Village-based Intervention for Late-life Depression

NCT04013165 | Completed

• 1 other identifier: VILLD
• Study Type: interventional
• Target: 160
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Depression

Keywords

Old-aged; Community-based intervention; Late-life depression; Suicide

Outcome Measures

Primary Outcomes (1)

• Changes from baseline Korean version of the short form of Geriatric Depression Scale (SGDS-K) after intervention

  The SGDS-K was developed for evaluating depressive symptoms of older adults; higher score means to have more depressive symptoms (lowest 0 - highest 15)

  baseline, after intervention (up to 24 weeks)

Secondary Outcomes (5)

• 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 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)

• Changes from baseline Korean version of the Mini-Mental State Examination (MMSE-KC) after intervention

  baseline, after intervention (up to 24 weeks)

Study Arms (2)

Active control

ACTIVE COMPARATOR

Usual care of the Community Mental Health Service

Behavioral: Active control

Village-based intervention

EXPERIMENTAL

Individual-based case management + group-based program

Behavioral: Village-based intervention

Interventions

Active control BEHAVIORAL

Control group received usual care of the Community Mental Health Service, consisted of case management for high-risk older adults and referral to psychiatric services.

Active control

Village-based intervention BEHAVIORAL

1. Individual-based case management was conducted both by healthy community dwellers (local committee) and Community Mental Health Service (CMHS) team based on risk-stratification for depression in older adults. Local committee-guided care was performed after matching a healthy dweller with 4-5 older neighbors included in risk groups. They visited the matched older individuals as often as possible at least once a week using a mood sticker. The CMHS team also conducted a separate case management for older adults with risk-stratified protocols; the higher the risk of suicide, the more intensive was the management, which could include frequent face-to-face visits. High-risk individuals were also referred to the psychiatric service, if deemed necessary. 2. Group-based program was comprised of weekly eight sessions, which were mainly consisted of programs enhancing interpersonal network and group cohesion, and were open to all community-dwelling older adults.

Village-based intervention

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• All community-dwelling older adults, aged 65 years and over

You may not qualify if:

• Subjects who had significant sensory deficits or medical illnesses that would substantially restrict the delivery of the assessment were excluded

Sponsors & Collaborators

• Seoul National University Hospital: lead

Study Sites (1)

Seoul National University College of Medicine

Seoul, 110-744, South Korea

Location

Related Publications (1)

• Oh IM, Cho MJ, Hahm BJ, Kim BS, Sohn JH, Suk HW, Jung BY, Kim HJ, Kim HA, Choi KB, You DH, Lim AR, Park IO, Ahn JH, Lee H, Kim YH, Kim MR, Park JE. Effectiveness of a village-based intervention for depression in community-dwelling older adults: a randomised feasibility study. BMC Geriatr. 2020 Mar 4;20(1):89. doi: 10.1186/s12877-020-1495-2.

  PMID: 32131745 DERIVED

MeSH Terms

Conditions

Depression; Suicide

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Self-Injurious Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: A community-based randomized controlled pilot study

Study Record Dates

• First Submitted: July 4, 2019
• First Posted: July 9, 2019
• Study Start: June 1, 2017
• Primary Completion: March 31, 2018
• Study Completion: March 31, 2018
• Last Updated: July 9, 2019

Record last verified: 2019-05

Data Sharing

• IPD Sharing: Will not share

Locations

KR (1)