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

NCT ID: NCT06132061

Last Updated: 2025-12-10

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 327 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-07-01
• Study Completion Date: 2024-12-31

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

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

Intervention group for universal prevention

Level 1 intervention (universal prevention) group

Group Type: EXPERIMENTAL

universal prevention

Intervention Type: OTHER

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

Intervention group for selective prevention

Level 2 intervention(selective prevention) group

Group Type: EXPERIMENTAL

selective prevention

Intervention Type: 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 targeted prevention

Level 3 intervention(targeted prevention) group

Group Type: EXPERIMENTAL

targeted prevention

Intervention Type: OTHER

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

Control group

Group Type: OTHER

Waiting treatment.

Intervention Type: OTHER

Waiting treatment.

Interventions

universal prevention

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

Intervention Type: OTHER

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.

Intervention Type: OTHER

targeted prevention

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

Intervention Type: OTHER

Waiting treatment.

Waiting treatment.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. Aged 60 and above;

2. Permanent residents of urban communities in China;

3. Geriatric Depression Scale (GDS-15) < 9 points;

4. There are susceptibility factors such as living alone, poverty, and suffering from serious diseases.

Exclusion Criteria

1. There is suicidal behavior or risk;

2. A history of any other mental illness, including drug or alcohol dependence;

3. Those who have speech and hearing disorder and cannot communicate normally;

4. Geriatric Depression Scale (GDS-15) ≥10 points;

5. Do not agree to participate in the research.

• Minimum Eligible Age: 60 Years
• Maximum Eligible Age: 100 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Affiliated Hospital of Yunnan University

OTHER

Sponsor Role: lead

Responsible Party

Tan Tang

Lecturer, Department of Social Work

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Huashan Street

Kunming, Yunnan, China

Countries

China

Other Identifiers

2023221

Identifier Type: -

Identifier Source: org_study_id