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The Health and Social Consequences of Depression Among the Elderly

Primary Purpose

Depression

Status
Not yet recruiting
Phase
Not Applicable
Locations
India
Study Type
Interventional
Intervention
CBT
Group Activities
Sponsored by
National Bureau of Economic Research, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Depression

Eligibility Criteria

55 Years - undefined (Adult, Older Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria: At least 58 years of age Women Exclusion Criteria: -

Sites / Locations

  • JPAL SA at IFMR

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

No Intervention

Arm Label

CBT home visits

CBT home visits and group activities

Control

Arm Description

Community resource persons will visit the elderly women once per week to deliver cognitive behavioral therapy for six weeks, followed by monthly boosters.

Community resource persons will visit the elderly women once per week to deliver cognitive behavioral therapy for six weeks, followed by monthly boosters. The elderly women and their families will also be invited to join weekly hour-long group activities for 6 weeks. Group activities will be administered by community resource persons in community spaces.

Control group

Outcomes

Primary Outcome Measures

Mental health
The geriatric depression scale short form is used. Participants are asked yes/no questions: if they are satisfied with their lives, have dropped activities and interests, feel their life is empty, often get bored, in good spirits most of the time, afraid that something bad is going to happen to them, feel happy most of the time, often feel hopeless, prefer to stay at home, rather than going out and doing new things, have problems with memory, think it is wonderful to be alive, feel worthless, feel full of energy, feel lonely, feel their situation is hopeless, think that most people are better off than they are. Responses will be summed over these questions (scale of 0-15).
Mental health
The geriatric depression scale short form is used. Participants are asked yes/no questions: if they are satisfied with their lives, have dropped activities and interests, feel their life is empty, often get bored, in good spirits most of the time, afraid that something bad is going to happen to them, feel happy most of the time, often feel hopeless, prefer to stay at home, rather than going out and doing new things, have problems with memory, think it is wonderful to be alive, feel worthless, feel full of energy, feel lonely, feel their situation is hopeless, think that most people are better off than they are. Responses will be summed over these questions (scale of 0-15).
Mental health
The geriatric depression scale short form is used. Participants are asked yes/no questions: if they are satisfied with their lives, have dropped activities and interests, feel their life is empty, often get bored, in good spirits most of the time, afraid that something bad is going to happen to them, feel happy most of the time, often feel hopeless, prefer to stay at home, rather than going out and doing new things, have problems with memory, think it is wonderful to be alive, feel worthless, feel full of energy, feel lonely, feel their situation is hopeless, think that most people are better off than they are. Responses will be summed over these questions (scale of 0-15).
Difficulty in performing daily activities/Functional impairment score
Participants will be asked the level of difficulty they have in doing each of the following tasks: standing for 30 minutes, walking a long distance (1km), concentrating for 10 minutes, learning a new task like getting to a new place, washing whole body, getting dressed, taking care of household activities, doing day-to-day work, dealing with people they do not know, maintaining a friendship, being emotionally affected by health problems, and joining in community activities. The scale is from 0-4, with 0 being no difficulty, 1 mild, 2 moderate, 3 severe, and 4 cannot do. The scores will be summed to create a cumulative score on a 0-48 scale.
Difficulty in performing daily activities/Functional impairment score
Participants will be asked the level of difficulty they have in doing each of the following tasks: standing for 30 minutes, walking a long distance (1km), concentrating for 10 minutes, learning a new task like getting to a new place, washing whole body, getting dressed, taking care of household activities, doing day-to-day work, dealing with people they do not know, maintaining a friendship, being emotionally affected by health problems, and joining in community activities. The scale is from 0-4, with 0 being no difficulty, 1 mild, 2 moderate, 3 severe, and 4 cannot do. The scores will be summed to create a cumulative score on a 0-48 scale.
Difficulty in performing daily activities/Functional impairment score
Participants will be asked the level of difficulty they have in doing each of the following tasks: standing for 30 minutes, walking a long distance (1km), concentrating for 10 minutes, learning a new task like getting to a new place, washing whole body, getting dressed, taking care of household activities, doing day-to-day work, dealing with people they do not know, maintaining a friendship, being emotionally affected by health problems, and joining in community activities. The scale is from 0-4, with 0 being no difficulty, 1 mild, 2 moderate, 3 severe, and 4 cannot do. The scores will be summed to create a cumulative score on a 0-48 scale.

