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首页> 外文期刊>BMC Geriatrics >A randomized controlled trial of a senior centre group programme for increasing social support and preventing depression in elderly people living at home in Norway
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A randomized controlled trial of a senior centre group programme for increasing social support and preventing depression in elderly people living at home in Norway

机译：一项高级中心小组计划的随机对照试验，旨在增加挪威家庭居民的社会支持和预防抑郁症

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Background Late-life depression is a common condition and a challenging public health problem. A lack of social support is strongly associated with psychological distress. Senior centres seem to be suitable arenas for community-based health promotion interventions, although few studies have addressed this subject. The objectives were to examine the effect of a preventive senior centre group programme consisting of weekly meetings, on social support, depression and quality of life. Methods A questionnaire was sent to a random sample of 4,000 persons over 65 in Oslo, and a total of 2,387 completed questionnaires were obtained. These subjects served as a basis for recruitment of participants for a trial, with scores on HSCL-10 being used as a main inclusion criterion. A total of 138 persons were randomized into an intervention group (N?=?77) and control group (N?=?61). Final analyses included 92 persons. Social support (OSS-3), depression (BDI), life satisfaction and health were measured in interviews at baseline and after 12?months (at the end of the intervention programme). Perceptions of benefits from the intervention were also measured. Mean scores, SD, SE and CI were used to describe the changes in outcomes. Effect sizes were calculated based on the original scales and as Cohen’s d. Paired sample tests and ANOVA were used to test group differences. Results There was an increase in social support in both groups, but greatest in the intervention group. The level of depression increased for both groups, but more so in the control than the intervention group. There was a decrease in life satisfaction, although the decrease was largest among controls. There were almost no differences in reported health between groups. However, effect sizes were small and differences were not statistically significant. In contrast, most of the participants said the intervention meant much to them and led to increased use of the centre. Conclusions In all probability, the intervention failed to meet optimistic targets, but possibly met quite modest ones. Since intention-to-treat analysis was not possible, we do not know the effect on the intervention group as a whole. A further evaluation of these programmes is necessary to expand the group programme. For the depressed, more specialized programmes to cope with depression may be a more appropriate intervention. Trial Registration DRKS00003120 on DRKS
机译：背景技术晚期抑郁症是一种常见病，也是一个充满挑战的公共健康问题。缺乏社会支持与心理困扰密切相关。尽管很少有研究针对这一主题，但高级中心似乎是基于社区的健康促进干预措施的合适场所。目的是研究包括每周一次会议的预防性高级中心小组计划对社会支持，抑郁和生活质量的影响。方法向奥斯陆的4000名65岁以上的人随机抽样，共完成问卷2387份。这些主题作为招募参加试验的参与者的基础，HSCL-10的分数被用作主要纳入标准。总共138人被随机分为干预组（N≥77）和对照组（N≥61）。最终分析包括92人。在基线和12个月后（干预计划结束时）进行访谈时，对社会支持（OSS-3），抑郁（BDI），生活满意度和健康进行了测量。还测量了从干预中获益的感知。平均得分，SD，SE和CI用于描述结果的变化。效果大小是根据原始比例和Cohen的计算得出的。配对样本测试和方差分析用于测试组差异。结果两组的社会支持都有所增加，但干预组最大。两组的抑郁水平都有所提高，但对照组比干预组的抑郁水平更高。生活满意度下降，尽管在对照组中下降幅度最大。两组之间报告的健康状况几乎没有差异。但是，效果大小很小，差异在统计学上不显着。相反，大多数参与者说，干预对他们意义重大，并导致对该中心的更多使用。结论干预措施极有可能未能达到乐观目标，但可能达到了相当适度的目标。由于无法进行意向分析，因此我们不知道对整个干预组的影响。为了扩展小组计划，有必要对这些计划进行进一步评估。对于抑郁症患者，更专业的应对抑郁症的计划可能是更合适的干预措施。在DRKS上尝试注册DRKS00003120

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