The Effectiveness of the Integrated Care Model among Community-Dwelling Older Adults with Depression: A Quasi-Randomized Controlled Trial

Liao, Su-Jung; Chao, Sheau‐Chiou; Fang, Yu-Wen; Rong, Jiin-Ru; Hsieh, Chia-Jou

doi:10.3390/ijerph19063306

Cited by 4 publications

(1 citation statement)

References 34 publications

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“…At the same time, we reviewed related previous reviews and added two studies. Finally, a total of 19 studies were included in the systematic review (Burns et al, 2000;Cassarino et al, 2021;Chen et al, 2022;Ciechanowski et al, 2004;Coventry et al, 2015;Deng & Sun, 2021;Feng et al, 2021;Katon et al, 2012;Khan et al, 2012;Liao et al, 2022;Liu, 2022;Markle-Reid et al, 2006, 2010Metzelthin et al, 2013;van der Marck et al, 2013;Wong et al, 2020;Wu et al, 2022;Xu & Li, 2021;Zhu, 2018), and 18 studies were included in the metaanalysis. To ensure the rigour of the study, we conducted a search of nine databases on 2 September 2023 using the same search formula, and no new studies were considered consistent with our final study.…”

Section: Studyselectionmentioning

confidence: 99%

Effectiveness of integrated care for older adults‐based interventions on depressive symptoms: A systematic review and meta‐analysis

Liu,

Qin,

Zhang

et al. 2024

Journal of Clinical Nursing

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AimTo pool existing studies to assess the overall effectiveness of integrated care for older adults (ICOPE)‐based interventions in improving depressive symptoms in older adults.DesignA systematic review and meta‐analysis.Data SourcesTen databases were systematically searched from inception to 15 July 2023 and the search was last updated on 2 September 2023.MethodsStandardized mean difference (SMD) was calculated using random effects models. RoB 2 and GRADEpro GDT were used to assess the methodological quality and confidence in the cumulative evidence. Funnel plots, egger's test and begg's test were used to analyse publication bias. Sensitivity, subgroup and meta‐regression analyses were performed to explore potential sources of heterogeneity.ResultsThe results of 18 studies showed ICOPE‐based interventions had a significant effect on improving depressive symptoms (SMD = −.84; 95% CI, −1.20 to −.3647; p < .001; 18 RCTs, 5010 participants; very low‐quality evidence). Subgroup analysis showed the intervention group was characterized by mean age (70–80 years old), intervention duration between 6 to 12 months, gender (female <50%), non‐frail older adults, depressed older adults and mixed integration appeared to be more effective. Sensitivity analysis found the results to be robust.ConclusionICOPE‐based interventions may be a potentially effective alternative approach to reduce depressive symptoms in the older adults.Implications for the Profession and/or Patient CareHealthcare professionals are expected to use ICOPE as one of the interventions for depressive symptoms in older adults, and this ICOPE could provide more comprehensive care services for older adults to reduce depressive symptoms.Impact ICOPE‐based interventions may be a potentially effective alternative approach to reduce depressive symptoms in the older adults. ICOPE‐based interventions had a significant effect on reducing depressive symptoms in the older adults. The intervention group characterized by mean age of older adults, intervention duration, gender ratio, health condition and integration types may influence the effect size. Reporting MethodAccording to the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines.Patient or Public ContributionNo Patient or Public Contribution.

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Section: Studyselectionmentioning

confidence: 99%

Effectiveness of integrated care for older adults‐based interventions on depressive symptoms: A systematic review and meta‐analysis

Liu,

Qin,

Zhang

et al. 2024

Journal of Clinical Nursing

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Effectiveness of Integrated Care for Older Pepole (ICOPE) in Improving Intrinsic Capacity in Older Adults: A Systematic Review and Meta‐Analysis