Secondary Outcome Measures

Loneliness
Measured using the short-form University of California, Los Angeles (UCLA) Loneliness Scale (aka ULS-4). This is a 4-item scale designed to measure one's subjective feelings of loneliness as well as feelings of social isolation. The questions are: no one really knows me well, people are around me but not with me, I feel in tune with the people around me, I can find companionship when I want it. Subjects rate each item as either O ("I often feel this way"), S ("I sometimes feel this way"), R ("I rarely feel this way"), N ("I never feel this way"). Responses are summed over the four questions.
Loneliness
Measured using the short-form University of California, Los Angeles (UCLA) Loneliness Scale (aka ULS-4). This is a 4-item scale designed to measure one's subjective feelings of loneliness as well as feelings of social isolation. The questions are: no one really knows me well, people are around me but not with me, I feel in tune with the people around me, I can find companionship when I want it. Subjects rate each item as either O ("I often feel this way"), S ("I sometimes feel this way"), R ("I rarely feel this way"), N ("I never feel this way"). Responses are summed over the four questions.
Loneliness
Measured using the short-form University of California, Los Angeles (UCLA) Loneliness Scale (aka ULS-4). This is a 4-item scale designed to measure one's subjective feelings of loneliness as well as feelings of social isolation. The questions are: no one really knows me well, people are around me but not with me, I feel in tune with the people around me, I can find companionship when I want it. Subjects rate each item as either O ("I often feel this way"), S ("I sometimes feel this way"), R ("I rarely feel this way"), N ("I never feel this way"). Responses are summed over the four questions.
Cognitive function
Participants will be administered the mini mental state exam, scored on a 0-11 scale.
Cognitive function
Participants will be administered the mini mental state exam, scored on a 0-11 scale.
Cognitive function
Participants will be administered the mini mental state exam, scored on a 0-11 scale.
Sleep
Using self-reported information about sleep (including average hours slept per night over the past week, if sleep is interrupted as an indicator variable, and scale of sleep quality on a scale from 1 indicating "Very Good" to 4 indicating "Very Bad"). The indicator for sleep interruptions and the scale for sleep quality will be flipped. The three questions will then be combined to create an index where an increase in the index indicates better sleep.
Sleep
Using self-reported information about sleep (including average hours slept per night over the past week, if sleep is interrupted as an indicator variable, and scale of sleep quality on a scale from 1 indicating "Very Good" to 4 indicating "Very Bad"). The indicator for sleep interruptions and the scale for sleep quality will be flipped. The three questions will then be combined to create an index where an increase in the index indicates better sleep.
Sleep
Using self-reported information about sleep (including average hours slept per night over the past week, if sleep is interrupted as an indicator variable, and scale of sleep quality on a scale from 1 indicating "Very Good" to 4 indicating "Very Bad"). The indicator for sleep interruptions and the scale for sleep quality will be flipped. The three questions will then be combined to create an index where an increase in the index indicates better sleep.
Self-assessed pain
Using self-assessed pain on a scale where 0 is "no pain" and 10 is "worst pain possible".
Self-assessed pain
Using self-assessed pain on a scale where 0 is "no pain" and 10 is "worst pain possible".
Self-assessed pain
Using self-assessed pain on a scale where 0 is "no pain" and 10 is "worst pain possible".
Community and social integration
Elders asked whether they were visited or had visited someone in the last month. Elders were asked how frequently they: attend a public meeting, meet personally with a community leader, work with other people in their neighborhood to fix or improve something, attend cultural performances or shows, talk on the phone with relatives or friends outside the household (scale of "Never", "Once or Twice per Year", "Once or Twice per Month", "Once or Twice per Week", "Daily"). Elders also asked if they are treated with respect within their household (responses include "Yes, all the time", "Mostly yes", and "Never"). Three subindices will be created for visits, participation in community activities, and feeling respected. The three subindices will then be combined into who index where an increase in the index indicates greater community and social integration.
