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的随机对照试验,增加社会支持和高级中心集团项目预防老年人抑郁症在挪威住在家里.pdfVIP

Bøen et al. BMC Geriatrics 2012, 12:20 /1471-2318/12/20 RESEARCH ARTICLE Open Access 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 * Hege Bøen , Odd Steffen Dalgard, Rune Johansen and Erik Nord Abstract 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 in