffe, Kim L. Lavoie, Tamara Sussman, Erin Strumpf, Antonio Ciampi and Eric Belzile

SAGE Open, 2015, vol. 5, issue 1, 2158244015572486

Abstract: We assessed adherence to and predictors of two components of a telephone-supported self-care intervention for depression among primary care adults aged 40 and above with chronic physical illnesses and comorbid depressive symptoms. Participants received a “toolkit†containing six self-care tools. Trained lay self-care “coaches†negotiated a contact schedule of up to weekly contacts. Study outcomes were levels of completion of the self-care tool and the coach contacts at the 2-month follow-up. Coaches reported the number of completed contacts. In all, 57 of 63 participants completed the 2-month follow-up. Of these, 67% completed at least 1 tool; the mean number of coach contacts was 5.7 ( SD = 2.4) of a possible 9 contacts (63% adherence). Higher disease comorbidity and lower initial depression severity independently predicted better tool adherence. Findings suggest that people with chronic physical illnesses can achieve acceptable levels of adherence to a depression self-care intervention similar to those reported for other populations.

Keywords: supported self-care; adherence; predictors; depression; chronic illness (search for similar items in EconPapers)
Date: 2015
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Persistent link: https://EconPapers.repec.org/RePEc:sae:sagope:v:5:y:2015:i:1:p:2158244015572486

DOI: 10.1177/2158244015572486

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