Community and social integration
Elders asked whether they were visited or had visited someone in the last month. Elders were asked how frequently they: attend a public meeting, meet personally with a community leader, work with other people in their neighborhood to fix or improve something, attend cultural performances or shows, talk on the phone with relatives or friends outside the household (scale of "Never", "Once or Twice per Year", "Once or Twice per Month", "Once or Twice per Week", "Daily"). Elders also asked if they are treated with respect within their household (responses include "Yes, all the time", "Mostly yes", and "Never"). Three subindices will be created for visits, participation in community activities, and feeling respected. The three subindices will then be combined into who index where an increase in the index indicates greater community and social integration.
Community and social integration
Elders asked whether they were visited or had visited someone in the last month. Elders were asked how frequently they: attend a public meeting, meet personally with a community leader, work with other people in their neighborhood to fix or improve something, attend cultural performances or shows, talk on the phone with relatives or friends outside the household (scale of "Never", "Once or Twice per Year", "Once or Twice per Month", "Once or Twice per Week", "Daily"). Elders also asked if they are treated with respect within their household (responses include "Yes, all the time", "Mostly yes", and "Never"). Three subindices will be created for visits, participation in community activities, and feeling respected. The three subindices will then be combined into who index where an increase in the index indicates greater community and social integration.
Health outcomes
The investigators will construct indicators for abnormal readings for biomarkers (including blood pressure, blood sugar, and anemia), and abnormal readings for elder's ability to perform basic physical tasks (a time up and go test and an endurance test that counts the number of unassisted stands an elder can complete). Health measurements will be combined into an index where an increase in the index indicates worse health.
Health outcomes
The investigators will construct indicators for abnormal readings for biomarkers (including blood pressure, blood sugar, and anemia), and abnormal readings for elder's ability to perform basic physical tasks (a time up and go test and an endurance test that counts the number of unassisted stands an elder can complete). Health measurements will be combined into an index where an increase in the index indicates worse health.
Health behavior
Participants will be asked if they avail free screening of Diseases at Government Hospitals (0/1).
Health behavior
Participants will be asked if they avail free screening of Diseases at Government Hospitals (0/1).
Health behavior
Participants will be asked if they avail free screening of Diseases at Government Hospitals (0/1).
Health utilization
Participants will be offered to complete a medical exam on the spot. Outcome will be if the elder chooses to participate in the medical test (0/1).
Health utilization
Participants will be offered to complete a medical exam on the spot. Outcome will be if the elder chooses to participate in the medical test (0/1).
Health utilization
Participants will be offered to complete a medical exam on the spot. Outcome will be if the elder chooses to participate in the medical test (0/1).
CBT utilization
Participants will be given a scenario about an elder facing a problem. Elders will be asked what they would suggest the elder do, with options that include activities discussed in the CBT sessions. Outcome will be if elder selects a method discussed in CBT curriculum.
CBT utilization
Participants will be given a scenario about an elder facing a problem. Elders will be asked what they would suggest the elder do, with options that include activities discussed in the CBT sessions. Outcome will be if elder selects a method discussed in CBT curriculum.
CBT utilization
Participants will be given a scenario about an elder facing a problem. Elders will be asked what they would suggest the elder do, with options that include activities discussed in the CBT sessions. Outcome will be if elder selects a method discussed in CBT curriculum.

