PRISM-E多中心随机试验的设计与样本特征，以改善老年人的行为健康护理。
Design and sample characteristics of the PRISM-E multisite randomized trial to improve behavioral health care for the elderly.
作者信息
Levkoff Sue E, Chen Hongtu, Coakley Eugenie, Herr Elizabeth C McDonel, Oslin David W, Katz Ira, Bartels Stephen J, Maxwell James, Olsen Edwin, Miles Keith M, Constantino Giuseppe, Ware James H
机构信息
Brigham and Women's Hospital, Harvard Medical School, USA.
出版信息
J Aging Health. 2004 Feb;16(1):3-27. doi: 10.1177/0898264303260390.
OBJECTIVE
To describe the design of the Primary Care Research in Substance Abuse and Mental Health for Elderly (PRISM-E) study and baseline characteristics of the randomized primary care patients with mental health problems and at-risk alcohol use.
METHOD
Adults aged 65 and older were screened at primary care clinics from 10 study sites throughout the United States. Those diagnosed for depression, anxiety, and/or at-risk alcohol consumption were randomized to either integrated or enhanced referral care.
RESULTS
Of the 23,828 participants, 14% had a positive assessment for depressive and/or anxiety disorders, and 6% had at-risk alcohol consumption diagnoses. Among patients with mental health diagnoses, there was a higher preponderance of younger ages, women, and ethnic minorities. Among patients with at-risk drinking, there was a higher preponderance of younger ages, Whites, and men.
DISCUSSION
These findings indicate the need for screening in primary care and for engaging older adults in treatment.
目的
描述老年药物滥用和心理健康初级保健研究（PRISM-E）的设计，以及患有心理健康问题和有酒精使用风险的随机初级保健患者的基线特征。
方法
对来自美国10个研究地点的初级保健诊所中65岁及以上的成年人进行筛查。那些被诊断为抑郁症、焦虑症和/或有酒精消费风险的人被随机分配到综合转诊护理或强化转诊护理。
结果
在23828名参与者中，14%的人对抑郁和/或焦虑症评估呈阳性，6%的人被诊断为有酒精使用风险。在患有心理健康诊断的患者中，年轻人、女性和少数族裔的比例更高。在有饮酒风险的患者中，年轻人、白人和男性的比例更高。
讨论
这些发现表明在初级保健中进行筛查以及让老年人参与治疗的必要性。
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