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A feasibility study for NOn-Traditional providers to support the management of Elderly People with Anxiety and Depression: the NOTEPAD study Protocol

Burroughs, Heather; Bartlam, Bernadette; Kingstone, Tom; Shepherd, Tom; Ogollah, Reuben O.; Proctor, Janine; Waheed, Waquas; Bower, Peter; Bullock, Peter; Lovell, Karina; Gilbody, Simon; Bailey, Della; Butler-Whalley, Stephanie; Chew-Graham, Carolyn

A feasibility study for NOn-Traditional providers to support the management of Elderly People with Anxiety and Depression: the NOTEPAD study Protocol Thumbnail


Authors

Heather Burroughs

Bernadette Bartlam

Tom Kingstone

Tom Shepherd

REUBEN OGOLLAH REUBEN.OGOLLAH@NOTTINGHAM.AC.UK
Associate Professor of Medical Statistics and Clinical Trials

Janine Proctor

Waquas Waheed

Peter Bower

Peter Bullock

Karina Lovell

Simon Gilbody

Della Bailey

Stephanie Butler-Whalley

Carolyn Chew-Graham



Abstract

BACKGROUND:
Anxiety and depression are common among older people, with up to 20% reporting such symptoms, and the prevalence increases with co-morbid chronic physical health problems. Access to treatment for anxiety and depression in this population is poor due to a combination of factors at the level of patient, practitioner and healthcare system. There is evidence to suggest that older people with anxiety and/or depression may benefit both from one-to-one interventions and group social or educational activities, which reduce loneliness, are participatory and offer some activity. Non-traditional providers (support workers) working within third-sector (voluntary) organisations are a valuable source of expertise within the community but are under-utilised by primary care practitioners. Such a resource could increase access to care, and be less stigmatising and more acceptable for older people.

METHODS:
The study is in three phases and this paper describes the protocol for phase III, which will evaluate the feasibility of recruiting general practices and patients into the study, and determine whether support workers can deliver the intervention to older people with sufficient fidelity and whether this approach is acceptable to patients, general practitioners and the third-sector providers. Phase III of the NOTEPAD study is a randomised controlled trial (RCT) that is individually randomised. It recruited participants from approximately six general practices in the UK. In total, 100 participants aged 65 years and over who score 10 or more on PHQ9 or GAD7 for anxiety or depression will be recruited and randomised to the intervention or usual general practice care. A mixed methods approach will be used and follow-up will be conducted 12 weeks post-randomisation.

DISCUSSION:
This study will inform the design and methods of a future full-scale RCT.

TRIAL REGISTRATION:
ISRCTN, ID: ISRCTN16318986 . Registered 10 November 2016. The ISRCTN registration is in line with the World Health Organization Trial Registration Data Set. The present paper represents the original version of the protocol. Any changes to the protocol will be communicated to ISRCTN.

Citation

Burroughs, H., Bartlam, B., Kingstone, T., Shepherd, T., Ogollah, R. O., Proctor, J., …Chew-Graham, C. (2018). A feasibility study for NOn-Traditional providers to support the management of Elderly People with Anxiety and Depression: the NOTEPAD study Protocol. Trials, 19, Article 172. https://doi.org/10.1186/s13063-018-2550-6

Journal Article Type Article
Acceptance Date Feb 16, 2018
Publication Date Mar 7, 2018
Deposit Date Mar 28, 2018
Publicly Available Date Mar 29, 2024
Journal Trials
Electronic ISSN 1745-6215
Publisher Springer Verlag
Peer Reviewed Peer Reviewed
Volume 19
Article Number 172
DOI https://doi.org/10.1186/s13063-018-2550-6
Keywords Depression, Anxiety, Older people, Psychosocial intervention, Community, Third sector
Public URL https://nottingham-repository.worktribe.com/output/919214
Publisher URL https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-018-2550-6

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