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Effectiveness of Health Communication on Depression Elderly in Ho Chi Minh City

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ClinicalTrials.gov IDNCT07877571

PhaseNA

Enrollment550

SponsorUniversity of Medicine and Pharmacy at Ho Chi Minh City

Age60 Years and older

SexALL

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Conditions studied

Depression - Major Depressive Disorder

About this study

The goal of this clinical trial is to learn if a community-based health education and communication program helps prevent and reduce depression in older adults living in Ho Chi Minh City. It will also evaluate how the program affects quality of life and caregiver stress. The main questions it aims to answer are: 1. Does the health education program improve knowledge, attitudes, and practice regarding depression among older adults and their primary caregivers? 2. Does the program reduce depression scores (measured by GDS-30) and improve quality of life in older adults compared to standard care? 3. Does the program help lower caregiving burden and stress among primary caregivers? Researchers will compare an intervention group (older adult and caregiver pairs who receive the education program) to a control group (pairs who receive standard community health care). Participants in the intervention group will: * Attend 5 group education sessions (45-60 minutes each) covering early depression detection, sleep hygiene, nutrition, physical activity, stress management, and caregiver support. * Complete questionnaires at the start and end of the program to measure depression symptoms, quality of life, caregiving burden, and health knowledge.

Interventions

Other: Health Communication — The intervention group older adult participating in a 5-session health education program (estimated 45-60 minutes per session), structured around the following key modules: Session 1: Early Identification and Screening of Depression Focuses on early recognition of depressive symptoms, the impacts of depression, and instruction on screening tools. Session 2: Sleep and Sleep Hygiene Addresses the role of sleep in mental health and evidence-based sleep hygiene techniques. Session 3: Nutrition and Physical Activity Covers the roles of nutrition and exercise in depression prevention, introducing tailored physical activities for older adults. Session 4: Stress Management and Social Support Integration Introduces stress-reduction exercises and techniques to connect with and leverage community and social support networks.
Other: Health communication — The intervention group older adult participating in a 5-session health education program (estimated 45-60 minutes per session), structured around the following key modules: Session 1: Early Identification and Screening of Depression Focuses on early recognition of depressive symptoms, the impacts of depression, and instruction on screening tools. Session 2: Sleep and Sleep Hygiene Addresses the role of sleep in mental health and evidence-based sleep hygiene techniques. Session 3: Nutrition and Physical Activity Covers the roles of nutrition and exercise in depression prevention, introducing tailored physical activities for older adults. Session 4: Stress Management and Social Support Integration Introduces stress-reduction exercises and techniques to connect with and leverage community and social support networks. Session 5: Caregiver Support, Coping Skills, and Q\&A Dedicated to interactive Q\&A, practical coping strategies for care

Primary outcomes

Change From Baseline in Geriatric Depression Scale (30-item) Total Score at 3-6 Months (From baseline to 6 months after the intervention)
Change From Baseline in Zarit Burden Interview (22-item) Total Score at 6 Months (From baseline to 6 months after the intervention)
Change From Baseline in World Health Organization Quality of Life-BREF Scores at Post-Intervention (From baseline to 6 months after the intervention)

Eligibility information

Inclusion Criteria for Older Adults * Aged 60 years or older. * Currently residing in Ho Chi Minh City, with continuous residence in the locality for at least 6 months. * Willing and agreeing to participate in the study (informed consent provided). Inclusion Criteria for Primary Caregivers * Role: Serving as the primary person responsible for and/or providing the most support to the older adult in activities of daily living (ADLs) (e.g., eating, personal hygiene, mobility) and/or providing emotional support and healthcare management (e.g., medication adherence, accompanying to medical appointments). * Duration: Having performed this caregiving role for at least 6 consecutive months (to ensure adequate observation time and caregiving burden experience). * Frequency: Living in the same household with the older adult, or, if residing separately, having direct contact and providing care on most days of the week. * Aged 18 years or older, with full legal capacity, and capable of hearing, understanding, and self-completing the survey questionnaire. * Identified as the primary caregiver of an older adult who has already met the inclusion criteria and agreed to participate in the study. * Voluntarily agreeing to participate in the study after receiving a detailed explanation of the study objectives and signing the Informed Consent Form (ICF). * Note: In cases where no family caregiver is identified during the survey phase, professional/paid caregivers (e.g., formal nurses or hired aides employed specifically for caregiving tasks without family ties to the older adult) will be considered. Exclusion Criteria for Older Adults * Temporary residents or individuals absent from the study area during the study period. * Individuals with severe cognitive impairment or lack of mental capacity to complete the questionnaire. * Individuals with acute medical conditions in severe/critical stages, those diagnosed with other psychiatric disorders, or those uncooperative during the study process. Exclusion Criteria for Primary Caregivers * Refusal to participate or lacking capacity to complete the interview due to severe cognitive impairment, dementia, or severe psychiatric disorders. * Currently suffering from severe physical or mental health deterioration (e.g., undergoing emergency medical treatment, severe fever) that significantly impairs their ability to respond to the interview.

Study locations

University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Cho Lon 700000 Vietnam

Before you participate: Varda Clinical is an independent discovery tool, not the study sponsor or a medical provider. Eligibility can only be determined by the official study team. Discuss potential risks and benefits with a qualified healthcare professional.

Source: ClinicalTrials.gov. Record last refreshed by Varda Clinical: 2026-11-10.