Please use this identifier to cite or link to this item: https://doi.org/10.3390/ijerph18189514
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dc.title"Where-There-Is-No-Psychiatrist Integrated Personal Therapy" among Community-Dwelling Older Adults: A Randomized Pilot Study
dc.contributor.authorShorey, Shefaly
dc.contributor.authorKua, Ee Heok
dc.contributor.authorTam, Wilson
dc.contributor.authorChan, Valerie
dc.contributor.authorGoh, Yong Shian
dc.contributor.authorLim, Hong Meng
dc.contributor.authorLim, Lina Hsiu Kim
dc.contributor.authorTian, Cheong Sing
dc.contributor.authorMahendran, Rathi
dc.date.accessioned2021-11-10T03:11:43Z
dc.date.available2021-11-10T03:11:43Z
dc.date.issued2021-09-01
dc.identifier.citationShorey, 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. https://doi.org/10.3390/ijerph18189514
dc.identifier.isbn16604601
dc.identifier.issn16617827
dc.identifier.urihttps://scholarbank.nus.edu.sg/handle/10635/205770
dc.description.abstractIn 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.
dc.language.isoen
dc.publisherMDPI
dc.sourceElements
dc.subjectsolution-focused brief therapy
dc.subjectolder adults
dc.subjectmental health
dc.subjectmindfulness
dc.typeArticle
dc.date.updated2021-11-09T03:26:55Z
dc.contributor.departmentALICE LEE CENTRE FOR NURSING STUDIES
dc.contributor.departmentDEPT OF NURSING/ALICE LEE CTR FOR NUR ST
dc.contributor.departmentDEPT OF PHYSIOLOGY
dc.contributor.departmentDEPT OF PSYCHOLOGICAL MEDICINE
dc.contributor.departmentPSYCHOLOGICAL MEDICINE
dc.description.doi10.3390/ijerph18189514
dc.description.sourcetitleINTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
dc.description.volume18
dc.description.issue18
dc.published.statePublished
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