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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04927026
Other study ID # A17-2003-B
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date September 1, 2019
Est. completion date March 31, 2020

Study information

Verified date June 2021
Source National University, Singapore
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The World Health Organization (WHO) reported that approximately 15% of adults aged 60 and above suffer from some form of mental disorder, with one of the most common neuropsychiatric disorders being depression. Similar trends are seen in Singapore where 11.4% of the older adults aged 65 and above had depressive symptoms. Another population survey conducted among elderly in Singapore showed that elderly with subsyndromal depression (SSD) were similar to or worse than elderly with Major Depressive Disorder (MDD). However being a multi-ethnic Asia society the mental conditions such as depression and anxiety are seen as taboo topics to be discussed more so to seek help or treatment for these conditions in Singapore. Additionally scarcity of trained psychiatrists and work load of these trained professionals in the acute care settings make it difficult to reach these needy older adults. Hence, it is imperative to support the needs of this group of community dwelling older adults to ensure that their emotional wellbeing, and their condition do not progress to MDD. As such, this is the first of its kind study that will evaluate the effectiveness of solution focused brief therapy delivered by the lay mindfulness practitioner and the nurses. If the pilot intervention is found to be feasible and effective, the large scale community trial will be planned to reach to more elderly in Singapore to help them age in a dignified way. In addition, other countries that do not involve lay mindfulness practitioners and nurses to provide integrated personal therapy in the community may benefit from this study as well.


Recruitment information / eligibility

Status Completed
Enrollment 21
Est. completion date March 31, 2020
Est. primary completion date January 31, 2020
Accepts healthy volunteers No
Gender All
Age group 60 Years to 95 Years
Eligibility Inclusion Criteria: - Community-dwelling older adults aged between 60-95 years old - Able to understand and speak either English and/or Mandarin - Able to attend at least 80% (five out of seven sessions) of the intervention sessions - Have subsyndromal depression (obtained a score between one and five on the Geriatric Depression Scale) and/or subsyndromal anxiety (obtained a score between three and 10 on the Geriatric Anxiety Scale) Exclusion Criteria: - Older adults aged between 60-95 years old without subsyndromal depression and/or subsyndromal anxiety - Older adults aged between 60-95 years old who could not understand or speak either English and/or Mandarin. - Older adults aged between 60-95 years old who were unable to attend at least 80% (five out of seven sessions) of the intervention sessions.

Study Design


Related Conditions & MeSH terms


Intervention

Behavioral:
Where-there-is-no-psychiatrist Integrated Personal Therapy (WIPT)
The WIPT include weekly face-to-face group sessions including mindfulness-based training and solution focused brief therapy (SFBT) involving psychoeducation and structured life review therapy catered to the personal needs of the participants.

Locations

Country Name City State
Singapore National University of Singapore Singapore

Sponsors (1)