Full Information

First Posted
April 24, 2023
Last Updated
May 3, 2023
Sponsor
National Bureau of Economic Research, Inc.
Collaborators
National Institute on Aging (NIA), Abdul Latif Jameel Poverty Action Lab
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1. Study Identification

Unique Protocol Identification Number
NCT05856552
Brief Title
The Health and Social Consequences of Depression Among the Elderly
Official Title
The Health and Social Consequences of Depression Among the Elderly: Evidence From India
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
July 2023 (Anticipated)
Primary Completion Date
December 2027 (Anticipated)
Study Completion Date
December 2027 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
National Bureau of Economic Research, Inc.
Collaborators
National Institute on Aging (NIA), Abdul Latif Jameel Poverty Action Lab

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
Mental illnesses often go undiagnosed or untreated in low-income settings. Mental health care may be especially important for the elderly - events in the lives of the elderly, like illnesses or deaths of peers, may put these individuals at high risk of mental illness. The study will constitute a randomized controlled trial aimed at reducing depression among elderly women. Through two interventions, the investigators will aim to improve women elder's outlook on life and relationships through cognitive behavioral therapy (CBT) and facilitated group activities. There will be a total of three treatment arms: one for CBT during home visits, one for CBT and facilitated group activities, and a control group receiving neither the CBT nor facilitated group activities. Randomization will be at the hamlet/block level. A control group will receive no intervention. Investigators will track outcomes of the elderly at 3 months, 1 year, and 3 years after the intervention.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Depression

