以同伴支持的正念为基础的干预来管理社区居住的老年人的抑郁症状：一项随机对照试验方案

IF 1.9 3区医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL

Contemporary clinical trials Pub Date : 2025-06-20 DOI:10.1016/j.cct.2025.107991

Yun-Lin Wang , Yun-Han Wang , Dara Kiu Yi Leung , Stephanie Ming Yin Wong , Zuna Loong Yee Ng , Raymond Chi Leung Chan , Oscar Long Hung Chan , Wai Chi Chan , Gloria Hoi Yan Wong , Terry Yat Sang Lum

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引用次数: 0

摘要

背景：老年抑郁症是一个引起个人和社会负担的公共卫生问题。正念减压（MBSR）和正念认知疗法（MBCT）在减轻抑郁症状方面表现出了希望。然而，与这些干预措施相关的时间承诺可能对老年人构成挑战。为了解决这个问题，我们提出了一个更简短的基于正念的干预（MBI）与同伴支持者参与和支持参与者经历时间限制和痛苦。本方案描述了一项研究，检查同伴支持的MBI在减轻老年人抑郁症状方面的疗效。方法：采用两组随机对照试验和倾向评分相匹配的对照组。参与者将接受(1)由社会工作者领导的每周6次2小时会议的MBI，或(2)由同伴支持者补充的相同MBI。将通过当地非政府组织共招募138名60岁以上、患有轻度至中度重度抑郁症状的社区老年人 。研究指标将在基线、干预完成和干预后3个 月通过自评问卷进行评估。主要结局是用PHQ-9测量抑郁症状。数据（n = 69）来自先前的一项研究，涉及正念教师主导的MBCT，具有相同的参与者标准和数据收集程序，将使用倾向得分与其他两组进行匹配。讨论：研究结果将提示同伴支持MBI在社区心理健康服务中的有效性和可扩展性，改善干预的可及性和老年人的心理健康。试验注册：ClinicalTrials.govNCT06528132, 2024年7月30日。

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Peer-supported mindfulness-based intervention for managing depressive symptoms in community-dwelling older adults: Protocol for a randomized controlled trial

Background

Depression in old age is a public health concern contributing to individual and societal burdens. Mindfulness-based stress reduction (MBSR) and mindfulness-based cognitive therapy (MBCT) have shown promise in reducing depressive symptoms. However, time commitments associated with these interventions could pose challenges to older adults. To address this, we propose a briefer mindfulness-based intervention (MBI) with peer supporters to engage and support participants experiencing time constraints and distress. This protocol describes a study examining the efficacy of a peer-supported MBI in reducing depressive symptoms among older adults.

Methods

The study involves a two-arm randomized controlled trial and a propensity score-matched comparison group. Participants will receive either (1) a social worker-led MBI consisting of six weekly 2-h sessions or (2) the same MBI supplemented with peer supporters. A total of 138 community-dwelling older adults above 60 years old, with mild to moderately severe depressive symptoms, will be recruited through local non-governmental organizations. Study metrics will be assessed at baseline, completion of the intervention, and 3 months following the intervention, through self-assessed questionnaires. The primary outcome is depressive symptoms measured by PHQ-9. Data (n = 69) from a prior study involving mindfulness teacher-led MBCT with the same participant criteria and data collection procedures will be matched to the other two groups using propensity scores.

Discussion

The study results will suggest the efficacy and scalability of a peer-supported MBI in community mental health services, improving intervention accessibility and the mental health of older adults.

Trial registration: ClinicalTrials.gov NCT06528132 on 30 July 2024.

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来源期刊

Contemporary clinical trials 医学-药学

CiteScore

3.70

自引率

4.50%

发文量

281

审稿时长

44 days

期刊介绍： Contemporary Clinical Trials is an international peer reviewed journal that publishes manuscripts pertaining to all aspects of clinical trials, including, but not limited to, design, conduct, analysis, regulation and ethics. Manuscripts submitted should appeal to a readership drawn from disciplines including medicine, biostatistics, epidemiology, computer science, management science, behavioural science, pharmaceutical science, and bioethics. Full-length papers and short communications not exceeding 1,500 words, as well as systemic reviews of clinical trials and methodologies will be published. Perspectives/commentaries on current issues and the impact of clinical trials on the practice of medicine and health policy are also welcome.