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Open Access A Community-Based Intervention for Treating Depression in Seniors Une intervention communautaire pour traiter la dépression chez les personnes âgées

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Abstract:

This study piloted and refined a community-based behavioural intervention for depressed seniors. The intervention, based on Lewinsohn's , was administered in bibliotherapy format adapted for seniors. It was delivered in a minimal-contact format by home care nurses. The intervention was tested and refined in a series of 3 multiple-baseline studies, each with 2 participants. Each series consisted of baseline, 6 weekly treatment sessions, and 3-month follow-up. Series A tested the feasibility of the intervention. Series B examined the role of pleasant activities as a pivotal part of the treatment. Series C replicated the findings of series B and tested the final version of the intervention. In all the series, there was a reduction in depression that remained at 3-month follow-up. The results indicate that this form of intervention can be supported by home care nurses working with an underserved population that is prone to depression.

French
Dans le cadre de ce projet, on a piloté et raffiné une intervention communautaire de nature comportementale destinée aux personnes âgées déprimées. Fondée sur l'ouvrage de Lewinsohn intitulée ControlYour Depression, l'intervention consistait ici en une bibliothérapie adaptée à la population visée, nécessitant un contact moindre assuré par l'entremise d'infirmières de soins à domicile. On a testé et raffiné l'intervention grâce à une série de trois études de base comportant des caractéristiques multiples et deux participants chacune. Chaque série comprenait six séances de thérapie hebdomadaires de base et un suivi de trois mois. La série A a servi à vérifier la faisabilité de l'intervention. La série B a servi à étudier le rôle des activités agréables en tant que point d'ancrage du traitement. La série C a servi à reproduire les conclusions de la série B et à tester l'intervention dans sa version définitive. On a constaté une réduction de la dépression au terme du troisième mois du suivi. Ces résultats indiquent que ce type d'intervention peut être réalisé par des infirmières à domicile auprès de populations mal desservies et sujettes à la dépression.

Keywords: AGING; BIBLIOTHERAPY; CARE DELIVERY; COGNITIVE BEHAVIOUR THERAPY; DEPRESSION; ELDER HEALTH; UNDERSERVED POPULATIONS

Document Type: Research Article

Publication date: 2008-03-01

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