| Source of record | UK Trials |
| ISRCTN | ISRCTN91170552 |
| Date ISRCTN assigned | 03/02/2003 |
| Local reference number(s) | G84/6075 |
| Public title | An exploratory randomised trial of the effectiveness of a training intervention delivered to staff of a district nursing service in improving the knowledge and detection of common mental disorders in a mixed adult and older adult caseload |
| Scientific title |
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| Acronym | N/A |
| Disease/condition/study domain | Mental and Behavioural Disorders |
| Study hypothesis | To ascertain whether a training programme delivered to district nurses and associated health workers can produce significant and sustained improvements in their abilities to detect cases of clinically significant psychological disorder in their patients. |
| Design/methodology | Randomised controlled trial |
| Research ethics review | Not provided at time of registration |
| Countries of trial | United Kingdom |
| Participants - inclusion criteria | 1. All consenting state qualified nursing staff will be included, home care staff (levels I & II) will be randomly selected
2. Patients on their caseloads aged over 18, who provide consent, will be included |
| Participants - exclusion criteria | For patients, diagnoses of: severe mental illness; current substance misuse disorder; moderate or severe organic brain disorder. |
| Patient information material |
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| Anticipated start date | 30/09/2002 |
| Anticipated end date | 29/09/2005 |
| Status of trial | Completed |
| Target number of participants | 115 staff, 900 patients |
| Interventions | A training package comprising seven sessions will be developed based upon evidence-based clinical practice guidelines and existing teaching resources. This will be delivered utilising varied learning approaches, predominantly interactive educational workshops such as those involving small group discussion or case studies, to a randomly allocated group of staff.
In a second phase one year later, the training intervention will be delivered to the prior control group. |
| Primary outcome measure(s) | Changes in measures of case recognition utilising standard properties of diagnostic instruments will be compared between intervention and control groups pre- and post-intervention, and at 12 months. Included patients will complete Hospital Anxiety Depression Scale (Zigmond & Snaith, 1983), those over 65 will additionally complete the Short Geriatric Depression Scale (15) (Sheik & Yesavage, 1986). Staff will concurrently complete a five-point measure of presence and severity of mental disorder for their patients. Staff knowledge and attitudes will be measured at baseline and at three and 12 month intervals using an adapted version of the Depression Attitude Questionnaire (Botega, Blizard, Wilkinson, Mann, 1992), and multiple choice questions based upon World Health Organisation (WHO) primary care mental health literature. |
| Secondary outcome measure(s) | Not provided at time of registration |
| Sources of funding | Medical Research Council |
| Sponsor name | Medical Research Council (UK) |
| Sponsor details | 20 Park Crescent
London
United Kingdom
W1B 1AL |
| Sponsor telephone | +44 (0)20 7636 5422 |
| Sponsor fax | +44 (0)20 7436 6179 |
| Sponsor email | clinical.trial@headoffice.mrc.ac.uk |
| Sponsor website | http://www.mrc.ac.uk |
| Contact name | Mr Mark Haddad |
| Contact details | Health Services Research Department
Institute of Psychiatry PO30
De Crespigny Park
Denmark Hill
London
United Kingdom
SE5 8AF |
| Contact telephone | +44 (0)20 7848 0139 |
| Contact fax | +44 (0)20 7848 0458 |
| Contact email | m.haddad@iop.kcl.ac.uk |
| More information | For more up-to-date information please go to the ISRCTN link below. |
| Link to record in ISRCTN Register | ISRCTN91170552 |
| Date last extracted from ISRCTN register | 17/04/2008 |
