Effectiveness of a Community-based Intervention Programme to Promote Well-being in Older Adults
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 300
- 试验地点
- 1
- 主要终点
- Well-being
研究概览
简要总结
This study is conducted to assess the effectiveness of a community intervention programme on improving well-being, levels of distress, and loneliness in older adults (aged 55 years old and above), who have symptoms of depression.
Social Service Agencies (SSAs) will conduct focal talks on well-being for the community. As part of the focal talks, the Public Health Questionnaire-9 (PHQ-9) will be conducted. Attendees with a PHQ-9 score of 1-9 will be invited to take part in the study. Up to 300 participants will be recruited and randomised into 2 arms: control arm (150 participants) and intervention arm (150 participants).
Participants in the intervention arm will undergo 8-week community intervention programme which includes 4 sessions on well-being and continuous follow-up with a Health Companion. Participants in the control arm will be offered to join a programme conducted by the SSAs 8 weeks after recruitment into the study. The programmes offered to the control group are independent of the study.
详细描述
Study Procedures:
Control arm: Participants randomised into the control arm will not be offered any programmes for 8 weeks after their recruitment into the study. After 8 weeks, the SSAs will offer the participants an intervention programme that is independent of the study.
Intervention arm: Participant in the intervention arm will undergo 4 face-to-face, group psychoeducation sessions, conducted fortnightly over a period of 8 weeks. The sessions will teach the participants about well-being and share with them strategies to improve their well-being. Health Companions from the SSAs will conduct check-ins with the participants over the phone, and recommend some nearby activities for them.
Methods and assessments:
Questionnaires including the 6-item De Jong Gierveld Loneliness Scale, Warwick-Edinburgh Mental Wellbeing Scale, Patient Health Questionnaire-9, and Generalised Anxiety Disorder-7 at the baseline and endpoint for all participants.
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
- 55 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Aged 55 and above
- •Score of 1-9 on the PHQ-9 questionnaire
- •Able to speak and understand English, Chinese or Malay
- •Able to provide informed consent
- •Be willing to use common technologies (such as phone calls, texting via SMS/whatsapp) for communication
排除标准
- •PHQ-9 score of 0
- •PHQ-9 score of 10 or more
- •Actively being followed up by a mental health professional
- •On psychotropic medication or are undergoing psychotherapy
- •Have other mental disorders or are suicidal
- •Have physical difficulties, cognitive impairment or difficulties with speech, sight and hearing or mobility that may prevent their engagement in activities
研究组 & 干预措施
Control
Waitlist Control
Intervention
Community-based Intervention
干预措施: Community-based Intervention (Behavioral)
结局指标
主要结局
Well-being
时间窗: 8 weeks
Measured by Warwick-Edinburgh Mental Well-being Scale (WEMWBS) Minimum score: 7 Maximum score: 35 Higher scores indicate higher positive mental well-being (Better outcome).
次要结局
- Depressive symptoms(8 weeks)
- Anxiety symptoms(8 weeks)
- Loneliness(8 weeks)
研究者
Chua Yu Cong, Eugene
Family Physician, Consultant
National Healthcare Group Polyclinics