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Article: Brief problem-solving treatment in primary care (PST-PC) was not more effective than placebo for elderly patients screened positive of psychological problems

TitleBrief problem-solving treatment in primary care (PST-PC) was not more effective than placebo for elderly patients screened positive of psychological problems
Authors
KeywordsChinese
elderly
mental illness
primary care
problem solving treatment
screening
Issue Date2010
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/4294
Citation
International Journal Of Geriatric Psychiatry, 2010, v. 25 n. 10, p. 968-980 How to Cite?
Abstract
Objectives To evaluate whether screening followed by brief problem-solving treatment by primary care doctors (PST-PC) could improve health-related quality of life (HRQOL) and reduce consultation rates in the elderly. Design A single-blind randomized placebo controlled trial (RCT). Setting Two government funded primary care clinics in Hong Kong. Participants Two hundred and ninety nine Chinese patients aged 60 years or over, with positive screening scores for psychological problems by the Hospital Anxiety and Depression Scale (HADS). Interventions One hundred and forty nine subjects were randomized to receive brief PST-PC from primary care doctors (treatment) and 150 to group video-viewing (placebo). All subjects were followed up by telephone at 6, 12, 26 and 52 weeks. Main Outcome Measures Changes in SF-36 HRQOL scores, HADS scores and monthly consultation rates were compared within and between groups. Results Study completion rates were 69-71%. There was significant improvement in the SF-36 role-emotional (RE) and mental component summary (MCS) scores at week 6 in the PST-PC group but not in the placebo group. Several SF-36 scores improved significantly in the placebo (video) group at week 6-52. Mixed effects analysis adjusting for baseline values and cofounders did not show any difference in any of the outcomes between the PST-PC and placebo (video) groups. Conclusions Screening followed by brief PST-PC was associated with a short-term improvement in HRQOL in Chinese elderly patients screened positive of psychological problems, but the HRQOL benefit was not greater than those found in the placebo group who participated in group-viewings of health education videos. © 2009 John Wiley & Sons, Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/125076
ISSN
2013 Impact Factor: 3.086
ISI Accession Number ID
Funding AgencyGrant Number
Food and Health Bureau, the Government of the Hong Kong SAR218016
Funding Information:

The authors would like to thank Dr Stephen W. K. Chow, Dr Kevin K. L. Pang, Dr Johnny C.Y. Lam, Dr Sam C. S. Au, Dr Jacky H. H. Sze and Dr Brigitte E. Schlaikier for providing the PST-PC. The authors would also like to acknowledge On-On Cheng and Alice O.L. Cheung for their assistance in data collection and analysis. This project was supported by the Health Care and Promotion Fund (project ref no # 218016) of the Food and Health Bureau, the Government of the Hong Kong SAR.

References
Grants

 

