Abstract
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.
Highlights
Depression has increased prevalence in persons with one or more chronic physical illness (Patten, 2005)
Supported self-care interventions appear to be effective in treating depression (Gellatly et al, 2007), most research has not been conducted in people with chronic physical illnesses
Specific objectives of the present study were (a) to assess patient adherence at 2 months to use of the self-care tools and coach contacts and (b) to determine predictors of adherence to these intervention components
Summary
Depression has increased prevalence in persons with one or more chronic physical illness (Patten, 2005). Rather than medications, are recommended for adults with a non-severe depression and comorbid chronic physical illness (National Collaborating Center for Mental Health, 2009). Supported self-care interventions appear to be effective in treating depression (Gellatly et al, 2007), most research has not been conducted in people with chronic physical illnesses. We conducted a feasibility study of a telephone-supported depression self-care intervention among adults aged 40 and above with one or more of six high-impact chronic physical illnesses (McCusker et al, 2012). Specific objectives of the present study were (a) to assess patient adherence at 2 months to use of the self-care tools and coach contacts and (b) to determine predictors of adherence to these intervention components
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