Effectiveness of a Village-based Intervention for Depression in Community-dwelling Older Adults: a Randomized Controlled Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 160
- 试验地点
- 2
- 主要终点
- Changes from baseline Korean version of the short form of Geriatric Depression Scale (SGDS-K) after intervention
研究概览
简要总结
Investigators aimed to examine the feasibility and effectiveness of a village-based multilevel intervention for late-life depression. Two small rural villages in rural South Korea were selected as the intervention group and active control. All older adults living in the two villages were included in the intervention program or received standard CMHS care, and the effectiveness of the program was examined using representative samples from both groups.
详细描述
OBJECTIVES: To examine the feasibility and effectiveness of a village-based multilevel intervention for late-life depression, focusing on strengthening the autonomy of village-dwellers with help from the community mental health service (CMHS).
DESIGN: A community-based randomized trial with participants (all village-dwellers) assigned to two parallel programs: intervention program or the CMHS's usual care.
SETTING: Two small villages in a rural area of South Korea
PARTICIPANTS: All older adults (aged ≥65 years) living in the two villages were included in the intervention or the CMHS's usual care, and the effectiveness of the program was examined using representative samples who were age- and sex-stratified randomly selected from both groups.
INTERVENTION: A 12-week intervention was comprised of individual-based risk-stratified case management and group-based activities.
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
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •All community-dwelling older adults, aged 65 years and over
排除标准
- •Subjects who had significant sensory deficits or medical illnesses that would substantially restrict the delivery of the assessment were excluded
研究组 & 干预措施
Active control
Usual care of the Community Mental Health Service
干预措施: Active control (Behavioral)
Village-based intervention
Individual-based case management + group-based program
干预措施: Village-based intervention (Behavioral)
结局指标
主要结局
Changes from baseline Korean version of the short form of Geriatric Depression Scale (SGDS-K) after intervention
时间窗: baseline, after intervention (up to 24 weeks)
The SGDS-K was developed for evaluating depressive symptoms of older adults; higher score means to have more depressive symptoms (lowest 0 - highest 15)
次要结局
- Changes from baseline Korean version of Lubben Social Network Scale (K-LSNS) after intervention(baseline, after intervention (up to 24 weeks))
- Changes from baseline Seoul-Instrumental Activities of Daily Living (S-IADL) after intervention(baseline, after intervention (up to 24 weeks))
- Incidental depressive episode after intervention(baseline, after intervention (up to 24 weeks))
- Incidental suicidal ideation, plans, or attempts after intervention(baseline, after intervention (up to 24 weeks))
- Changes from baseline Korean version of the Mini-Mental State Examination (MMSE-KC) after intervention(baseline, after intervention (up to 24 weeks))