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October 4th, 2010

Washington, Oct 4(ANI): Researchers have developed a telemedicine-based
depression care protocol in home health care in order to curb the high rate
of depression among elderly homebound individuals.

"Using telemedicine in home care to provide disease management for geriatric
depression is timely for several reasons," said Thomas Sheeran of the Rhode
Island Hospital.

"The home care industry is already using telemedicine to provide chronic
disease management for many medical illnesses, such as heart disease.

 "However, guideline-based depression care often is not included in these
monitoring programs. Also, research suggests that telemedicine can be
successfully used to address mental health needs of the elderly in community
settings," he said.

Sheeran added: "Finally, work by the Cornell Homecare Research Partnership
and others has shown that community health nurses - who typically are the
telehealth disease managers in home care- can identify and successfully
provide this service for their elderly home care patients."

Through the pilot study feasibility and patient satisfaction ratings were
very high.

He noted that a majority of the elderly participants reported they were
satisfied or very satisfied with the protocol that they quickly became
comfortable using the telehealth equipment and there were few technical
problems.

More importantly, they felt it improved their care and that they would be
willing to use it again.

Sheeran said: "At the start of the study, 19 of these patients met full
diagnostic criteria for Major Depression, with a mean depression severity
score in the 'Markedly Severe' range.

"We were very pleased to find that at follow-up, the average depression
severity scores were in the 'Mild' range, indicating significant improvement
in depression severity through the use of this protocol. While these
findings need to be replicated in a more rigorously controlled randomised
trial, we believe these results offer great encouragement for reaching this
population who can experience a better quality of life from this program."

The findings of the pilot study were presented at the 29th Annual Meeting
and Exposition of the National Association for Home Care and Hospice. (ANI)


http://news.oneindia.in/2010/10/04/telemedicinemay-now-improve-geriatricdepression.htm


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