Cathy Lysack, Carrie Leach, Theresa Russo, Daniel Paulson, Peter A. Lichtenberg; DVD Training for Depression Identification and Treatment in Older Adults: A Two-Group, Randomized, Wait-List Control Study. Am J Occup Ther 2013;67(5):584-593. doi: 10.5014/ajot.2013.008060.
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© 2019 American Occupational Therapy Association
OBJECTIVE. To test the effectiveness of an educational intervention aimed at improving mental health knowledge and skills in occupational therapists working with older rehabilitation patients.
METHOD. The DVD-format educational intervention was evaluated using a two-group randomized wait-list control design. Occupational therapists (n = 75) completed a 32-item knowledge questionnaire at three time points. Patient charts were reviewed (n = 960) at 3 months before and 3 and 6 months after DVD training to evaluate clinical practice change.
RESULTS. A two-way analysis of variance showed knowledge scores increased significantly for both groups after DVD training. A significant Group × Time interaction and significant main effects for time and group were found. Chart review data also showed significant increases in desired clinical behaviors in both groups after training. The greatest single item of clinical practice change was use of a standardized depression screen.
CONCLUSION. DVD-based training can significantly improve mental health practice.
After the DVD education training, occupational therapists in both the intervention group and the control group demonstrated increased knowledge and more evidence of positive clinical behaviors, including screening for depression and cognitive impairment and behavioral activation and facilitation of more pleasant events in their patients’ lives.
Our findings suggest that when clinicians are trained with proven evidence-based tools and treatments for mental health problems such as depression that are simple to learn and incorporate in practice, these tools and treatments will be used.
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