Pulling out all the stops: what motivates 65+ year olds with depressive symptoms to participate in an outreaching preference-led intervention programme?

Ilse M J van Beljouw; Marjolijn Heerings; Tineke A Abma; Miranda G H Laurant; Petronella J Van't Veer-Tazelaar; Vivianne E Baur; Max L Stek; Harm W J van Marwijk; Eric Van Exel; M. Heerings

doi:10.1080/13607863.2014.944090

Pulling out all the stops: what motivates 65+ year olds with depressive symptoms to participate in an outreaching preference-led intervention programme?

Ilse M J van Beljouw, Marjolijn Heerings, Tineke A Abma, Miranda G H Laurant, Petronella J Van't Veer-Tazelaar, Vivianne E Baur, Max L Stek, Harm W J van Marwijk, Eric Van Exel, M. Heerings

Rathenau - Technology Assessment (TA)

Onderzoeksoutput: Bijdrage aan wetenschappelijk tijdschrift/periodieke uitgave › Artikel › Wetenschappelijk › peer review

2 Citaten (Scopus)

Samenvatting

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.

Originele taal-2	Engels
Pagina's (van-tot)	453-63
Aantal pagina's	11
Tijdschrift	Aging & Mental Health
Volume	19
Nummer van het tijdschrift	5
DOI's	https://doi.org/10.1080/13607863.2014.944090
Status	Gepubliceerd - mei 2015

Toegang tot document

10.1080/13607863.2014.944090

Citeer dit

van Beljouw, I. M. J., Heerings, M., Abma, T. A., Laurant, M. G. H., Veer-Tazelaar, P. J. V., Baur, V. E., Stek, M. L., van Marwijk, H. W. J., Van Exel, E., & Heerings, M. (2015). Pulling out all the stops: what motivates 65+ year olds with depressive symptoms to participate in an outreaching preference-led intervention programme? Aging & Mental Health, 19(5), 453-63. https://doi.org/10.1080/13607863.2014.944090

@article{9d1fe195b3e64ae7bad5d8d9aff2d793,

title = "Pulling out all the stops: what motivates 65+ year olds with depressive symptoms to participate in an outreaching preference-led intervention programme?",

abstract = "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.",

author = "{van Beljouw}, {Ilse M J} and Marjolijn Heerings and Abma, {Tineke A} and Laurant, {Miranda G H} and Veer-Tazelaar, {Petronella J Van't} and Baur, {Vivianne E} and Stek, {Max L} and {van Marwijk}, {Harm W J} and {Van Exel}, Eric and M. Heerings",

year = "2015",

month = may,

doi = "10.1080/13607863.2014.944090",

language = "English",

volume = "19",

pages = "453--63",

journal = "Aging & Mental Health",

issn = "1360-7863",

publisher = "Taylor & Francis Group",

number = "5",

}

van Beljouw, IMJ, Heerings, M, Abma, TA, Laurant, MGH, Veer-Tazelaar, PJV, Baur, VE, Stek, ML, van Marwijk, HWJ, Van Exel, E & Heerings, M 2015, 'Pulling out all the stops: what motivates 65+ year olds with depressive symptoms to participate in an outreaching preference-led intervention programme?', Aging & Mental Health, vol. 19, nr. 5, blz. 453-63. https://doi.org/10.1080/13607863.2014.944090

Pulling out all the stops: what motivates 65+ year olds with depressive symptoms to participate in an outreaching preference-led intervention programme? / van Beljouw, Ilse M J; Heerings, Marjolijn; Abma, Tineke A et al.
In: Aging & Mental Health, Vol. 19, Nr. 5, 05.2015, blz. 453-63.

Onderzoeksoutput: Bijdrage aan wetenschappelijk tijdschrift/periodieke uitgave › Artikel › Wetenschappelijk › peer review

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 - Veer-Tazelaar, Petronella J Van't

AU - Baur, Vivianne E

AU - Stek, Max L

AU - van Marwijk, Harm W J

AU - Van Exel, Eric

AU - Heerings, M.

PY - 2015/5

Y1 - 2015/5

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.

U2 - 10.1080/13607863.2014.944090

DO - 10.1080/13607863.2014.944090

M3 - Article

C2 - 25215904

SN - 1360-7863

VL - 19

SP - 453

EP - 463

JO - Aging & Mental Health

JF - Aging & Mental Health

IS - 5

ER -

Pulling out all the stops: what motivates 65+ year olds with depressive symptoms to participate in an outreaching preference-led intervention programme?

Samenvatting

Toegang tot document

Vingerafdruk

Citeer dit