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
2500 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
CBT home visits
Arm Type
Experimental
Arm Description
Community resource persons will visit the elderly women once per week to deliver cognitive behavioral therapy for six weeks, followed by monthly boosters.
Arm Title
CBT home visits and group activities
Arm Type
Experimental
Arm Description
Community resource persons will visit the elderly women once per week to deliver cognitive behavioral therapy for six weeks, followed by monthly boosters. The elderly women and their families will also be invited to join weekly hour-long group activities for 6 weeks. Group activities will be administered by community resource persons in community spaces.
Arm Title
Control
Arm Type
No Intervention
Arm Description
Control group
Intervention Type
Behavioral
Intervention Name(s)
CBT
Intervention Description
Cognitive behavioral therapy delivered by community resource persons via home visits.
Intervention Type
Behavioral
Intervention Name(s)
Group Activities
Intervention Description
Weekly hour-long group activities delivered by community resource persons in community spaces.
Primary Outcome Measure Information:
Title
Mental health
Description
The geriatric depression scale short form is used. Participants are asked yes/no questions: if they are satisfied with their lives, have dropped activities and interests, feel their life is empty, often get bored, in good spirits most of the time, afraid that something bad is going to happen to them, feel happy most of the time, often feel hopeless, prefer to stay at home, rather than going out and doing new things, have problems with memory, think it is wonderful to be alive, feel worthless, feel full of energy, feel lonely, feel their situation is hopeless, think that most people are better off than they are. Responses will be summed over these questions (scale of 0-15).
Time Frame
Assessed at 3 months after the intervention
Title
Mental health
Description
The geriatric depression scale short form is used. Participants are asked yes/no questions: if they are satisfied with their lives, have dropped activities and interests, feel their life is empty, often get bored, in good spirits most of the time, afraid that something bad is going to happen to them, feel happy most of the time, often feel hopeless, prefer to stay at home, rather than going out and doing new things, have problems with memory, think it is wonderful to be alive, feel worthless, feel full of energy, feel lonely, feel their situation is hopeless, think that most people are better off than they are. Responses will be summed over these questions (scale of 0-15).
Time Frame
Assessed at 1 year after the intervention
Title
Mental health
Description
The geriatric depression scale short form is used. Participants are asked yes/no questions: if they are satisfied with their lives, have dropped activities and interests, feel their life is empty, often get bored, in good spirits most of the time, afraid that something bad is going to happen to them, feel happy most of the time, often feel hopeless, prefer to stay at home, rather than going out and doing new things, have problems with memory, think it is wonderful to be alive, feel worthless, feel full of energy, feel lonely, feel their situation is hopeless, think that most people are better off than they are. Responses will be summed over these questions (scale of 0-15).
Time Frame
Assessed at 3 years after the intervention
Title
Difficulty in performing daily activities/Functional impairment score
Description
Participants will be asked the level of difficulty they have in doing each of the following tasks: standing for 30 minutes, walking a long distance (1km), concentrating for 10 minutes, learning a new task like getting to a new place, washing whole body, getting dressed, taking care of household activities, doing day-to-day work, dealing with people they do not know, maintaining a friendship, being emotionally affected by health problems, and joining in community activities. The scale is from 0-4, with 0 being no difficulty, 1 mild, 2 moderate, 3 severe, and 4 cannot do. The scores will be summed to create a cumulative score on a 0-48 scale.
Time Frame
Assessed at 3 months after the intervention
Title
Difficulty in performing daily activities/Functional impairment score
Description
Participants will be asked the level of difficulty they have in doing each of the following tasks: standing for 30 minutes, walking a long distance (1km), concentrating for 10 minutes, learning a new task like getting to a new place, washing whole body, getting dressed, taking care of household activities, doing day-to-day work, dealing with people they do not know, maintaining a friendship, being emotionally affected by health problems, and joining in community activities. The scale is from 0-4, with 0 being no difficulty, 1 mild, 2 moderate, 3 severe, and 4 cannot do. The scores will be summed to create a cumulative score on a 0-48 scale.
Time Frame
Assessed at 1 year after the intervention
Title
Difficulty in performing daily activities/Functional impairment score
Description
Participants will be asked the level of difficulty they have in doing each of the following tasks: standing for 30 minutes, walking a long distance (1km), concentrating for 10 minutes, learning a new task like getting to a new place, washing whole body, getting dressed, taking care of household activities, doing day-to-day work, dealing with people they do not know, maintaining a friendship, being emotionally affected by health problems, and joining in community activities. The scale is from 0-4, with 0 being no difficulty, 1 mild, 2 moderate, 3 severe, and 4 cannot do. The scores will be summed to create a cumulative score on a 0-48 scale.
