Ignite Creation Date:
2024-10-26 @ 3:36 PM
Last Modification Date:
2024-10-26 @ 3:36 PM
Study NCT ID:
NCT06528132
Status:
RECRUITING
Last Update Posted:
None
First Post:
2024-07-25
Brief Title:
Social Worker-led Mindfulness-based Intervention for Older People
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Social Worker-led Mindfulness-based Intervention for Managing Depressive Symptoms in Community-dwelling Older Adults in Hong Kong A Randomised Controlled Trial
Status:
RECRUITING
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Preliminary findings from a previous study conducted by the investigators suggest that a task-shared approach with modified mindfulness-based cognitive therapy MBCT supported by social workers is beneficial in managing depressive symptoms and improving mindful non-reactivity among older adults However the possibility for social workers to lead a mindfulness-based intervention MBI independently to improve its scalability and service accessibility remains unclear The project aims to
1 Evaluate the effectiveness of social worker-led MBI in improving depression in older adults with mild to moderate depressive symptoms as compared to care as usual
2 Examine the effectiveness of incorporating peer supporters in social worker-led MBI compared to those without peer supporters
3 To identify potential mechanisms of change in MBI for depressive symptoms
1 Evaluate the effectiveness of social worker-led MBI in improving depression in older adults with mild to moderate depressive symptoms as compared to care as usual
2 Examine the effectiveness of incorporating peer supporters in social worker-led MBI compared to those without peer supporters
3 To identify potential mechanisms of change in MBI for depressive symptoms
Detailed Description:
Mindfulness-based cognitive therapy MBCT is a promising approach to managing a series of health and psychological conditions among older adults To increase its acceptability feasibility and scalability MBCT has been adapted and delivered in a variety of formats Apart from delivering the intervention in person by a certified mindfulness teacher MBCT has been adapted to be self-taught delivered online or partially led by social workers
In a previous study conducted by the investigators it was found that a task-shared approach with modified MBCT supported by social workers is effective in producing change in older adults mental health and mindfulness However whether social workers are competent to lead a mindfulness-based intervention MBI informed by MBCT on their own and produce effective changes in outcome measures pertaining to mental health remains unclear
Furthermore the effects of incorporating peer supporters into mental health interventions are unclear The uses and implementation of peer support across mental health contexts vary greatly and the effects are mixed In a pilot study on men with advanced prostate cancer it has been suggested that the presence of peer support in modified mindfulness-based cognitive therapy group intervention may reinforce intervention effects Furthermore in an online intervention for older adults with elevated depressive symptoms peer support has been found to improve engagement and adherence to the intervention However in a systematic review and meta-analysis it has been found that while incorporating one-to-one peer support in mental health services has a modest positive impact on self-reported psychosocial outcomes such as self-rated recovery and empowerment there is no evidence for improvement in clinical outcomes
With the growing older people population and a need for greater social welfare capacity to promote older adults well-being the current study aims to examine the effectiveness of social worker-led MBI informed by MBCT in improving depression in older adults with mild to moderate depressive symptoms In addition the effectiveness of incorporating peer supporters into the intervention will be examined
In a previous study conducted by the investigators it was found that a task-shared approach with modified MBCT supported by social workers is effective in producing change in older adults mental health and mindfulness However whether social workers are competent to lead a mindfulness-based intervention MBI informed by MBCT on their own and produce effective changes in outcome measures pertaining to mental health remains unclear
Furthermore the effects of incorporating peer supporters into mental health interventions are unclear The uses and implementation of peer support across mental health contexts vary greatly and the effects are mixed In a pilot study on men with advanced prostate cancer it has been suggested that the presence of peer support in modified mindfulness-based cognitive therapy group intervention may reinforce intervention effects Furthermore in an online intervention for older adults with elevated depressive symptoms peer support has been found to improve engagement and adherence to the intervention However in a systematic review and meta-analysis it has been found that while incorporating one-to-one peer support in mental health services has a modest positive impact on self-reported psychosocial outcomes such as self-rated recovery and empowerment there is no evidence for improvement in clinical outcomes
With the growing older people population and a need for greater social welfare capacity to promote older adults well-being the current study aims to examine the effectiveness of social worker-led MBI informed by MBCT in improving depression in older adults with mild to moderate depressive symptoms In addition the effectiveness of incorporating peer supporters into the intervention will be examined
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None