A Community-Based Survey and Screening for Depression in the Elderly

Background: In addition to implementing a depression screening program, conducting a survey beforehand might contribute to suicide risk reduction for the elderly. Aims: This study evaluates outcomes of a community-based program to prevent suicide among individuals aged 60 and over, using a quasiexperimental design with an intervention region (41,337 residents, 35.1% aged 60 and over) and a neighboring reference region. Methods: Our 2-year intervention program included an anonymous survey by random sample in the entire intervention region and, in the second year, a depression screening with follow-up by a psychiatrist in the higher-risk districts. Changes in the risk of completed suicide were estimated by the incidence-rate ratio (IRR). Results: The risk for men in the intervention region was reduced by 61% (age-adjusted IRR = 0.39; 90% CI = 0.18–0.87), whereas there was a (statistically insignificant) 51% risk reduction for women in the intervention region, and no risk reduction for either men or women in the reference region. The ratio of the crude IRR for elderly men in the intervention region to that for all elderly men in Japan was estimated at 0.42 (90% CI = 0.18–0.92), showing that the risk reduction was greater than the national change. Conclusions: The management of depression through a combination of an initial survey and subsequent screening holds clear promise for prompt effectiveness in the prevention of suicide for elderly men, and potentially for women.

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PW 0903 The innovation and practice of using sports bracelet to promote the community-based balance ability improvement intervention program in the elderly in shanghai city, china

10.1136/injuryprevention-2018-safety.609 ◽

2018 ◽

Author(s):

Pengpeng Ye ◽

Yuliang Er ◽

Wei Wang ◽

Leilei Duan ◽

Yubin Zhao

Keyword(s):

Intervention Program ◽

The Elderly ◽

Community Based ◽

Balance Ability ◽

Shanghai City ◽

Improvement Intervention

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A Community-Based Intervention for Improving Medication Adherence for Elderly Patients with Hypertension in Korea

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16050721 ◽

2019 ◽

Vol 16 (5) ◽

pp. 721 ◽

Cited By ~ 2

Author(s):

Kang-Ju Son ◽

Hyo-Rim Son ◽

Bohyeun Park ◽

Hee-Ja Kim ◽

Chun-Bae Kim

Keyword(s):

Elderly Patients ◽

Control Region ◽

Intervention Program ◽

Patient Adherence ◽

Continuous Treatment ◽

Control Group ◽

Antihypertensive Medications ◽

Community Based ◽

Control Group Design ◽

Intervention Region

The chronic disease management program, a community-based intervention including patient education, recall and remind service, and reduction of out-of-pocket payment, was implemented in 2005 in Korea to improve patients’ adherence for antihypertensive medications. This study aimed to assess the effect of a community-based hypertension intervention intended to enhance patient adherence to prescribed medications. This study applied a non-equivalent control group design using the Korean National Health Insurance Big Data. Hongcheon County has been continuously implementing the intervention program since 2012. This study involved a cohort of patients with hypertension aged >65 and <85 years, among residents who lived in the study area for five years (between 2010 and 2014). The final number of subjects was 2685 in both the intervention and control region. The indirect indicators were analyzed as patients’ adherence and level of continuous treatment using the difference-in-difference regression. The proportion of hypertensive patients who continuously received insurance benefits for >240 days in 2014 was 81.0% in the intervention region and 79.7% in the control region. The number of dispensations per prescription and the dispensation days per hypertensive patient in the intervention region increased by approximately 10.88% and 2.2 days on average by month, respectively, compared to those in the control region. The intervention program encouraged elderly patients with hypertension to receive continuous care. Another research is needed to determine whether further improvement in the continuity of comprehensive care will prevent the progression of cardiovascular diseases.

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Overview of community-based studies of depression screening interventions among the elderly population in Japan

Aging & Mental Health ◽

10.1080/13607863.2015.1068740 ◽

2015 ◽

Vol 20 (2) ◽

pp. 231-239 ◽

Cited By ~ 3

Author(s):

Tomoe Sakashita ◽

Hirofumi Oyama

Keyword(s):

Elderly Population ◽

The Elderly ◽

Depression Screening ◽

Community Based

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Effect of a Community-Based Medical Oncology Depression Screening Program on Behavioral Health Referrals Among Patients With Breast Cancer

JAMA ◽

10.1001/jama.2021.22596 ◽

2022 ◽

Vol 327 (1) ◽

pp. 41

Author(s):

Erin E. Hahn ◽

Corrine E. Munoz-Plaza ◽

Dana Pounds ◽

Lindsay Joe Lyons ◽

Janet S. Lee ◽

...

