Village-based Intervention for Late-life Depression

Seoul National University

Status: Completed

Conditions: Depression

Treatments: Behavioral: Active control; Behavioral: Village-based intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT04013165

VILLD

Details and patient eligibility

About

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.

Full description

OBJECTIVES: To examine the feasibility and effectiveness of a village-based multilevel intervention for late-life depression, focusing on strengthening the autonomy of village-dwellers with help from the community mental health service (CMHS).

DESIGN: A community-based randomized trial with participants (all village-dwellers) assigned to two parallel programs: intervention program or the CMHS's usual care.

SETTING: Two small villages in a rural area of South Korea

PARTICIPANTS: All older adults (aged ≥65 years) living in the two villages were included in the intervention or the CMHS's usual care, and the effectiveness of the program was examined using representative samples who were age- and sex-stratified randomly selected from both groups.

INTERVENTION: A 12-week intervention was comprised of individual-based risk-stratified case management and group-based activities.

MEASUREMENTS: The Korean version of Geriatric Depression Scale-Short form (SGDS-K) was used as the primary outcome while depressive episodes, suicidal ideation/plans/attempts, social network, functional status, and global cognitive function were measured as secondary outcomes.

Enrollment: 160 patients

Sex: All

Ages: 65+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

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

Exclusion criteria

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

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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160 participants in 2 patient groups

Active control

Active Comparator group

Description:

Usual care of the Community Mental Health Service

Treatment:

Behavioral: Active control

Village-based intervention

Experimental group

Description:

Individual-based case management + group-based program

Treatment:

Behavioral: Village-based intervention