PDF(Pubmed)
Abstract：
BACKGROUND: Depression is a major global health problem, with high prevalence rates of depressive symptoms observed among the elderly population in China, particularly exacerbating in rural areas. Due to a lack of professional mental health training and inadequate psychotherapy capacity within primary medical staff, rural elderly individuals grappling with depressive symptoms often encounter challenges in receiving timely diagnosis and treatment. In this landscape, the modified behavioural activation treatment (MBAT) emerges as a promising approach due to its practicality, ease of therapist training and application, patient acceptability, and broad applicability. However, existing evidence for MBAT mainly hails from developed countries, leaving a gap in its adaptation and implementation within rural China. This study aims to develop an MBAT training programme for primary medical staff to manage depressive symptoms among rural elderly and evaluate its effectiveness.
METHODS: A cluster randomised controlled trial will be conducted in 10 randomly selected township hospitals in Lengshuijiang and Lianyuan, Hunan Province. We aim to recruit 150 participants, with 5 township hospitals selected for each group, each consisting of 15 participants. The intervention group will implement the MBAT training programme, while the control group will receive usual care training programme. Depressive symptoms, psychosocial functioning, quality of life and satisfaction will be measured at baseline, immediately post-intervention, and at 3 and 6 months post-intervention. Effectiveness will be assessed using linear or generalised linear mixed models.
BACKGROUND: This study has obtained approval from the Institutional Review Board of the Third Xiangya Hospital, Centre South University (No.: 2022-S261). Results will be disseminated through publication in international peer-reviewed journals and presentations at national and international conferences.
BACKGROUND: ChiCTR2300074544.
METHODS: A cluster randomised controlled trial will be conducted in 10 randomly selected township hospitals in Lengshuijiang and Lianyuan, Hunan Province. We aim to recruit 150 participants, with 5 township hospitals selected for each group, each consisting of 15 participants. The intervention group will implement the MBAT training programme, while the control group will receive usual care training programme. Depressive symptoms, psychosocial functioning, quality of life and satisfaction will be measured at baseline, immediately post-intervention, and at 3 and 6 months post-intervention. Effectiveness will be assessed using linear or generalised linear mixed models.
BACKGROUND: This study has obtained approval from the Institutional Review Board of the Third Xiangya Hospital, Centre South University (No.: 2022-S261). Results will be disseminated through publication in international peer-reviewed journals and presentations at national and international conferences.
BACKGROUND: ChiCTR2300074544.
摘要：
背景：抑郁症是一个主要的全球性健康问题，中国老年人群抑郁症状患病率较高，尤其是在农村地区。由于缺乏专业的心理健康培训和基层医务人员心理治疗能力不足，患有抑郁症状的农村老年人在接受及时诊断和治疗方面经常遇到挑战。在这个景观中,改良的行为激活治疗(MBAT)由于其实用性而成为一种有前途的方法，治疗师培训和应用的简易性，患者可接受性,和广泛的适用性。然而,MBAT的现有证据主要来自发达国家，在中国农村地区的适应和实施方面留下了差距。本研究旨在为基层医务人员制定MBAT培训计划，以管理农村老年人的抑郁症状并评估其有效性。
方法：将在冷水江和涟源的10个随机选择的乡镇卫生院进行整群随机对照试验，湖南省。我们的目标是招募150名参与者，每组选择5个乡镇医院，每人由15名参与者组成。干预小组将实施MBAT培训计划，而对照组将接受常规护理培训计划。抑郁症状,社会心理功能,生活质量和满意度将在基线测量，立即干预后，干预后3个月和6个月。有效性将使用线性或广义线性混合模型进行评估。
背景：本研究已获得湘雅三医院机构审查委员会的批准，中南大学（编号：：2022-S261）。结果将通过在国际同行评审期刊上发表和在国家和国际会议上的演讲来传播。
背景：ChiCTR2300074544。
方法：将在冷水江和涟源的10个随机选择的乡镇卫生院进行整群随机对照试验，湖南省。我们的目标是招募150名参与者，每组选择5个乡镇医院，每人由15名参与者组成。干预小组将实施MBAT培训计划，而对照组将接受常规护理培训计划。抑郁症状,社会心理功能,生活质量和满意度将在基线测量，立即干预后，干预后3个月和6个月。有效性将使用线性或广义线性混合模型进行评估。
背景：本研究已获得湘雅三医院机构审查委员会的批准，中南大学（编号：：2022-S261）。结果将通过在国际同行评审期刊上发表和在国家和国际会议上的演讲来传播。
背景：ChiCTR2300074544。
