TY - JOUR
T1 - Pulling out all the stops
T2 - What motivates 65+ year olds with depressive symptoms to participate in an outreaching preference-led intervention programme?
AU - Van Beljouw, Ilse M.J.
AU - Heerings, Marjolijn
AU - Abma, Tineke A.
AU - Laurant, Miranda G.H.
AU - Van'T Veer-Tazelaar, Petronella J.V.
AU - Baur, Vivianne E.
AU - Stek, Max L.
AU - Van Marwijk, Harm W.J.
AU - Van Exel, Eric
N1 - Publisher Copyright:
© 2015 © 2014 Taylor & Francis.
PY - 2015/9/12
Y1 - 2015/9/12
N2 - Objectives: Many older adults have significant depressive symptoms but few people access care for these. This study explores which personal, clinical and need factors facilitate or hinder acceptance of a new outreaching preference-led intervention programme.Methods: From a sample of 9661 community-dwelling 65+ year olds, 244 persons with depressive symptoms according to the Patient Health Questionnaire-9 were included. Data on programme effectiveness in terms of care utilisation were collected. Associations between programme acceptance and personal, clinical and need factors were studied using quantitative (logistic regression analyses) and qualitative methods (semi-structured interviews with 26 subjects, who accepted (n = 20) or declined (n = 6) the programme). Results: Fifty-six per cent (n = 137) took part in the interventions. Quantitative logistic regression analyses showed that participants were more often female, suffered from more severe depressive symptoms and perceived more loneliness. Qualitative analyses revealed that people accepting the intervention programme felt that medical terms as having a depressed mood were applicable to their situation, more often perceived their symptoms as hindering, felt lonely and more often perceived a need for care. They were more often advised by their general practitioner to participate than individuals who refused the interventions. Many participating individuals did not see a match between the intervention programme and their needs, especially with respect to meeting new people. Conclusion: Many older persons with depressive symptoms did not feel the need to take part in the programme. Providing support in alleviating loneliness and further adaptation to older adults illness representations and perceptions when discussing depressive symptoms might enhance care utilisation.
AB - Objectives: Many older adults have significant depressive symptoms but few people access care for these. This study explores which personal, clinical and need factors facilitate or hinder acceptance of a new outreaching preference-led intervention programme.Methods: From a sample of 9661 community-dwelling 65+ year olds, 244 persons with depressive symptoms according to the Patient Health Questionnaire-9 were included. Data on programme effectiveness in terms of care utilisation were collected. Associations between programme acceptance and personal, clinical and need factors were studied using quantitative (logistic regression analyses) and qualitative methods (semi-structured interviews with 26 subjects, who accepted (n = 20) or declined (n = 6) the programme). Results: Fifty-six per cent (n = 137) took part in the interventions. Quantitative logistic regression analyses showed that participants were more often female, suffered from more severe depressive symptoms and perceived more loneliness. Qualitative analyses revealed that people accepting the intervention programme felt that medical terms as having a depressed mood were applicable to their situation, more often perceived their symptoms as hindering, felt lonely and more often perceived a need for care. They were more often advised by their general practitioner to participate than individuals who refused the interventions. Many participating individuals did not see a match between the intervention programme and their needs, especially with respect to meeting new people. Conclusion: Many older persons with depressive symptoms did not feel the need to take part in the programme. Providing support in alleviating loneliness and further adaptation to older adults illness representations and perceptions when discussing depressive symptoms might enhance care utilisation.
UR - http://www.scopus.com/inward/record.url?scp=84964285914&partnerID=8YFLogxK
U2 - 10.1080/13607863.2014.944090
DO - 10.1080/13607863.2014.944090
M3 - Article
C2 - 25215904
AN - SCOPUS:84964285914
SN - 1360-7863
VL - 19
SP - 453
EP - 463
JO - Aging and Mental Health
JF - Aging and Mental Health
IS - 5
ER -