Time Frame
Assessed at 3 years after the intervention
Secondary Outcome Measure Information:
Title
Loneliness
Description
Measured using the short-form University of California, Los Angeles (UCLA) Loneliness Scale (aka ULS-4). This is a 4-item scale designed to measure one's subjective feelings of loneliness as well as feelings of social isolation. The questions are: no one really knows me well, people are around me but not with me, I feel in tune with the people around me, I can find companionship when I want it. Subjects rate each item as either O ("I often feel this way"), S ("I sometimes feel this way"), R ("I rarely feel this way"), N ("I never feel this way"). Responses are summed over the four questions.
Time Frame
Assessed at 3 months after the intervention
Title
Loneliness
Description
Measured using the short-form University of California, Los Angeles (UCLA) Loneliness Scale (aka ULS-4). This is a 4-item scale designed to measure one's subjective feelings of loneliness as well as feelings of social isolation. The questions are: no one really knows me well, people are around me but not with me, I feel in tune with the people around me, I can find companionship when I want it. Subjects rate each item as either O ("I often feel this way"), S ("I sometimes feel this way"), R ("I rarely feel this way"), N ("I never feel this way"). Responses are summed over the four questions.
Time Frame
Assessed at 1 year after the intervention
Title
Loneliness
Description
Measured using the short-form University of California, Los Angeles (UCLA) Loneliness Scale (aka ULS-4). This is a 4-item scale designed to measure one's subjective feelings of loneliness as well as feelings of social isolation. The questions are: no one really knows me well, people are around me but not with me, I feel in tune with the people around me, I can find companionship when I want it. Subjects rate each item as either O ("I often feel this way"), S ("I sometimes feel this way"), R ("I rarely feel this way"), N ("I never feel this way"). Responses are summed over the four questions.
Time Frame
Assessed at 3 years after the intervention
Title
Cognitive function
Description
Participants will be administered the mini mental state exam, scored on a 0-11 scale.
Time Frame
Assessed at 3 months after the intervention
Title
Cognitive function
Description
Participants will be administered the mini mental state exam, scored on a 0-11 scale.
Time Frame
Assessed at 1 year after the intervention
Title
Cognitive function
Description
Participants will be administered the mini mental state exam, scored on a 0-11 scale.
Time Frame
Assessed at 3 years after the intervention
Title
Sleep
Description
Using self-reported information about sleep (including average hours slept per night over the past week, if sleep is interrupted as an indicator variable, and scale of sleep quality on a scale from 1 indicating "Very Good" to 4 indicating "Very Bad"). The indicator for sleep interruptions and the scale for sleep quality will be flipped. The three questions will then be combined to create an index where an increase in the index indicates better sleep.
Time Frame
Assessed at 3 months after the intervention
Title
Sleep
Description
Using self-reported information about sleep (including average hours slept per night over the past week, if sleep is interrupted as an indicator variable, and scale of sleep quality on a scale from 1 indicating "Very Good" to 4 indicating "Very Bad"). The indicator for sleep interruptions and the scale for sleep quality will be flipped. The three questions will then be combined to create an index where an increase in the index indicates better sleep.
Time Frame
Assessed at 1 year after the intervention
Title
Sleep
Description
Using self-reported information about sleep (including average hours slept per night over the past week, if sleep is interrupted as an indicator variable, and scale of sleep quality on a scale from 1 indicating "Very Good" to 4 indicating "Very Bad"). The indicator for sleep interruptions and the scale for sleep quality will be flipped. The three questions will then be combined to create an index where an increase in the index indicates better sleep.
Time Frame
Assessed at 3 years after the intervention
Title
Self-assessed pain
Description
Using self-assessed pain on a scale where 0 is "no pain" and 10 is "worst pain possible".
Time Frame
Assessed at 3 months after the intervention
Title
Self-assessed pain
Description
Using self-assessed pain on a scale where 0 is "no pain" and 10 is "worst pain possible".
Time Frame
Assessed at 1 year after the intervention
Title
Self-assessed pain
Description
Using self-assessed pain on a scale where 0 is "no pain" and 10 is "worst pain possible".
Time Frame
Assessed at 3 years after the intervention
Title
Community and social integration
Description
Elders asked whether they were visited or had visited someone in the last month. Elders were asked how frequently they: attend a public meeting, meet personally with a community leader, work with other people in their neighborhood to fix or improve something, attend cultural performances or shows, talk on the phone with relatives or friends outside the household (scale of "Never", "Once or Twice per Year", "Once or Twice per Month", "Once or Twice per Week", "Daily"). Elders also asked if they are treated with respect within their household (responses include "Yes, all the time", "Mostly yes", and "Never"). Three subindices will be created for visits, participation in community activities, and feeling respected. The three subindices will then be combined into who index where an increase in the index indicates greater community and social integration.
Time Frame
Assessed at 3 months after the intervention
