数字化改良行为激活治疗方案对湘西农村抑郁症状老年人的有效性：一项多中心随机对照试验的研究方案

Effectiveness of digital modified behavioral activation treatment program for rural older adults with depressive symptoms in Western Hunan: study protocol for a multi-center randomized controlled trial.

作者信息

Luo Yating, Wang Jingying, Gan Gang, Liu Min, Lu Zitong, Jia Sipei, Huang Mingyue, Wang Sha, Gan Minfei, Xie Jianfei, Cheng Andy S K

机构信息

Nursing Department, The Third Xiangya Hospital, Central South University, No. 138, Tongzipo Road, Yuelu District, Changsha, China.

Xiangya School of Nursing, Central South University, Changsha, China.

出版信息

BMC Psychol. 2024 Dec 25;12(1):783. doi: 10.1186/s40359-024-02215-5.

DOI:10.1186/s40359-024-02215-5

PMID:39722075

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11670496/

Abstract

BACKGROUND

Rural older adults experience a high burden of depressive symptoms and significant barriers to accessing mental health services. The Modified Behavioral Activation Treatment (MBAT) has been verified to be effective among rural older adults in China. Due to its structured format and skill-based learning, it is well suited for digital-based delivery. However, only a few studies were from developed countries, and the evidence to support its application in rural China still needs to be provided. Thus, based on the fact that digital health technology has the potential to address the shortage of healthcare resources and the constraints of community mental health services in rural China, the effectiveness of the digital MBAT (D-MBAT) program among rural older adults is worth further evaluation.

METHODS

A multi-center randomized controlled trial will be conducted among 216 rural older adults from Huayuan County and Fenghuang County in Western Hunan. The intervention group will receive the D-MBAT program, while the control group will receive routine care. Depressive and anxiety symptoms, social health, quality of life, and satisfaction will be measured at baseline, one-month, and three-month follow-ups to evaluate the digital MBAT program's effectiveness.

DISCUSSION

Existing digital psychological intervention strategies seldom take into account the needs and preferences of the older adults in low-resource rural areas. Thus, this study aims to develop a D-MBAT program based on person-centered and community-engaged approach to maximize the mental health service of rural older adults with depressive symptoms.A successful D-MBAT program would be a feasible and scalable approach to the management of prevalent mental health conditions of rural older adults in resource-limited Western Hunan.

TRIAL REGISTRATION

Chinese Clinical Trial Registry ChiCTR2400091193. Registered on 23 October 2024.

摘要

背景

农村老年人抑郁症状负担沉重，且在获得心理健康服务方面存在重大障碍。改良行为激活疗法（MBAT）已在中国农村老年人中被证实有效。由于其结构化形式和基于技能的学习方式，它非常适合基于数字技术的交付。然而，仅有少数研究来自发达国家，仍需提供支持其在中国农村应用的证据。因此，基于数字健康技术有潜力解决中国农村医疗资源短缺和社区心理健康服务受限的问题，数字MBAT（D-MBAT）项目在农村老年人中的有效性值得进一步评估。

方法

将对来自湘西花垣县和凤凰县的216名农村老年人进行多中心随机对照试验。干预组将接受D-MBAT项目，而对照组将接受常规护理。将在基线、1个月和3个月随访时测量抑郁和焦虑症状、社会健康状况、生活质量及满意度，以评估数字MBAT项目的有效性。

讨论

现有的数字心理干预策略很少考虑资源匮乏农村地区老年人的需求和偏好。因此，本研究旨在基于以个人为中心和社区参与的方法开发D-MBAT项目，以最大限度地为有抑郁症状的农村老年人提供心理健康服务。一个成功的D-MBAT项目将是一种可行且可扩展的方法，用于管理湘西资源有限地区农村老年人普遍存在的心理健康状况。