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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Active control | Active Comparator | Usual care of the Community Mental Health Service |
|
| Village-based intervention | Experimental | Individual-based case management + group-based program |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 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. |
| Measure | Description | Time Frame |
|---|---|---|
| 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) |
| Measure | Description | Time Frame |
|---|---|---|
| Incidental depressive episode after intervention | Major or minor depressive episode was diagnosed based on the Diagnostic and Statistical Manual of Mental Disorders, the fourth edition (DSM-IV) using a structured clinical interview, the Korean Version of the Composite International Diagnostic Interview (K-CIDI) | baseline, after intervention (up to 24 weeks) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University College of Medicine | Seoul | 110-744 | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32131745 | Derived | 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. |
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| ID | Term |
|---|---|
| D003863 | Depression |
| D013405 | Suicide |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D016728 | Self-Injurious Behavior |
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A community-based randomized controlled pilot study
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| Village-based intervention | Behavioral |
|
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| Incidental suicidal ideation, plans, or attempts after intervention | Multisite Intervention Study on Suicidal Behaviours (SUPRE-MISS) was used to assess of having suicidal ideation, plans, or attempts. | baseline, after intervention (up to 24 weeks) |
| Changes from baseline Korean version of Lubben Social Network Scale (K-LSNS) after intervention | The Lubben Social Network Scale (LSNS) was developed for evaluating older adults' social interaction with their relatives and friends; higher score means to have stronger social network (lowest 0 - highest 50). | baseline, after intervention (up to 24 weeks) |
| Changes from baseline Seoul-Instrumental Activities of Daily Living (S-IADL) after intervention | Seoul-Instrumental Activities of Daily Living (S-IADL) was developed to assess elderly person's instrumental everyday activities; higher score means to have worse daily function (lowest 0 - highest 45). | baseline, after intervention (up to 24 weeks) |
| Changes from baseline Korean version of the Mini-Mental State Examination (MMSE-KC) after intervention | Mini-Mental State Examination in the Korean version of the CERAD assessment packet (MMSE-KC) is a well-known screening tool for global cognitive function that measures orientation, language (repetition, naming, reading and writing), concentration, constructional praxis, and memory; higher score means to have better global cognitive function (lowest 0 - highest 30). | baseline, after intervention (up to 24 weeks) |