MODS
Older adults and those with long term health conditions such as diabetes, asthma and heart problems represent a ‘high risk’ group for the development of depression and low mood. The risk of depression is increased by around 2-3 times in older adults with long-term health conditions.
When these problems exist together, they reduce quality of life for the patient and can be very costly to health and social care services. The MODS study aimed to establish if a treatment for these difficulties is effective and good value for money. The study is ongoing and focuses on older adults who have depression and two or more long-term physical health problems (i.e. diabetes, asthma, heart disease).
The team want to look at whether Behavioural Activation can help improve a person's physical and psychological functioning, for example self-care and mood. The team will also check the value for money the treatment may provide for the NHS. BA is provided within a care framework that supports a case manager (such as a nurse) to work with the patient and other health professionals so treatments are delivered in the most effective, patient-centred way, called Collaborative Care.
Throughout the study, a group of older people with lived experience of depression and long term conditions will advise the team. This will ensure that patient views are represented increasing the chances of this research being successful.
The research is led by Tees, Esk and Wear Valleys NHS Foundation Trust and the University of York. Partners include the Universities of Leeds, Keele and Manchester, and Age UK.
MODS is generously funded by the National Institute for Health and Care Research (NIHR; Grant Reference Number: RP-PG-0217-20006). Trial registration ISRCTN11290592.