- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06065020
Community Intervention to Improve Depressive Symptoms Among Older Adults (VIDACTIVA) (VIDACTIVA1)
Pilot Trial of an Evidence-based Community Intervention to Improve Depressive Symptoms Among Peruvian Older Adults
The goal of this pilot trial is to test how feasible is to conduct a large clinical trial that evaluate both implementation and effectiveness outcomes of a community-based interventions for older adults with depression in low-resource urban settings from Lima, Peru.
The main questions:
Is the way we are planning the study, including those who are taking part and what they will do, good for a large study?
Is the interventional package we are developing good the way it is, and can it be done the way we planned it?
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Participants who join will be split into two groups: one group will get the interventional program, and the other group will get standard care. In the interventional group, community health workers will meet with participants eight times to do activities and talk about how they feel. The standard group will have two visits where they will learn things about mental health.
The results of the study will help the researchers understand whether they can test the program in larger study. Additionally, see whether those participants in the interventional group feel better than those who are in the standard group.
Sample size: This is a pilot trial. No sample size calculations are needed because the objective is NOT to evaluate the effect of the intervention, but rather the feasibility of conducting a large-scale clinical trial. It is expected to enroll 64 participants (32 control group vs 32 intervention group). This number is based on previous formative study and training of community health workers.
Researchers will collect basic information to assess feasibility for a larger trial, including:
- Number of potential participants screened per month;
- Number of participants enroled per month;
- Average time from enrolment to randomisation.
- Average time to reach enrolment goal
- Proportion of eligible participants who enrol
- Proportion of people who maintain the study in both groups.
- Reasons for abandoning the study.
- Visit durations
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Oscar Flores-Flores, MD, MSc
- Phone Number: +51934901717
- Email: ofloresf@usmp.pe
Study Contact Backup
- Name: Diego Otero-Oyague, MS
- Email: diego.otero@pucp.pe
Study Locations
-
-
-
Lima, Peru
- Recruiting
- Universidad de San Martin de Porres
-
Contact:
- Vanessa Patiño, BA
-
Sub-Investigator:
- Diego Otero-Oyague
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Having depressive symptoms (score equal to or greater than 6 on the Patient Health Questionnaire - PHQ 9).
- Capacity to give consent.
- Current residence in Villa El Salvador, Lima, Peru.
Exclusion Criteria:
- Previous diagnosis of bipolar disorder
- History of substance abuse
- History of dissociative disorder, psychosis or dementia, or moderate memory and/or cognition problems.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention group
VIDACTIVA program
|
Community health workers (CHWs) will delivered VIDACTIVA intervention that consists in 8 home-sessions, one hour duration, within a period of 14 weeks + 2 follow-up calls (monthly). In total, a period of 22 weeks. The multicomponent intervention consist in the following: Problem-Solving Exercises: These are basic structured exercises aimed at training older individuals in problem-solving. This activity is centered around the older adult, meaning the older adults guides this activity, and the CHWs is a facilitator. Physical Activation: This component involves planning and "scheduling" enjoyable activities (physical or social) that the older adult chooses based on their preferences and capabilities. Education on Depressive Symptoms (psychoeducation) |
Active Comparator: Control group
Standard Care
|
Study fieldworkers will provide 2 educational sessions (45-60 min) about mental health at old age and participant will be guided to mental health community services (primary care centers).
One session after the enrolment (week 1) and one at the 14th week.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Depressive symptoms
Time Frame: At baseline, at 14th and 22th week.
|
Measured by Patient Health Questionnaire - 9 (PHQ-9) [ minimum score: 0 ; maximum score: 27 ] [More score = worse symptoms]
|
At baseline, at 14th and 22th week.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Anxiety symptoms
Time Frame: At baseline, at 14th and 22th week.
|
Measured by Generalised Anxiety Disorder - 7 (GAD-7) [min score: 0 , max score: 21] [more score, worse symptoms]
|
At baseline, at 14th and 22th week.
|
Loneliness
Time Frame: At baseline, at 14th and 22th week.
|
Measured by the Three-Items Loneliness [min 0, max: 9] [more score, more lonely]
|
At baseline, at 14th and 22th week.
|
Collaborators and Investigators
Investigators
- Principal Investigator: Oscar Flores-Flores, MD, MSc, Universidad de San Martin de Porres
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- E10012021018
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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