Liu,

Qin,

Zhang

et al. 2024

Journal of Clinical Nursing

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ObjectiveConduct a systematic review of existing studies on intrinsic capacity (IC) and a meta‐analysis of studies to assess the overall effectiveness of ICOPE in improving IC in older adults.MethodsTen databases were systematically searched from inception to November 8, 2023, and the search was last updated on January 2, 2024. Randomised controlled trials (RCTs) were included. The main outcomes were IC (cognition, psychological, sensory, vitality and locomotion).ResultsThe results showed ICOPE had a significant effect in improving cognitive function (SMD = 0.36; 95% CI, 0.17 to 0.56, p < 0.001, 12 RCTs, 7926 participants) and depressive symptoms (SMD = −0.70; 95% CI, −0.96 to −0.43, p < 0.001, 26 RCTs, 11,034 participants), but there was no statistically significant difference in improving locomotion (SMD = 0.16; 95% CI, −0.03 to 0.34, p = 0.098, 3 RCTs, 1580 participants). Meta‐regression analysis shows that intervention duration should be paid attention to when the source of heterogeneity is discussed on the cognition.ConclusionThe results suggest that ICOPE may be a potentially effective approach to help improve the IC in older adults, showing significant potential for improving cognitive function and reducing depressive symptoms in particular.Implications for the Profession and/or Patient CareICOPE is expected to provide effective strategies to enhance issues such as IC and may be an innovative way to improve the overall health of older adults. This result provides strong support for geriatric nursing practice and encourages the adoption of ICOPE as a viable nursing approach to promote healthy ageing.

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Exploration of related factors of suicide ideation in hospitalized older adults

Liao,

Fang,

Liu

2023

BMC Geriatr

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Background With the rapid aging of the population structure, and the suicide ideation rate also increasing year by year, the ratio of people over 65 to the total number of deaths is increasing yearly. The study provides a reference for researchers interested in older adults’ care to explore SI further affecting older adults in the future and provide a reference for qualitative research methods or interventional measures. Objective The objective of this study is to explore the influence of mental health status, life satisfaction, and depression status on suicidal ideation (SI) among hospitalized older adults. Methods In a cross-sectional correlation study, taking inpatients over 65 years old in a regional teaching hospital in eastern Taiwan, and the BSRS-5 ≧ 5 points of the screening cases, a total of 228 older adults agree to conduct data analysis in this study. Mainly explore the influence of personal characteristics, mental health status, life satisfaction, and depressed mood on SI among the hospitalized older adults. The basic attributes of the cases used in the data, mental health status, cognitive function, quality of life, depression, and suicide ideation, the data obtained were statistically analyzed with SPSS 20/Windows, and the descriptive statistics were average, standard deviation, percentage, median, etc. In the part of inference statistics, independent sample t-test, single-factor analysis of variance, Pearson performance difference correlation, and logistic regression analysis were used to detect important predictors of SI. Results Research results in (1) 89.5% of hospitalized older adults have a tendency to depression. 2.26.3% of the older adults had SI. (2) Here are significant differences in the scores of SI among hospitalized older adults in different economic status groups and marital status groups. (3) The age, marital status, and quality of life of the hospitalized older adults were negatively correlated with SI; economic status, self-conscious health, mental health, and depression were positively correlated with SI. (4) The results of the mental health status and SI is (r = .345, p < .001), higher the score on the BSRS-5 scale, the higher the SI. The correlation between the depression scale score (SDS-SF) and SI was (r = .150, p < .05), the higher the depression scale score, the higher the SI. Conclusion The results of the study found that there was a statistically significant correlation between SI in older adults and age, marital status, economic status, mental health, quality of life, and depression, and also showed that they might interact with each other; the older adults in BSRS-5, GDS-SF, quality of life scale scores have statistically significant differences as essential predictors of SI. The results of this study suggest that medical staff can use the BSRS-5 scale to quickly screen and evaluate the mental health status of older adults, hoping to detect early and provide preventive measures, thereby improving the quality of life of older adults.

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The Effectiveness of the Integrated Care Model among Community-Dwelling Older Adults with Depression: A Quasi-Randomized Controlled Trial

Cited by 4 publications

References 34 publications

Effectiveness of integrated care for older adults‐based interventions on depressive symptoms: A systematic review and meta‐analysis

Effectiveness of integrated care for older adults‐based interventions on depressive symptoms: A systematic review and meta‐analysis

Effectiveness of Integrated Care for Older Pepole (ICOPE) in Improving Intrinsic Capacity in Older Adults: A Systematic Review and Meta‐Analysis

Exploration of related factors of suicide ideation in hospitalized older adults

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