Creating a Clinical Care Pathway for Depressive Symptoms and Disorders in Long-Term Care: A Modified Delphi Process
The generated statements provide steps for identifying and managing depression among residents of LTC. These steps can be further tested in practice Canada-wide to improve care for residents. Steps that detail care outside current practice, such as staff education on depression detection and access to nonpharmacologic treatments, may require additional resources. During statement revisions, participants disagreed on when depression should be assessed, how validated depression assessment tools should be used, and how to account for depressive history and comorbidities as part of management. Further research is required to understand the barriers to providing care for depression before pathway implementation.
Authors
- Marie-Andrée Bruneau
- Kayla Atchison
- Zahinoor Ismail (ORCID: https://orcid.org/0000-0002-5529-3731)
- Vivian Ewa (ORCID: https://orcid.org/0000-0003-3080-0327)
- Jason Murray Sutherland (ORCID: https://orcid.org/0000-0002-1857-2432)
- Dallas Seitz (ORCID: https://orcid.org/0000-0003-1274-6451)
- Eric Edward Smith (ORCID: https://orcid.org/0000-0003-3956-1668)
- Andrea Gruneir (ORCID: https://orcid.org/0000-0002-1972-6253)
- Loralee Fox
- Jayna Marie Holroyd-Leduc (ORCID: https://orcid.org/0000-0002-4120-0792)
- Patrick Quail (ORCID: https://orcid.org/0000-0002-9745-0993)
- Carole A. Estabrooks (ORCID: https://orcid.org/0000-0002-4753-6510)
- Matthias Hoben (ORCID: https://orcid.org/0000-0003-3465-315X)
- Jennifer Watt (ORCID: https://orcid.org/0000-0002-5296-6013)
- Jennifer Knopp‐Sihota (ORCID: https://orcid.org/0000-0002-0333-8205)
- Zahra Goodarzi (ORCID: https://orcid.org/0000-0002-8858-4076)
Institutions
- Alberta Health Services (CA)
- University of British Columbia (CA)
- University of Alberta (CA)
- University of Calgary (CA)
- University of Toronto (CA)
- York University (CA)
- Libin Cardiovascular Institute of Alberta (CA)
- Université de Montréal (CA)
- Athabasca University (CA)
Publication Details
- Journal
- Journal of the American Medical Directors Association
- Published
- 2025-08-28
- DOI
- https://doi.org/10.1016/j.jamda.2025.105791
- Primary Topic
- Delphi Technique in Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Canadian Institutes of Health Research