Design and Sample Characteristics of the PRISM-E Multisite Randomized Trial to Improve Behavioral Health Care for the Elderly

Levkoff, Sue E.; Chen, Hongtu; Coakley, Eugenie; Herr, Elizabeth C. McDonel; Oslin, David W.; Katz, Ira R.; Bartels, Stephen J.; Maxwell, James; Olsen, Edwin J.; Miles, Keith M.; Constantino, Giuseppe; Ware, James H.

doi:10.1177/0898264303260390

Cited by 79 publications

(89 citation statements)

References 49 publications

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“…The referral model encompassed referral to a separate mental health or substance abuse speciality clinic. Methods for the multi-site trial are described in detail elsewhere (Bartels et al, 2002;Gallo et al, 2004;Levkoff et al, 2004).…”

Section: Methods the Prism-e Studymentioning

confidence: 99%

“…This single item was selected for use as part of the screening battery to reduce respondent burden. Persons with a BOMC of 16 or less and not in current MH treatment, who scored greater than 2 on the GHQ were invited to receive further evaluation of their psychiatric symptoms and diagnoses in accordance with the PRISM-E multisite protocol (Levkoff et al, 2004).…”

Section: Measurement Strategymentioning

confidence: 99%

“…In this investigation we focused only on persons who scored above the threshold on the GHQ and who met criteria for a depression diagnosis (major depression, minor depression, dysthymia, or depression NOS; Levkoff et al, 2004). Because the organization of health services differs in VA sites compared to non-VA sites, we considered whether the practice from which the patient was recruited was a VA or non-VA site.…”

Section: Measurement Strategymentioning

confidence: 99%

“…Stevens et al, 1999), few studies have assessed the association of non-participation with personal characteristics and attitudes about depression and its treatment. In large primary care depression trials like PROSPECT (Bruce et al, 2004), IMPACT (Unützer et al, 2002) and PRISM-E (Levkoff et al, 2004) that have focused on older adults, many eligible patients were not screened. Understanding the patient factors associated with participation at each step of trial implementation (screening, assessment for eligibility, randomization, and enrollment) can assist in tailoring strategies to individuals who otherwise may be less inclined to participate.…”

Section: Introductionmentioning

confidence: 99%

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Personal characteristics and depression-related attitudes of older adults and participation in stages of implementation of a multi-site effectiveness trial (PRISM-E)

Wittink

Oslin

Knott

et al. 2005

Int. J. Geriat. Psychiatry

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SUMMARYBackground-No study has assessed attitudes about depression and its treatment and participation at each step of recruitment and implementation of an effectiveness trial. Our purpose was to determine the association between personal characteristics and attitudes of older adults about depression with participation at each step of the Primary Care Research in Substance Abuse and Mental Health for the Elderly (PRISM-E) treatment effectiveness trial.

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Section: Methods the Prism-e Studymentioning

confidence: 99%

Section: Measurement Strategymentioning

confidence: 99%

Section: Measurement Strategymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Personal characteristics and depression-related attitudes of older adults and participation in stages of implementation of a multi-site effectiveness trial (PRISM-E)

Wittink

Oslin

Knott

et al. 2005

Int. J. Geriat. Psychiatry

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“…Potential participants were assessed in person at nine primary care clinics (six Department of Veterans Affairs [VA] and three non-VA) for depressive disorders, anxiety disorders, and at-risk drinking [27]. Adults diagnosed with psychotic disorders or manic or hypomanic episodes were excluded, as were those who were in active mental health treatment [28].…”

Section: Designmentioning

confidence: 99%

Health status and treatment-seeking stigma in older adults with trauma and posttraumatic stress disorder

Kaiser¹,

Seligowski²,

Spiro³

et al. 2016

J Rehabil Res Dev

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Abstract-This study compared health status across four trauma/posttraumatic stress disorder (PTSD) groups of older adults with depression, anxiety, and/or at-risk drinking who attended primary care appointments (N = 1,199; mean age = 73.5 yr), mostly at Department of Veterans Affairs hospitals. The trauma and PTSD categories were PTSD (n = 81), partial PTSD (n = 127), trauma only (n = 323), and no trauma (n = 668). Physical and mental health-related quality of life (HQL), indices of social and economic impairment and stigma regarding treatment-seeking were compared among groups. Group differences were found for several indicators of functional impairment; the PTSD group had fewer close friends and higher treatment-seeking stigma beliefs related to having a disorder. Linear mixed modeling examined associations between trauma/PTSD group and HQL. After accounting for covariates, the trauma/PTSD groups differed across the Medical Outcome Study Short Form-36 scales and component scores (indicated by significant group by scale interaction). Differences among groups were confined to mental health measures; those with PTSD had worse HQL. Post hoc analyses examined the number of comorbid psychiatric diagnoses by trauma/PTSD group. Overall, findings indicate that mental HQL varies among older adults with trauma and PTSD and that although treatmentrelated stigma does not differ among groups, it does affect HQL.

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A Telephone-Based Program to Provide Symptom Monitoring Alone vs Symptom Monitoring Plus Care Management for Late-Life Depression and Anxiety

et al. 2015

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IMPORTANCE Mental health (MH) conditions are undertreated in late life. It is important to identify treatment strategies that address variability in treatment content and delivery and take individual-specific symptoms into account, particularly among low-income, community-dwelling older adults. OBJECTIVE To evaluate program feasibility and MH outcomes among community-dwelling older adults randomized to 1 of 2 treatment arms of varying intensity of evidence-based, collaborative MH care management services (ie, the Supporting Seniors Receiving Treatment and Intervention [SUSTAIN] program) that provide standardized, measurement-based, software-aided MH assessment and symptom monitoring and connection to community resources via telephone. DESIGN, SETTING, AND PARTICIPANTS Trial participants were 1018 older, community-dwelling, low-income adults prescribed an antidepressant or anxiolytic by a primary care or non-MH professional and experiencing clinically significant MH symptoms at intake. The participant subsample was drawn from a larger parent sample of older adults enrolled in the SUSTAIN program. Individuals were randomized to receive MH symptom monitoring alone (hereafter monitoring alone) or MH symptom monitoring plus care management (hereafter care management) provided by an MH professional. Baseline characteristics were examined, and changes in clinical MH outcomes were evaluated at 3-month and 6-month follow-up. The study dates were August 5, 2010, to May 5, 2014. INTERVENTIONS Monitoring alone or care management delivered by an MH professional. MAIN OUTCOMES AND MEASURES Overall MH functioning (primary) and depressive and anxiety symptoms. RESULTS A total of 509 participants were randomized to the monitoring alone group and 509 to the care management group; 377 and 401 completed Ն2 research assessments in the monitoring alone and case management groups, respectively. Compared with those randomized to monitoring alone, individuals randomized to care management showed greater improvements in the 3 domains of MH functioning (β [SE], 0.

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Design and Sample Characteristics of the PRISM-E Multisite Randomized Trial to Improve Behavioral Health Care for the Elderly

Abstract: These findings indicate the need for screening in primary care and for engaging older adults in treatment.

Cited by 79 publications

References 49 publications

Personal characteristics and depression-related attitudes of older adults and participation in stages of implementation of a multi-site effectiveness trial (PRISM-E)

Personal characteristics and depression-related attitudes of older adults and participation in stages of implementation of a multi-site effectiveness trial (PRISM-E)

Health status and treatment-seeking stigma in older adults with trauma and posttraumatic stress disorder

A Telephone-Based Program to Provide Symptom Monitoring Alone vs Symptom Monitoring Plus Care Management for Late-Life Depression and Anxiety

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