Efficacy of Peer Counseling, Social Engagement, and Combination Interventions in Improving Depressive Symptoms of Filipino Senior Citizens

NCT03989284 | Completed

• 1 other identifier: SN11641
• Study Type: interventional
• Target: 270
• Locations: 1 country
• Sites: 1

Brief Summary

Poor mental health is getting more common in low- and middle-income countries than in high-income countries due to lack of available resources and access to health services. In these countries, there is a large treatment gap for mental health care, with the majority of people with mental disorders receiving no or inadequate care. Depression, for instance, is one of the most common mental disorders and it affects physical health, social activities, and quality of life of senior citizens. Despite being a commonly studied mental disorder, very little is known about depression interventions conducted in low resource settings. Recently, Filipinos' mental illness has been increasing and it affects around 10-15% of children and 17-20% of adults. Their major symptoms include excessive sadness, delusion, confusion, and forgetfulness. Additionally, more Filipino senior citizens are committing suicide due to depression. This is associated with their inability to adapt to rapid social and economic developments. In this study, the investigators aimed to assess the efficacy of 3-month-duration interventions with peer counseling, social engagement, and combined intervention vs. control in improving depressive symptoms among community-dwelling Filipino senior citizens.

Conditions

Depressive Symptoms

Outcome Measures

Primary Outcomes (1)

• Change from baseline depressive symptoms at 3 months

  We measured the depression status of the senior citizens by the 15-item Geriatric Depression Scale (GDS). It is specifically developed for use in geriatric patients and contained fewer somatic items. A score of 5 or more is suggestive of depression.

  baseline and 3 month follow-up

Secondary Outcomes (4)

• Change from baseline psychological resilience at 3 months

  baseline and 3 month follow-up

• Change from baseline perceived social support at 3 months

  baseline and 3 month follow-up

• Change from baseline loneliness at 3 months

  baseline and 3 month follow-up

• Change from baseline working alliance at 3 months

  baseline and 3 month follow-up

Study Arms (4)

Peer counseling group

EXPERIMENTAL

Peer counselors performed 1-hour home visits weekly to their assigned clients for three months.

Behavioral: Community-based depression interventions

Social engagement group

EXPERIMENTAL

Senior citizens joined 3-hour weekly social events held at the OSCA Center for three months.

Behavioral: Community-based depression interventions

Combination group

EXPERIMENTAL

Senior citizens in this group underwent both peer counseling and social engagement interventions mentioned above.

Behavioral: Community-based depression interventions

Control group

NO INTERVENTION

Senior citizens in this group had access to usual or standard care from health and aged care services that were usually available.

Interventions

Community-based depression interventions BEHAVIORAL

We conducted three types of community-based depression interventions such as peer counseling, social engagement, and combination.

Combination group; Peer counseling group; Social engagement group

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Senior citizens aged 60 years old and above with a valid senior citizen's identification card provided by the OSCA.
• Senior citizens who reported a depression score of 5 or more which indicated a tendency towards depression based on the 15-item Geriatric Depression Scale (GDS-15).

You may not qualify if:

• Those elderly people in long-term care, with terminal diseases, or with moderate/ severe cognitive impairment and currently suffering from deafness, aphasia or other communication disorders.

Sponsors & Collaborators

• Tokyo University: lead

Study Sites (1)

Office of the Senior Citizens Affairs

City of Muntinlupa, NCR, 1770, Philippines

Location

Related Publications (1)

• Carandang RR, Shibanuma A, Kiriya J, Vardeleon KR, Asis E, Murayama H, Jimba M. Effectiveness of peer counseling, social engagement, and combination interventions in improving depressive symptoms of community-dwelling Filipino senior citizens. PLoS One. 2020 Apr 1;15(4):e0230770. doi: 10.1371/journal.pone.0230770. eCollection 2020.

  PMID: 32236104 DERIVED

MeSH Terms

Conditions

Depression

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Study Officials

• Masamine Jimba, MD, MPH, PhD

  Tokyo University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: June 15, 2019
• First Posted: June 18, 2019
• Study Start: April 1, 2018
• Primary Completion: August 12, 2018
• Study Completion: September 30, 2018
• Last Updated: June 19, 2019

Record last verified: 2019-06

Locations

PH (1)