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  • 标题:Adherence to a Telephone-Supported Depression Self-Care Intervention for Adults With Chronic Physical Illnesses
  • 本地全文:下载
  • 作者:Russell Simco ; Jane McCusker ; Maida Sewitch
  • 期刊名称:SAGE Open
  • 印刷版ISSN:2158-2440
  • 电子版ISSN:2158-2440
  • 出版年度:2015
  • 卷号:5
  • 期号:1
  • DOI:10.1177/2158244015572486
  • 语种:English
  • 出版社:SAGE Publications
  • 摘要:We assessed adherence to and predictors of two components of a telephone-supported self-care intervention for depression among primary care adults aged 40 and above with chronic physical illnesses and comorbid depressive symptoms. Participants received a “toolkit” containing six self-care tools. Trained lay self-care “coaches” negotiated a contact schedule of up to weekly contacts. Study outcomes were levels of completion of the self-care tool and the coach contacts at the 2-month follow-up. Coaches reported the number of completed contacts. In all, 57 of 63 participants completed the 2-month follow-up. Of these, 67% completed at least 1 tool; the mean number of coach contacts was 5.7 (SD = 2.4) of a possible 9 contacts (63% adherence). Higher disease comorbidity and lower initial depression severity independently predicted better tool adherence. Findings suggest that people with chronic physical illnesses can achieve acceptable levels of adherence to a depression self-care intervention similar to those reported for other populations.
  • 关键词:supported self-care; adherence; predictors; depression; chronic illness
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