School of Psychology, Deakin University, 221 Burwood Hwy, Burwood VIC 3125, Australia.
BMC Palliat Care. 2011 Jun 13;10:11. doi: 10.1186/1472-684X-10-11.
Clinical depression is highly prevalent yet under-detected and under-treated in palliative care settings and is associated with a number of adverse medical and psychological outcomes for patients and their family members. This article presents a study protocol to evaluate a training intervention for non-physician palliative care staff to improve the recognition of depression and provide support for depressed patients and their family members. Details of the hypotheses and expected outcomes, study design, training program development and evaluation measures are described.
A randomised controlled trial will be implemented across two palliative care services to evaluate the "Training program for professional carers to recognise and manage depression in palliative care settings". Pre-, post- and three-month follow-up data will be collected to assess: the impact of the training on the knowledge, attitudes, self-efficacy and perceived barriers of palliative care staff when working with depression; referral rates for depression; and changes to staff practices. Quantitative and qualitative methods, in the form of self-report questionnaires and interviews with staff and family members, will be used to evaluate the effectiveness of the intervention.
This study will determine the effectiveness of an intervention that aims to respond to the urgent need for innovative programs to target depression in the palliative care setting. The expected outcome of this study is the validation of an evidence-based training program to improve staff recognition and appropriate referrals for depression, as well as improve psychosocial support for depressed patients and their family members.
Australia and New Zealand Clinical Trials Register (ANZCTR): ACTRN12610000183088.
在姑息治疗环境中，临床抑郁症的患病率很高，但未被充分发现和治疗，并且与患者及其家属的许多不良医疗和心理后果有关。本文介绍了一项针对非医师姑息治疗人员的培训干预措施的研究方案，以提高对抑郁症的识别能力，并为抑郁患者及其家属提供支持。本文详细介绍了假设和预期结果、研究设计、培训计划的制定和评估措施。
将在两个姑息治疗服务机构中实施一项随机对照试验，以评估“专业护理人员培训计划，以识别和管理姑息治疗环境中的抑郁症”。将收集预、后和三个月随访的数据，以评估培训对姑息治疗人员在处理抑郁症时的知识、态度、自我效能感和感知障碍的影响；抑郁症的转诊率；以及员工实践的变化。将采用定量和定性方法，即自我报告问卷和对员工及家属的访谈，来评估干预措施的有效性。
本研究将确定旨在应对姑息治疗环境中针对抑郁症的创新计划的迫切需求的干预措施的有效性。这项研究的预期结果是验证一种循证培训计划，以提高员工对抑郁症的识别和适当转诊能力，并改善抑郁患者及其家属的心理社会支持。
澳大利亚和新西兰临床试验注册（ANZCTR）：ACTRN12610000183088。
