An older adult with subthreshold depression (mild to moderate) depression in Upper-Southern Thailand. Behavioral Activation, Older Adults, Depression
Conditions
Interventions
The program consists of 12 sessions, each lasting 2 hours, conducted once per week over 12 consecutive weeks (3-month intervention period), followed by a 3-month follow-up, making the total duration 6
Behavioral Activation with usual care group,Usual care group
Sponsors
National Research Council of Thailand (NRCT)
Eligibility
Sex/Gender
All
Age
60 Years to 79 Years
Inclusion criteria
Inclusion criteria: 1. Older adults aged between 60 and 79 years (early and middle-old age), of both sexes, 2. Individuals with mild (13-18 points) to moderate (19-24 points) depression as assessed by the Thai Geriatric Depression Scale (TGDS-30) (Rehabilitation of Cognitive Function Group, 1994), 3. Individuals with the ability to understand and communicate in Thai, as assessed through conversation and self-introduction, 4. Individuals who provide voluntary informed consent to participate in the study.
Exclusion criteria
Exclusion criteria: 1. A history of psychiatric disorders within the past two years, including generalized anxiety disorder, major depressive disorder, psychotic disorders, schizophrenia, bipolar disorder, or suicidal ideation, 2. Presence of dementia, as assessed by the Mini-Mental State Examination (MMSE) (Institute of Geriatric Medicine, 1999), with the following cutoff scores < 15 for individuals with no formal education, < 18 for individuals with primary education, < 23 for individuals with education beyond the primary level, 3. Individuals currently undergoing treatment, including antidepressant medication, psychotropic drugs, or other forms of psychological therapy, 4. Older adults with visual, speech, or hearing impairments, 5. Individuals with the absence of the left index finger.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Depressive symptoms Baseline, 1, 2, 3 months (after end of the intervention) and 6 month (after follow up) Participates reported outcome using a questionnaire (Thai Geriatric Depression Scal: TGDS) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Depressive, stress, and anxiety Score, 2.Heart Rate Variability (HRV), and 3. Daily step count Baseline, 1, 2, 3 months (after end of the intervention) and 6 month (after follow up) 1. Participates reported outcome using a questionnaire (Depression Anxiety Stress Scales; DASS21), 2. Evaluate using a HRV cardiogram (ECG) recordings, 3. Evaluate by pedometer | — |
Countries
Thailand
Contacts
Public ContactWanvisa Saisanan Na Ayudhaya
Walailak University
Outcome results
None listed