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Pulling out all the stops: what motivates 65+ year olds with depressive symptoms to participate in an outreaching preference-led intervention programme?
- Source :
- Aging & Mental Health, 19, 453-463, Aging & Mental Health, 19, 453-63, Aging & Mental Health, 19(5), 453-63. Taylor & Francis Group, Aging and Mental Health, 19(5), 453-463. Taylor and Francis Ltd., Aging & Mental Health, 19, 5, pp. 453-63, van Beljouw, I M J, Heerings, M, Abma, T A, Laurant, M G, Veer-Tazelaar, P J, Baur, V E, Stek, M L, van Marwijk, H W & van Exel, E 2015, ' Pulling out all the stops: what motivates 65+ year olds with depressive symptoms to participate in an outreaching preference-led intervention programme? ', Aging and Mental Health, vol. 19, no. 5, pp. 453-463 . https://doi.org/10.1080/13607863.2014.944090
- Publication Year :
- 2015
-
Abstract
- Item does not contain fulltext OBJECTIVES: Many older adults have significant depressive symptoms but few people access care for these. This study explores which personal, clinical and need factors facilitate or hinder acceptance of a new outreaching preference-led intervention programme. METHODS: From a sample of 9661 community-dwelling 65+ year olds, 244 persons with depressive symptoms according to the Patient Health Questionnaire-9 were included. Data on programme effectiveness in terms of care utilisation were collected. Associations between programme acceptance and personal, clinical and need factors were studied using quantitative (logistic regression analyses) and qualitative methods (semi-structured interviews with 26 subjects, who accepted (n = 20) or declined (n = 6) the programme). RESULTS: Fifty-six per cent (n = 137) took part in the interventions. Quantitative logistic regression analyses showed that participants were more often female, suffered from more severe depressive symptoms and perceived more loneliness. Qualitative analyses revealed that people accepting the intervention programme felt that medical terms as having a depressed mood were applicable to their situation, more often perceived their symptoms as hindering, felt lonely and more often perceived a need for care. They were more often advised by their general practitioner to participate than individuals who refused the interventions. Many participating individuals did not see a match between the intervention programme and their needs, especially with respect to meeting new people. CONCLUSION: Many older persons with depressive symptoms did not feel the need to take part in the programme. Providing support in alleviating loneliness and further adaptation to older adults' illness representations and perceptions when discussing depressive symptoms might enhance care utilisation.
- Subjects :
- Male
medicine.medical_specialty
Psychological intervention
Logistic regression
Severity of Illness Index
Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18]
Intervention (counseling)
Surveys and Questionnaires
Medicine
Humans
Psychiatry
Mass screening
Depression (differential diagnoses)
Aged
Netherlands
Aged, 80 and over
business.industry
Depression
Loneliness
Social Support
Patient Acceptance of Health Care
Preference
Psychiatry and Mental health
Cross-Sectional Studies
Female
Geriatrics and Gerontology
Pshychiatric Mental Health
medicine.symptom
business
Gerontology
Qualitative research
Clinical psychology
Subjects
Details
- ISSN :
- 13607863
- Database :
- OpenAIRE
- Journal :
- Aging & Mental Health, 19, 453-463, Aging & Mental Health, 19, 453-63, Aging & Mental Health, 19(5), 453-63. Taylor & Francis Group, Aging and Mental Health, 19(5), 453-463. Taylor and Francis Ltd., Aging & Mental Health, 19, 5, pp. 453-63, van Beljouw, I M J, Heerings, M, Abma, T A, Laurant, M G, Veer-Tazelaar, P J, Baur, V E, Stek, M L, van Marwijk, H W & van Exel, E 2015, ' Pulling out all the stops: what motivates 65+ year olds with depressive symptoms to participate in an outreaching preference-led intervention programme? ', Aging and Mental Health, vol. 19, no. 5, pp. 453-463 . https://doi.org/10.1080/13607863.2014.944090
- Accession number :
- edsair.doi.dedup.....080bc14401d739113a47a67f1196d9ac