Research on Three-level Prevention and Intervention for Elderly Depression in Urban Community

NCT06132061 | Completed

• 1 other identifier: 2023221
• Study Type: interventional
• Target: 327
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to compare the effect of three level interventions(universal prevention, selective prevention and targeted prevention) in elderly depression and find out the most efficient intervention path. The main questions it aims to answer are:

• Whether the pre-disease three-level prevention model (universal prevention, selective prevention and targeted prevention) is applicable for elderly depression in urban communities;
• Which level of intervention has the best effect on elderly depression. Participants will be given the following treatments:
• Level 1 intervention(universal prevention): Health education related to depression to strengthen the participants' self-care skills to reduce sub-health risk factors.
• Level 2 intervention(selective prevention): Psychosocial interventions (including but not limited to cognitive behavioral therapy, acceptance commitment therapy, mindfulness training) aimed at risk factors to prevent more severe depressive symptoms.
• Level 3 intervention(targeted prevention): Therapeutic psychosocial interventions (including but not limited to cognitive behavioral therapy, acceptance commitment therapy, mindfulness training) to reduce patients' depressive symptoms. Researchers will compare control group to see if the three levels of intervention have a significant effect.

Conditions

Depression in Old Age

Outcome Measures

Primary Outcomes (1)

• Level of depression

  A simplified version of Geriatric Depression Scale(GDS-15) will be used to mesure the level of depression. The scale has 15 items and asks the elderly to answer "yes" or "no" based on how they have felt in the past week. The "yes" is 1 point, "no" is 0 points. The higher the score indicates the more obvious depressive symptoms. The total score is 15 points. 0-4 points indicate no depression, 5-9 points indicate mild depression, and 10-15 points indicate moderate to severe depression.

  Measurements were taken at baseline, after intervention(3 months after baseline) and 6 months after intervention.The data will be reported through study completion, an average of 1 year.

Secondary Outcomes (1)

• Psychological flexibility

  Measurements were taken at baseline, after intervention(3 months after baseline) and 6 months after intervention.The data will be reported through study completion, an average of 1 year.

Study Arms (4)

Intervention group for universal prevention

EXPERIMENTAL

Level 1 intervention (universal prevention) group

Other: universal prevention

Intervention group for selective prevention

EXPERIMENTAL

Level 2 intervention(selective prevention) group

Other: selective prevention

Intervention group for targeted prevention

EXPERIMENTAL

Level 3 intervention(targeted prevention) group

Other: targeted prevention

Control group

OTHER

Other: Waiting treatment.

Interventions

selective prevention OTHER

Psychosocial interventions (including but not limited to cognitive behavioral therapy, acceptance commitment therapy, mindfulness training) aimed at risk factors to prevent more severe depressive symptoms.

Intervention group for selective prevention

universal prevention OTHER

Health education related to depression to strengthen the participants' self-care skills to reduce sub-health risk factors.

Intervention group for universal prevention

targeted prevention OTHER

Therapeutic psychosocial interventions (including but not limited to cognitive behavioral therapy, acceptance commitment therapy, mindfulness training) to reduce patients' depressive symptoms.

Intervention group for targeted prevention

Waiting treatment. OTHER

Waiting treatment.

Control group

Eligibility Criteria

• Age: 60 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Aged 60 and above;
• Permanent residents of urban communities in China;
• Geriatric Depression Scale (GDS-15) \< 9 points;
• There are susceptibility factors such as living alone, poverty, and suffering from serious diseases.

You may not qualify if:

• There is suicidal behavior or risk;
• A history of any other mental illness, including drug or alcohol dependence;
• Those who have speech and hearing disorder and cannot communicate normally;
• Geriatric Depression Scale (GDS-15) ≥10 points;
• Do not agree to participate in the research.

Sponsors & Collaborators

• Affiliated Hospital of Yunnan University: lead

Study Sites (1)

Huashan Street

Kunming, Yunnan, 650000, China

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer, Department of Social Work

Study Record Dates

• First Submitted: November 6, 2023
• First Posted: November 15, 2023
• Study Start: July 1, 2024
• Primary Completion: December 31, 2024
• Study Completion: December 31, 2024
• Last Updated: December 10, 2025

Record last verified: 2023-11

Data Sharing

• IPD Sharing: Will not share

Locations

CN (1)