Author Affiliations
  1. The University of Hong Kong
DC FieldValueLanguage
dc.contributor.authorLam, CLKen_HK
dc.contributor.authorFong, DYTen_HK
dc.contributor.authorChin, WYen_HK
dc.contributor.authorLee, PWHen_HK
dc.contributor.authorLam, ETPen_HK
dc.contributor.authorLo, YYCen_HK
dc.date.accessioned2010-10-31T11:10:02Z-
dc.date.available2010-10-31T11:10:02Z-
dc.date.issued2010en_HK
dc.identifier.citationInternational Journal Of Geriatric Psychiatry, 2010, v. 25 n. 10, p. 968-980en_HK
dc.identifier.issn0885-6230en_HK
dc.identifier.urihttp://hdl.handle.net/10722/125076-
dc.description.abstractObjectives To evaluate whether screening followed by brief problem-solving treatment by primary care doctors (PST-PC) could improve health-related quality of life (HRQOL) and reduce consultation rates in the elderly. Design A single-blind randomized placebo controlled trial (RCT). Setting Two government funded primary care clinics in Hong Kong. Participants Two hundred and ninety nine Chinese patients aged 60 years or over, with positive screening scores for psychological problems by the Hospital Anxiety and Depression Scale (HADS). Interventions One hundred and forty nine subjects were randomized to receive brief PST-PC from primary care doctors (treatment) and 150 to group video-viewing (placebo). All subjects were followed up by telephone at 6, 12, 26 and 52 weeks. Main Outcome Measures Changes in SF-36 HRQOL scores, HADS scores and monthly consultation rates were compared within and between groups. Results Study completion rates were 69-71%. There was significant improvement in the SF-36 role-emotional (RE) and mental component summary (MCS) scores at week 6 in the PST-PC group but not in the placebo group. Several SF-36 scores improved significantly in the placebo (video) group at week 6-52. Mixed effects analysis adjusting for baseline values and cofounders did not show any difference in any of the outcomes between the PST-PC and placebo (video) groups. Conclusions Screening followed by brief PST-PC was associated with a short-term improvement in HRQOL in Chinese elderly patients screened positive of psychological problems, but the HRQOL benefit was not greater than those found in the placebo group who participated in group-viewings of health education videos. © 2009 John Wiley & Sons, Ltd.en_HK
dc.languageengen_HK
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/4294en_HK
dc.relation.ispartofInternational Journal of Geriatric Psychiatryen_HK
dc.rightsInternational Journal of Geriatric Psychiatry. Copyright © John Wiley & Sons Ltd.-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.rightsThis is a preprint of an article published in International Journal of Geriatric Psychiatry, 2010, v. 25 n. 10, p. 968-980-
dc.subjectChineseen_HK
dc.subjectelderlyen_HK
dc.subjectmental illnessen_HK
dc.subjectprimary careen_HK
dc.subjectproblem solving treatmenten_HK
dc.subjectscreeningen_HK
dc.subject.meshHealth Education - methods-
dc.subject.meshMental Disorders - therapy-
dc.subject.meshPrimary Health Care-
dc.subject.meshProblem Solving-
dc.subject.meshPsychotherapy, Brief - methods - standards-
dc.titleBrief problem-solving treatment in primary care (PST-PC) was not more effective than placebo for elderly patients screened positive of psychological problemsen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0885-6230&volume=25&issue=10&spage=968&epage=980&date=2010&atitle=Brief+problem-solving+treatment+in+primary+care+(pst-pc)+was+not+more+effective+than+placebo+for+elderly+patients+screened+positive+of+psychological+problemsen_HK
dc.identifier.emailLam, CLK: clklam@hku.hken_HK
dc.identifier.emailFong, DYT: dytfong@hku.hken_HK
dc.identifier.emailChin, WY: chinwy@hku.hken_HK
dc.identifier.emailLo, YYC: yve_lo@yahoo.com.hken_HK
dc.identifier.authorityLam, CLK=rp00350en_HK
dc.identifier.authorityFong, DYT=rp00253en_HK
dc.identifier.authorityChin, WY=rp00290en_HK
dc.identifier.authorityLo, YYC=rp00512en_HK
dc.description.naturepostprint-
dc.identifier.doi10.1002/gps.2435en_HK
dc.identifier.pmid20033901en_HK
dc.identifier.scopuseid_2-s2.0-78649421216en_HK
dc.identifier.hkuros175978en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-78649421216&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume25en_HK
dc.identifier.issue10en_HK
dc.identifier.spage968en_HK
dc.identifier.epage980en_HK
dc.identifier.eissn1099-1166-
dc.identifier.isiWOS:000283341700005-
dc.publisher.placeUnited Kingdomen_HK
dc.relation.projectA randomised controlled trial on the effectiveness of screening and brief problem-solving counselling for elderly patients with undiagnosed psychological problems in primary care-
dc.identifier.scopusauthoridLam, CLK=24755913900en_HK
dc.identifier.scopusauthoridFong, DYT=35261710300en_HK
dc.identifier.scopusauthoridChin, WY=35117470300en_HK
dc.identifier.scopusauthoridLee, PWH=7406120357en_HK
dc.identifier.scopusauthoridLam, ETP=35068220200en_HK
dc.identifier.scopusauthoridLo, YYC=16022308000en_HK

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