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Behavioural activation by mental health nurses for late-life depression in primary care: a randomized controlled trial

Overview of attention for article published in BMC Psychiatry, June 2017
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Title
Behavioural activation by mental health nurses for late-life depression in primary care: a randomized controlled trial
Published in
BMC Psychiatry, June 2017
DOI 10.1186/s12888-017-1388-x
Pubmed ID
Authors

Noortje Janssen, Marcus J.H. Huibers, Peter Lucassen, Richard Oude Voshaar, Harm van Marwijk, Judith Bosmans, Mirjam Pijnappels, Jan Spijker, Gert-Jan Hendriks

Abstract

Depressive symptoms are common in older adults. The effectiveness of pharmacological treatments and the availability of psychological treatments in primary care are limited. A behavioural approach to depression treatment might be beneficial to many older adults but such care is still largely unavailable. Behavioural Activation (BA) protocols are less complicated and more easy to train than other psychological therapies, making them very suitable for delivery by less specialised therapists. The recent introduction of the mental health nurse in primary care centres in the Netherlands has created major opportunities for improving the accessibility of psychological treatments for late-life depression in primary care. BA may thus address the needs of older patients while improving treatment outcome and lowering costs.The primary objective of this study is to compare the effectiveness and cost-effectiveness of BA in comparison with treatment as usual (TAU) for late-life depression in Dutch primary care. A secondary goal is to explore several potential mechanisms of change, as well as predictors and moderators of treatment outcome of BA for late-life depression. Cluster-randomised controlled multicentre trial with two parallel groups: a) behavioural activation, and b) treatment as usual, conducted in primary care centres with a follow-up of 52 weeks. The main inclusion criterion is a PHQ-9 score > 9. Patients are excluded from the trial in case of severe mental illness that requires specialized treatment, high suicide risk, drug and/or alcohol abuse, prior psychotherapy, change in dosage or type of prescribed antidepressants in the previous 12 weeks, or moderate to severe cognitive impairment. The intervention consists of 8 weekly 30-min BA sessions delivered by a trained mental health nurse. We expect BA to be an effective and cost-effective treatment for late-life depression compared to TAU. BA delivered by mental health nurses could increase the availability and accessibility of non-pharmacological treatments for late-life depression in primary care. This study is retrospectively registered in the Dutch Clinical Trial Register NTR6013 on August 25th 2016.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 298 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 298 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 46 15%
Student > Bachelor 41 14%
Researcher 39 13%
Student > Ph. D. Student 22 7%
Student > Doctoral Student 16 5%
Other 36 12%
Unknown 98 33%
Readers by discipline Count As %
Psychology 59 20%
Nursing and Health Professions 49 16%
Medicine and Dentistry 38 13%
Sports and Recreations 9 3%
Social Sciences 8 3%
Other 19 6%
Unknown 116 39%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 September 2017.
All research outputs
#18,138,596
of 23,302,246 outputs
Outputs from BMC Psychiatry
#3,790
of 4,810 outputs
Outputs of similar age
#227,209
of 316,358 outputs
Outputs of similar age from BMC Psychiatry
#83
of 114 outputs
Altmetric has tracked 23,302,246 research outputs across all sources so far. This one is in the 19th percentile – i.e., 19% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,810 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 12.4. This one is in the 16th percentile – i.e., 16% of its peers scored the same or lower than it.
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We're also able to compare this research output to 114 others from the same source and published within six weeks on either side of this one. This one is in the 18th percentile – i.e., 18% of its contemporaries scored the same or lower than it.