Lead Sponsor Collaborator
National University, Singapore

Country where clinical trial is conducted

Singapore, 

Outcome

Type Measure Description Time frame Safety issue
Other Cortisol in ng/ml Stress- and anxiety- related inflammatory outcomes. Collected in lithium heparin tubes Prior to start of intervention
Other Cortisol in ng/ml Stress- and anxiety- related inflammatory outcomes. Collected in lithium heparin tubes 6 months post-recruitment
Other Annexin-A1 in ng/ml Stress- and anxiety- related inflammatory outcomes. Collected in lithium heparin tubes Prior to start of intervention
Other Annexin-A1 in ng/ml Stress- and anxiety- related inflammatory outcomes. Collected in lithium heparin tubes 6 months post-recruitment
Other Interleukin-1-beta in pg/ml Stress- and anxiety- related inflammatory outcomes. Collected in lithium heparin tubes Prior to start of intervention
Other Interleukin-1-beta in pg/ml Stress- and anxiety- related inflammatory outcomes. Collected in lithium heparin tubes 6 months post-recruitment
Primary Symptoms of depression Measured using Geriatric Depression Scale. 15-item scale where participants select either "Yes" or "No" in response to 15 statements. The maximum score that could be obtained was 15 points; a high score on the scale indicates severe depressive symptoms. Prior to start of intervention
Primary Symptoms of depression Measured using Geriatric Depression Scale. 15-item scale where participants select either "Yes" or "No" in response to 15 statements. The maximum score that could be obtained was 15 points; a high score on the scale indicates severe depressive symptoms. 3 months post-recruitment
Primary Symptoms of depression Measured using Geriatric Depression Scale. 15-item scale where participants select either "Yes" or "No" in response to 15 statements. The maximum score that could be obtained was 15 points; a high score on the scale indicates severe depressive symptoms. 6 months post-recruitment
Primary Symptoms of anxiety Measured using Geriatric Anxiety Inventory. 20-item scale where participants select either "Agree" or "Disagree" to assess the anxiety symptoms in older adults. The maximum score that could be obtained was 20 points; a high score indicates more anxiety symptoms. Prior to start of intervention
Primary Symptoms of anxiety Measured using Geriatric Anxiety Inventory. 20-item scale where participants select either "Agree" or "Disagree" to assess the anxiety symptoms in older adults. The maximum score that could be obtained was 20 points; a high score indicates more anxiety symptoms. 3 months post-recruitment
Primary Symptoms of anxiety Measured using Geriatric Anxiety Inventory. 20-item scale where participants select either "Agree" or "Disagree" to assess the anxiety symptoms in older adults. The maximum score that could be obtained was 20 points; a high score indicates more anxiety symptoms. 6 months post-recruitment
Secondary Life satisfaction Measured using Satisfaction with Life Scale. 5-item scale that included a 7-point Likert scale (1 = "Strongly Disagree"; 7 = "Strongly Agree"). The maximum score that could be obtained was 35 points; a high score indicates high level of satisfaction with life. Prior to start of intervention
Secondary Life satisfaction Measured using Satisfaction with Life Scale. 5-item scale that included a 7-point Likert scale (1 = "Strongly Disagree"; 7 = "Strongly Agree"). The maximum score that could be obtained was 35 points; a high score indicates high level of satisfaction with life. 3 months post-recruitment
Secondary Life satisfaction Measured using Satisfaction with Life Scale. 5-item scale that included a 7-point Likert scale (1 = "Strongly Disagree"; 7 = "Strongly Agree"). The maximum score that could be obtained was 35 points; a high score indicates high level of satisfaction with life. 6 months post-recruitment
Secondary Social connectedness in terms of friendship Measured using Friendship Scale. 6-item where participants had to select an answer out of the five options (1 = "Not at All"; 5 = "Almost Always"). The maximum score that could be obtained was 30 points; a high score indicates high level of social connectedness. Prior to start of intervention
Secondary Social connectedness in terms of friendship Measured using Friendship Scale. 6-item where participants had to select an answer out of the five options (1 = "Not at All"; 5 = "Almost Always"). The maximum score that could be obtained was 30 points; a high score indicates high level of social connectedness. 3 months post-recruitment
Secondary Social connectedness in terms of friendship Measured using Friendship Scale. 6-item where participants had to select an answer out of the five options (1 = "Not at All"; 5 = "Almost Always"). The maximum score that could be obtained was 30 points; a high score indicates high level of social connectedness. 6 months post-recruitment
Secondary Quality of life Measured using World Health Organization Quality of Life-Older Adults module. 13-item scale where participants had to select an answer based on a 5-point rating scale (1 = "Not at All"; 5 = "Very Satisfied"). The maximum score was 65 points, and a high score indicates high quality of life. Prior to start of intervention
Secondary Quality of life Measured using World Health Organization Quality of Life-Older Adults module. 13-item scale where participants had to select an answer based on a 5-point rating scale (1 = "Not at All"; 5 = "Very Satisfied"). The maximum score was 65 points, and a high score indicates high quality of life. 3 months post-recruitment
Secondary Quality of life Measured using World Health Organization Quality of Life-Older Adults module. 13-item scale where participants had to select an answer based on a 5-point rating scale (1 = "Not at All"; 5 = "Very Satisfied"). The maximum score was 65 points, and a high score indicates high quality of life. 6 months post-recruitment
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