Clinical trial NCT05637177: Preventive Intervention to Promote Healthy Ageing
Official title: Support of Healthy Ageing: Using Educational and Psychosocial In-terventions to Maintain Mental Health, for Prevention and Timely Diagnosis of Depression, Anxiety, and Cognitive Disorders of Older Adults in a Community
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Preventive Intervention
Keywords: Mental health
quality of life
anxiety
depression
population ageing
Lead sponsor: University of Ostrava
Sponsor class: OTHER
First posted: 2022-12-05
Enrollment: 200
Sex: ALL
Minimum age (years): 60
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: PREVENTION

Brief summary: The aim of the project is the support of healthy ageing of older adults in acommunity. Efficient educational and psychosocial intervention will besuggested and verified to prevent anxiety, depression, and cognitivedisorders of selected older adults, to im-prove their self-esteem,meaningfulness of life, sense of coherence, quality of life, and attitudes toold age. Correlations among anxiety, depression, cognitive functions, andcertain psychosocial aspects will be analyzed.

Detailed description: The main objective of the project is to determine the efficiency ofeducational pro-grams and psychosocial interventions to maintain mentalhealth, to prevent and timely diagnose any depression, anxieties, andcognitive disorders in older adults living in a community. Furthermore, theaim is to ascertain the incidence of depression, anxiety, and cognitivedisorders in these older adults and its correlation to the assessment of lifemeaningfulness, self-respect, attitudes to old age and ageing, and the levelof social support. An intervention study will be carried out. A preventionprogram will be for-mulated based on the individual needs of older adults asidentified in the focus groups. Selected interventions will be performed in apresent form (face to face) as well as distance form (e-Health) and will runat least for 6 months. The assessment of anxiety, depression, cognitivefunctions, and other psychosocial aspects will be done before theinterventions start, when they finish, and 3 months after that. Based on-quantitative analysis, there will be evaluated the efficiency of the providedinterven-tion with respect to depression, anxiety, cognitive function, andpsychosocial aspects (attitudes to old age, self-esteem, the sense ofcoherence, quality of life, level of social support). Older adults in thecentrum for prevention and support healthy ageing in the community will beincluded in the research sample. Based on the findings, recommen-dations will be formulated regarding the selected interventions used in communi-tycare.

Eligibility criteria: Inclusion Criteria:

* age ≥ 60 years
* living at home in Moravian-Silesian region
* consent with partici-pation in the study
* no dementia diagnosis.

Exclusion Criteria:

* dementia diagnosis

Primary outcomes:
measure: Assessment of depression: The Geriatric Depression Scale - GDS
timeFrame: 12 weeks
measure: Assessment of anxiety: Geriatric Anxiety Inventory - GAI
timeFrame: 12 weeks
measure: Assessment of cognitive functioning: Montreal Cognitive Assessment - MoCA
timeFrame: 12 weeks
measure: Assessment of quality of life: OPQOL-CZ-20 (Older People's Quality of Life Questionnai-re).
timeFrame: 12 weeks
measure: Assessment of the sense of coherence: The Sense of Coherence Scale - SOC-13
timeFrame: 12 weeks
measure: Assessment of Life satisfaction: Life Satisfaction Index for the Third Age - Short Form - LSITA-SF
timeFrame: 12 weeks
measure: Assessment of self-esteem: Rosenberg Self-Esteem Scale - RSES
timeFrame: 12 weeks
measure: Assessment of attitudes to ageing: Attitudes to Ageing Questionnaire - AAQ
timeFrame: 12 weeks
measure: Assessment of social support: Social Support Questionnaire - Short Form (SSQ6)
timeFrame: 12 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Ostrava
country: Czechia
facility: University of Ostrava
state: Česká Republika
Study officials:
References:
citation: Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, Leirer VO. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1982-1983;17(1):37-49. doi: 10.1016/0022-3956(82)90033-4.
citation: Pachana NA, Byrne GJ, Siddle H, Koloski N, Harley E, Arnold E. Development and validation of the Geriatric Anxiety Inventory. Int Psychogeriatr. 2007 Feb;19(1):103-14. doi: 10.1017/S1041610206003504.
citation: Laidlaw K, Power MJ, Schmidt S; WHOQOL-OLD Group. The Attitudes to Ageing Questionnaire (AAQ): development and psychometric properties. Int J Geriatr Psychiatry. 2007 Apr;22(4):367-79. doi: 10.1002/gps.1683.
citation: Bowling A, Hankins M, Windle G, Bilotta C, Grant R. A short measure of quality of life in older age: the performance of the brief Older People's Quality of Life questionnaire (OPQOL-brief). Arch Gerontol Geriatr. 2013 Jan-Feb;56(1):181-7. doi: 10.1016/j.archger.2012.08.012. Epub 2012 Sep 19.