Keyword(s):

Breast Cancer ◽

Behavioral Health ◽

Medical Oncology ◽

Screening Program ◽

Depression Screening ◽

Community Based

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Effects of a Group Program to Increase Cognitive Performance Through Cognitively Stimulating Leisure Activities in Healthy Older Subjects

GeroPsych ◽

10.1024/1662-9647/a000035 ◽

2011 ◽

Vol 24 (2) ◽

pp. 83-92 ◽

Cited By ~ 22

Author(s):

Valentina A. Tesky ◽

Christian Thiel ◽

Winfried Banzer ◽

Johannes Pantel

Keyword(s):

Cognitive Function ◽

Cognitive Performance ◽

Older Persons ◽

Intervention Program ◽

Leisure Activities ◽

The Elderly ◽

Cognitive Stimulation ◽

Group Program ◽

Positive Effects ◽

Older Subjects

To investigate the effects of leisure activities on cognitive performance of healthy older subjects, an innovative intervention program was developed. Frequent participation in cognitively stimulating activities (i.e., reading, playing chess, or playing music) is associated with reduced risk of dementia. AKTIVA (active cognitive stimulation – prevention in the elderly) is an intervention program designed to enhance cognitive stimulation in everyday life by increasing cognitive stimulating leisure activities. The present study determines the effects of AKTIVA on cognitive function, mood and attitude toward aging in a sample of older participants from the general population. Several measurement instruments were used including the Alzheimer’s Disease Assessment Scale (ADAS-Cog), the Trail-Making Test (TMT), and the Memory Complaint Questionnaire (MAC-Q). Initially, the sample consisted of 307 older persons (170 female, 72 ± 7 years). The intervention was evaluated with a randomized, controlled pre-post follow-up design. Participants were randomly assigned to one of three conditions: AKTIVA intervention (n = 126), AKTIVA intervention plus nutrition and exercise counseling (n = 84), no-intervention control group (n = 97). The AKTIVA intervention consisted of 8 weekly sessions and two booster sessions after a break of 4 months. Participation in the group program resulted in positive effects on cognitive function and attitude toward aging for subassembly groups. Older persons (≥ 75 years) showed enhanced speed of information processing (by TMT Version A) (F = 4.17*, p < .05); younger participants (< 75 years) showed an improvement in subjective memory decline (by MAC-Q) (F = 2.55*, p < .05). Additionally, AKTIVA enhanced the frequency of activities for leisure activities for subassembly groups. The results of this study suggest that the AKTIVA program can be used to increase cognitively stimulating leisure activities in the elderly. Further research is necessary to identify the long-term effects of this intervention particularly with respect to the prevention of dementia.

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Community-Based Landslide Risk Reduction

10.1596/978-0-8213-9456-4 ◽

2013 ◽

Cited By ~ 35

Author(s):

Malcolm G. Anderson ◽

Elizabeth Holcombe

Keyword(s):

Risk Reduction ◽

Landslide Risk ◽

Community Based ◽

Landslide Risk Reduction

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A Study on Supply–Demand Satisfaction of Community-Based Senior Care Combined with the Psychological Perception of the Elderly

Healthcare ◽

10.3390/healthcare9060643 ◽

2021 ◽

Vol 9 (6) ◽

pp. 643

Author(s):

Jiangang Shi ◽

Wenwen Hua ◽

Daizhong Tang ◽

Ke Xu ◽

Quanwei Xu

Keyword(s):

Latent Variables ◽

Structural Equation ◽

Care Service ◽

Elderly Care ◽

The Elderly ◽

Living Environment ◽

Equation Modeling ◽

Strategic Decisions ◽

Community Based ◽

The Government

Based on Maslow’s hierarchy of needs theory and customer satisfaction theory, we constructed a satisfaction model for supply–demand satisfaction for community-based senior care (SSCSC) combined with the psychological perspective of the elderly, and four dimensions of basic living needs (BLNs), living environment (LE), personal traits (PTs), and livability for the aged (LA) were selected to construct the model. The data were obtained from 296 questionnaires from seniors over 50 years old (or completed by relatives on their behalf, according to their actual situation). Twenty-two observed variables were selected for the five latent variables, and their interactions were explored using structural equation modeling. The results showed that LA was the most significant factor influencing SSCSC, and it was followed by BLNs and LE. PTs did not show a direct effect on LA, but they could have an indirect effect on SSCSC through influencing BLNs and LE. Based on the current state of community aging satisfaction, we propose to establish a community elderly care service system based on the basic needs of the elderly population, providing differentiated and refined elderly care services and improving the level of aging-friendly communities. This study provides references for the government to formulate relevant policies and other supply entities to make strategic decisions and has important implications for further enhancing community elderly services to become an important part of the social security system for the elderly.

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African American men who become mental health advocates

International Journal of Social Psychiatry ◽

10.1177/00207640211012736 ◽

2021 ◽

pp. 002076402110127

Author(s):

Sandra Yaklin ◽

Miyong Kim ◽

Jacklyn Hecht

Keyword(s):

Mental Health ◽

African American ◽

African Americans ◽

Intervention Program ◽

African American Men ◽

Working Relationships ◽

Major Theme ◽

Community Based ◽

Tailored Messages ◽

Promote Mental Health

Using a narrative approach, this study explored how African American men became mental health advocates. This ancillary study is part of a formative within an ongoing community based intervention program that was designed to promote mental health of African Americans (AMEN) project within an ongoing community based intervention program that was designed to promote mental health of African Americans (AMEN) project. Narrative research techniques were used to analyze and synthesize the data. Analysis generated one major theme (interdependence) with four supporting sub-themes (credibility, social depression, stigma, and calling). These findings and insights through this qualitative study guided the AMEN project team to formulate effective communication strategies in establishing working relationships with community partners and wider stakeholders as well as crafting culturally tailored messages for African American participants.

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