Life Story Book With Mentally Alert Residents of Nursing Homes

Not Applicable

Completed

• Conditions: Quality of Life; Depressive Symptoms
• Interventions: Behavioral: Usual Care; Behavioral: Life Story Book

• Registration Number: NCT03851016
• Lead Sponsor: University of Houston

Brief Summary

The objective of this study is to study the effects of the Life Story Book intervention on depressive symptoms and meaning in life for mentally alert residents of nursing homes.

Detailed Description

Two nursing homes were recruited to participate. One nursing home will receive the Life Story Book intervention while the other half receives Usual Care intervention. The interventions were then switched, and the participants who received Usual Care intervention received the Life Story Book intervention while the home that received Life Story Book intervention received Usual Care intervention. The study consisted of two treatment periods of 3 weeks separated by a washout period of 1 week.

Life Story Book provides a person with the opportunity to chronologically share their life experiences and memories. This three-1 hour reminiscence intervention is designed to provide a person with the opportunity to review their past and capture their life story into something tangible. The Life Story Book includes a combination of written information, photographs of significant people, places or events, and personal narratives from the stages of life that the person would like to include.

Study Timeline

• Study First Submitted: 2019-02-20
• Study First Submitted QC: 2019-02-20
• Study First Posted: 2019-02-22
• Study Start: 2019-04-08
• Primary Completion: 2019-06-15
• Study Completion: 2019-06-15
• Results First Submitted: 2020-01-17
• Status Verified: 2020-05
• Results First Submitted QC: 2020-05-18
• Last Update Submitted: 2020-05-18
• Results First Posted: 2020-06-02
• Last Update Posted: 2020-06-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 24

Inclusion Criteria

• Ability to speak English
• A resident of the nursing home
• A score of 4 or higher on the Six-Item Screener

Exclusion Criteria

• A score of 4 or higher on the Six-item Screener

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Usual Care First, Then Life Story Book Intervention	Usual Care	Participants first received the Usual Care Intervention for 3 weeks. After a washout period of 1 week, they then received the Life Story Book Intervention once a week for 3 weeks. Posttests were then conducted for 1 week.
Life Story Book Intervention First, Then Usual Care	Life Story Book	Participants first received the Life Story Book Intervention once a week for 3 weeks. After a washout period of 1 week, they then received the Usual Care Intervention for 3 weeks. Posttests were then conducted for 1 week.

Primary Outcome Measures

Name	Time	Method
Change From Baseline in Mean Scores for Geriatric Depression Scale at 3 Weeks	Baseline and 3 weeks	The Geriatric Depression Scale (Residential) (GDS-12R) is a validated, self-reported instrument assessing depression over the past 7 days. It is a "yes/no" format. Possible scores range from 0 (no depressive symptoms) to 10 (depression). A score of 0 to 4 is normal; scores ≥ 4 are significant for depressive symptoms; scores ≥ 08 is almost always indicative of depression. A score ≥ 5 points should warrant a follow-up comprehensive assessment.
Change From Baseline in Mean Scores for Meaning in Life Questionnaire Sub-Scale Presence of Meaning (POM) at 3 Weeks.	Baseline and 3 weeks	Meaning in Life was measured using the Meaning in Life Questionnaire (MLQ), created by Steger et al. The MLQ has two sub-scales which assess the presence of meaning (POM) (how much a person feels their life has meaning) and the search for meaning (how much a person strives to find meaning and understanding in their life). The two sub-scale measures, which consist of 10 items on a 7-point Likert scale, range from 1-absolutely true to 7-absolutely untrue: five items for presence of meaning (POM) and five items for search for meaning (SFM).; A POM score \> 24 indicates the person feels their life has meaning and purpose.
Change From Baseline in Mean Scores for Meaning in Life Questionnaire Sub-Scale Search for Meaning (SFM) at 3 Weeks	Baseline and 3 weeks	Meaning in Life was measured using the Meaning in Life Questionnaire (MLQ), created by Steger et al.The MLQ has two sub-scales which assess the presence of meaning (how much a person feels their life has meaning) and the search for meaning (how much a person strives to find meaning and understanding in their life). The two sub-scale measures, which consist of 10 items on a 7-point Likert scale, range from 1-absolutely true to 7-absolutely untrue: five items for presence of meaning (POM) and five items for search for meaning (SFM).; An SFM score of \< 24 indicates the person is not seeking meaning in their life.

Trial Locations

Locations (2)

Sharpview Residence and Rehabilitation Center; 🇺🇸 Houston, Texas, United States

Cambridge Health Rehab Center; 🇺🇸 Richmond, Texas, United States