Research on Three-level Prevention and Intervention for Elderly Depression in Urban Community
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 327
- 试验地点
- 1
- 主要终点
- Level of depression
研究概览
简要总结
The goal of this clinical trial is to compare the effect of three level interventions(universal prevention, selective prevention and targeted prevention) in elderly depression and find out the most efficient intervention path. The main questions it aims to answer are:
- Whether the pre-disease three-level prevention model (universal prevention, selective prevention and targeted prevention) is applicable for elderly depression in urban communities;
- Which level of intervention has the best effect on elderly depression.
Participants will be given the following treatments:
- Level 1 intervention(universal prevention): Health education related to depression to strengthen the participants' self-care skills to reduce sub-health risk factors.
- Level 2 intervention(selective prevention): Psychosocial interventions (including but not limited to cognitive behavioral therapy, acceptance commitment therapy, mindfulness training) aimed at risk factors to prevent more severe depressive symptoms.
- Level 3 intervention(targeted prevention): Therapeutic psychosocial interventions (including but not limited to cognitive behavioral therapy, acceptance commitment therapy, mindfulness training) to reduce patients' depressive symptoms.
Researchers will compare control group to see if the three levels of intervention have a significant effect.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 60 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged 60 and above;
- •Permanent residents of urban communities in China;
- •Geriatric Depression Scale (GDS-15) < 9 points;
- •There are susceptibility factors such as living alone, poverty, and suffering from serious diseases.
排除标准
- •There is suicidal behavior or risk;
- •A history of any other mental illness, including drug or alcohol dependence;
- •Those who have speech and hearing disorder and cannot communicate normally;
- •Geriatric Depression Scale (GDS-15) ≥10 points;
- •Do not agree to participate in the research.
结局指标
主要结局
Level of depression
时间窗: Measurements were taken at baseline, after intervention(3 months after baseline) and 6 months after intervention.The data will be reported through study completion, an average of 1 year.
A simplified version of Geriatric Depression Scale(GDS-15) will be used to mesure the level of depression. The scale has 15 items and asks the elderly to answer "yes" or "no" based on how they have felt in the past week. The "yes" is 1 point, "no" is 0 points. The higher the score indicates the more obvious depressive symptoms. The total score is 15 points. 0-4 points indicate no depression, 5-9 points indicate mild depression, and 10-15 points indicate moderate to severe depression.
次要结局
- Psychological flexibility(Measurements were taken at baseline, after intervention(3 months after baseline) and 6 months after intervention.The data will be reported through study completion, an average of 1 year.)
研究者
Tan Tang
Lecturer, Department of Social Work
Affiliated Hospital of Yunnan University