TY  - JOUR
A1  - Nagel, Laura Carlotta
A1  - Tesky, Valentina
A1  - Schall, Arthur
A1  - Müller, Tanja
A1  - König, Jochem
A1  - Pantel, Johannes
A1  - Stangier, Ulrich
T1  - Compliance with CBT referral in nursing home residents diagnosed with depression: Results from a feasibility study
T2  - Heliyon
N2  - Objectives: Patient-level factors that influence compliance with a recommendation for CBT in nursing home residents diagnosed with depression were identified.
Methods: Within a cluster-randomized trial on stepped care for depression in nursing homes (DAVOS-study, Trial registration: DRKS00015686), participants received an intake interview administered by a licensed psychotherapist. If psychotherapy was required, patients were offered a referral for CBT. Sociodemographic characteristics, severity of depression, loneliness, physical health, antidepressant medication, prior experience with psychotherapy, and attitudes towards own aging were assessed. A binary regression determined predictors of compliance with referral.
Results: Of 123 residents receiving an intake interview, 80 were recommended a CBT. Forty-seven patients (58.8 %) followed the recommendation. The binary logistic regression model on compliance with recommended CBT was significant, χ2(9) = 21.64, p = .010. Significant predictors were age (Odds Ratio (OR) = 0.9; 95 % Confidence Interval (CI) = 0.82, 0.99; p = .024) and depression (OR = 1.33; 95 % CI = 1.08, 1.65; p = .008).
Conclusion: Within the implemented setting compliance rate was comparable to other age groups. Future interventions should include detailed psychoeducation on the benefits of psychotherapy on mild depressive symptoms in older age and evidence-based interventions to address the stigma of depression. Interventions such as reminiscence-based methods or problem-solving could be useful to increase compliance with referral, especially in very old patients (80+). Language barriers and a culturally sensitive approach should be considered when screening residents.
KW  - Cognitive behavioural therapy
KW  - Care home
KW  - Older adult
KW  - Stigma
KW  - Migration
Y1  - 2023
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/82796
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-827966
SN  - 2405-8440
VL  - 10.2024
IS  - art. e23379
PB  - Elsevier
CY  - Amsterdam
ER  -