Title
Community and social integration
Description
Elders asked whether they were visited or had visited someone in the last month. Elders were asked how frequently they: attend a public meeting, meet personally with a community leader, work with other people in their neighborhood to fix or improve something, attend cultural performances or shows, talk on the phone with relatives or friends outside the household (scale of "Never", "Once or Twice per Year", "Once or Twice per Month", "Once or Twice per Week", "Daily"). Elders also asked if they are treated with respect within their household (responses include "Yes, all the time", "Mostly yes", and "Never"). Three subindices will be created for visits, participation in community activities, and feeling respected. The three subindices will then be combined into who index where an increase in the index indicates greater community and social integration.
Time Frame
Assessed at 1 year after the intervention
Title
Community and social integration
Description
Elders asked whether they were visited or had visited someone in the last month. Elders were asked how frequently they: attend a public meeting, meet personally with a community leader, work with other people in their neighborhood to fix or improve something, attend cultural performances or shows, talk on the phone with relatives or friends outside the household (scale of "Never", "Once or Twice per Year", "Once or Twice per Month", "Once or Twice per Week", "Daily"). Elders also asked if they are treated with respect within their household (responses include "Yes, all the time", "Mostly yes", and "Never"). Three subindices will be created for visits, participation in community activities, and feeling respected. The three subindices will then be combined into who index where an increase in the index indicates greater community and social integration.
Time Frame
Assessed at 3 years after the intervention
Title
Health outcomes
Description
The investigators will construct indicators for abnormal readings for biomarkers (including blood pressure, blood sugar, and anemia), and abnormal readings for elder's ability to perform basic physical tasks (a time up and go test and an endurance test that counts the number of unassisted stands an elder can complete). Health measurements will be combined into an index where an increase in the index indicates worse health.
Time Frame
Assessed at 1 year after the intervention
Title
Health outcomes
Description
The investigators will construct indicators for abnormal readings for biomarkers (including blood pressure, blood sugar, and anemia), and abnormal readings for elder's ability to perform basic physical tasks (a time up and go test and an endurance test that counts the number of unassisted stands an elder can complete). Health measurements will be combined into an index where an increase in the index indicates worse health.
Time Frame
Assessed at 3 years after the intervention
Title
Health behavior
Description
Participants will be asked if they avail free screening of Diseases at Government Hospitals (0/1).
Time Frame
Assessed at 3 months after the intervention
Title
Health behavior
Description
Participants will be asked if they avail free screening of Diseases at Government Hospitals (0/1).
Time Frame
Assessed at 1 year after the intervention
Title
Health behavior
Description
Participants will be asked if they avail free screening of Diseases at Government Hospitals (0/1).
Time Frame
Assessed at 3 years after the intervention
Title
Health utilization
Description
Participants will be offered to complete a medical exam on the spot. Outcome will be if the elder chooses to participate in the medical test (0/1).
Time Frame
Assessed at 3 months after the intervention
Title
Health utilization
Description
Participants will be offered to complete a medical exam on the spot. Outcome will be if the elder chooses to participate in the medical test (0/1).
Time Frame
Assessed at 1 year after the intervention
Title
Health utilization
Description
Participants will be offered to complete a medical exam on the spot. Outcome will be if the elder chooses to participate in the medical test (0/1).
Time Frame
Assessed at 3 years after the intervention
Title
CBT utilization
Description
Participants will be given a scenario about an elder facing a problem. Elders will be asked what they would suggest the elder do, with options that include activities discussed in the CBT sessions. Outcome will be if elder selects a method discussed in CBT curriculum.
Time Frame
Assessed at 3 months after the intervention
Title
CBT utilization
Description
Participants will be given a scenario about an elder facing a problem. Elders will be asked what they would suggest the elder do, with options that include activities discussed in the CBT sessions. Outcome will be if elder selects a method discussed in CBT curriculum.
Time Frame
Assessed at 1 year after the intervention
Title
CBT utilization
Description
Participants will be given a scenario about an elder facing a problem. Elders will be asked what they would suggest the elder do, with options that include activities discussed in the CBT sessions. Outcome will be if elder selects a method discussed in CBT curriculum.
Time Frame
Assessed at 3 years after the intervention

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: At least 58 years of age Women Exclusion Criteria: -
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Esther Duflo, PhD
Phone
(617) 324-4867
Email
eduflo@mit.edu
Facility Information:
Facility Name
JPAL SA at IFMR
City
Chennai
State/Province
Tamil Nadu
Country
India

12. IPD Sharing Statement

Learn more about this trial

The Health and Social Consequences of Depression Among the Elderly

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