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Title: "Where-There-Is-No-Psychiatrist Integrated Personal Therapy" among Community-Dwelling Older Adults: A Randomized Pilot Study
Authors: Shorey, Shefaly 
Kua, Ee Heok 
Tam, Wilson 
Chan, Valerie
Goh, Yong Shian 
Lim, Hong Meng 
Lim, Lina Hsiu Kim 
Tian, Cheong Sing 
Mahendran, Rathi 
Keywords: solution-focused brief therapy
older adults
mental health
Issue Date: 1-Sep-2021
Publisher: MDPI
Citation: Shorey, Shefaly, Kua, Ee Heok, Tam, Wilson, Chan, Valerie, Goh, Yong Shian, Lim, Hong Meng, Lim, Lina Hsiu Kim, Tian, Cheong Sing, Mahendran, Rathi (2021-09-01). "Where-There-Is-No-Psychiatrist Integrated Personal Therapy" among Community-Dwelling Older Adults: A Randomized Pilot Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 18 (18). ScholarBank@NUS Repository.
Abstract: In Singapore, many older adults suffer from subsyndromal depression and/or subsyndro-mal anxiety, which can negatively impact their physical and mental well-being if left untreated. Due to the general public’s reluctance to seek psychological help and the low psychiatrist-to-population ratio in Singapore, this study aims to examine the preliminary efficacy, perceptions, and acceptability of a trained volunteer-led community-based intervention on community-dwelling older adults. Twenty-one participants (control: n = 11; intervention: n = 10) completed the randomized pilot study. A mixed-methods approach (questionnaires, semistructured interviews, examining blood samples, intervention fidelity) was adopted. No significant differences were found between the intervention and the control groups in depression, anxiety, life satisfaction, friendship, and quality of life. However, there was a positive change in quality-of-life scores from baseline to 6 months in the intervention group. The control group had significantly higher cortisol levels and lower annexin-A1 levels at 6 months, while the intervention group did not. Three themes emerged from the interviews: (1) impact of the intervention on older adults’ well-being, (2) attitudes toward intervention, and (3) a way forward. However, intervention efficacy could not be established due to small sample size caused by the coronavirus pandemic. Future randomized controlled trials should evaluate volunteer-led, technology-based psychosocial interventions to support these older adults.
ISBN: 16604601
ISSN: 16617827
DOI: 10.3390/ijerph18189514
Appears in Collections:Staff Publications

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