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Adherence to a Telephone-Supported Depression Self-Care Intervention for Adults With Chronic Physical Illnesses

Author

Listed:
  • Russell Simco
  • Jane McCusker
  • Maida Sewitch
  • Martin G. Cole
  • Mark Yaffe
  • Kim L. Lavoie
  • Tamara Sussman
  • Erin Strumpf
  • Antonio Ciampi
  • Eric Belzile

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.

Suggested Citation

  • Russell Simco & Jane McCusker & Maida Sewitch & Martin G. Cole & Mark Yaffe & Kim L. Lavoie & Tamara Sussman & Erin Strumpf & Antonio Ciampi & Eric Belzile, 2015. "Adherence to a Telephone-Supported Depression Self-Care Intervention for Adults With Chronic Physical Illnesses," SAGE Open, , vol. 5(1), pages 21582440155, February.
    • Handle: RePEc:sae:sagope:v:5:y:2015:i:1:p:2158244015572486
    DOI: 10.1177/2158244015572486
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    References listed on IDEAS

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    2. Rory Wolfe & William Gould, 1998. "An approximate likelihood-ratio test for ordinal response models," Stata Technical Bulletin, StataCorp LP, vol. 7(42).
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