8 research outputs found
A feasibility study for NOn-Traditional providers to support the management of Elderly People with Anxiety and Depression: the NOTEPAD study Protocol
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
Provision of private practice as a learning environment for midwifery students
The availability of midwifery led continuity of care models within health services or via home birth with a known midwife creates an opportunity for midwifery students to be placed with midwives to experience continuity of care for women in such models. In some States and Territories of Australia, however not Queensland, midwifery led continuity of care models including home birth are available through public health services.The literature is clear that home birth for low risk women is a viable and safe choice for women (The National Institute for Health Care and Excellence, 2014). It is suggested midwifery students undertake clinical experience with planned home birth (Vedam et al., 2009). CQUniversity was offered placements for midwifery students in midwifery models of care that included home birth. However, CQUniversity was unable to secure indemnity insurance to cover midwifery students for the intra-partum care component at home in these placements.Research via a quantitative survey to investigate options for midwifery students to undertake clinical placement with independent practicing midwives attending home births was undertaken. This research was to ascertain if universities within Australia provided clinical placement for midwifery students in planned home birth and if so what indemnity insurance arrangements were in place. This presentation will explore the issue, disseminate the findings of the research undertaken and discuss a governance plan. This research has implications for educators in midwifery programs nationally