Effectiveness of a village-based intervention for depression in community-dwelling older adults: a randomised feasibility study
| Autor: | Hee Lee, Jee Eun Park, Byung-Soo Kim, Hyeon A. Kim, In Mok Oh, Ah Reum Lim, Hye Jung Kim, Bu Young Jung, In Ok Park, Da Hye You, Ki Bok Choi, Yeon Hee Kim, Bong Jin Hahm, Hye Won Suk, Mi Ra Kim, Maeng Je Cho, Jeung Hyuck Ahn, Jee Hoon Sohn |
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| Rok vydání: | 2020 |
| Předmět: |
Gerontology
medicine.medical_treatment Intervention lcsh:Geriatrics Individual risk Late-life depression Old-aged 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Republic of Korea Community-based Humans Medicine 030212 general & internal medicine Depression (differential diagnoses) Aged Aged 80 and over Depressive Disorder Rehabilitation Social network Depression business.industry Cognition Late life depression 030227 psychiatry lcsh:RC952-954.6 Suicide Feasibility Studies Independent Living Geriatrics and Gerontology Rural area business Research Article |
| Zdroj: | BMC Geriatrics BMC Geriatrics, Vol 20, Iss 1, Pp 1-10 (2020) |
| DOI: | 10.21203/rs.2.14812/v2 |
| Popis: | Background Although a focus on late-life depression may help preventing suicide in older adults, many older people, especially those living in rural areas, have relatively low accessibility to treatment. This study examined the feasibility and effectiveness of a village-based intervention for depression targeting older adults living in rural areas. Methods A community-based randomised pilot trial was performed in two small rural villages in South Korea. Two villages were randomly selected and assigned to the intervention or active control group; all older adults living in the two villages (n = 451) were included in the intervention program or received standard Community Mental Health Service (CMHS) care, and the effectiveness of the program was examined using representative samples from both groups (n = 160). The 12-week intervention included case management according to individual risk level and group-based activities. Healthy residents living in the intervention village who played major roles in monitoring at-risk older individuals were supervised by CMHS staff. The score on the Korean version of the Geriatric Depression Scale-Short Form (SGDS-K) was the primary outcome, while social network, functional status, and global cognitive function were secondary outcomes. Linear mixed models including the factors of intervention group, time, and their interaction were used to examine group differences in changes in primary and secondary outcomes from baseline to follow up. Results Overall, there was no significant group × time interaction with respect to the SGDS-K score, but older individuals with more depressive symptoms at baseline (SGDS-K ≥ 6) tended to have a lower likelihood of progressing to severe depression at post-intervention. The social network was strengthened in the intervention group, and there was a significant group × time interaction (F[df1, df2], 5.29 [1, 153], p = 0.023). Conclusion This study examined a 12-week village-based intervention for late-life depression in which the CMHS helped village-dwellers deal with late-life depression in their communities. Although the intervention improved social interactions among older adults, it did not reduce depressive symptoms. Further studies including more rural villages and long-term follow up are needed to confirm the effectiveness of this prevention program. Trial registration NCT04013165 (date: 9 July 2019, retrospectively registered). |
| Databáze: | OpenAIRE |
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