Health and Ageing Research Group, School of Health Sciences, Faculty of Health, Arts and Design, Swinburne University of Technology, H95 PO Box 218, Hawthorn, VIC, 3122, Australia.
Biostatistics Consulting Platform, Research Methodology Division, Department of Epidemiology and Preventive Medicine, School of Public Health and Preventative Medicine, Monash University, Melbourne, Australia.
BMC Geriatr. 2020 Mar 12;20(1):98. doi: 10.1186/s12877-020-1492-5.
Depression rates are high in residential aged care (RAC) facilities, with newly admitted residents at particular risk. New approaches to address depression in this population are urgently required, particularly psychological interventions suitable for widespread use across the RAC sector. The Program to Enhance Adjustment to Residential Living (PEARL) is a brief intervention, designed to provide individually tailored care approaches to meet the psychological needs of newly admitted residents, delivered in collaboration with facility staff.
PEARL will be evaluated using a cluster randomised controlled design, comparing outcomes for residents who participate in the intervention with those residing in care as usual control facilities. Participants are RAC residents aged 60 years or above, with normal cognition or mild-moderate cognitive impairment, who relocated to the facility within the previous 4 weeks. The primary outcomes are depressive symptoms and disorders, with secondary outcomes including anxiety, stress, quality of life, adjustment to RAC, and functional dependence, analysed on an intention to treat basis using multilevel modelling.
PEARL is an intervention based on self-determination theory, designed to reduce depression in newly admitted residents by tailoring day to day care to meet their psychological needs. This simple psychological approach offers an alternative care model to the current over-reliance of antidepressant medications.
ACTRN12616001726448; Registered 16 December 2016 with the Australian New Zealand Clinical Trials Registry.
在养老院（RAC）设施中，抑郁症的发病率很高，新入住的居民尤其面临风险。迫切需要新的方法来解决这一人群的抑郁问题，特别是适合在 RAC 领域广泛使用的心理干预措施。增强适应居住生活计划（PEARL）是一种简短的干预措施，旨在为新入住的居民提供个性化的护理方法，以满足他们的心理需求，该计划由设施工作人员合作实施。
PEARL 将采用集群随机对照设计进行评估，将参与干预的居民与居住在常规护理控制设施的居民的结果进行比较。参与者是年龄在 60 岁或以上、认知正常或轻度至中度认知障碍、在过去 4 周内搬到该设施的养老院居民。主要结局是抑郁症状和障碍，次要结局包括焦虑、压力、生活质量、适应养老院和功能依赖，采用多层次建模进行意向治疗分析。
PEARL 是一种基于自我决定理论的干预措施，旨在通过定制日常护理来满足新入住居民的心理需求，从而减少他们的抑郁症状。这种简单的心理方法为目前过度依赖抗抑郁药物的护理模式提供了一种替代方案。
ACTRN12616001726448；2016 年 12 月 16 日在澳大利亚和新西兰临床试验注册中心注册。
