Specific components of a complex depression care program can affect staff outcomes differently: analyses of a stepped-wedge cluster-randomized trial in nursing homes.

Objective: The Act in case of Depression program showed effects on the quality of life and depression in nursing home (NH) residents. We aimed to explore the effects of this complex multidisciplinary program on job satisfaction, job demands, and autonomy in nursing home staff.

Design: Four data points from a stepped-wedge cluster-randomized trial on patient outcomes were used for secondary analyses on staff outcomes.