Effectiveness of a self-determination theory-based intervention for nursing home residents with depression: A randomized controlled trial.

ABSTRACT:

Objective and rationale

The prevalence of depression among older adults residing in nursing homes has risen. While physical activity interventions based on the self-determination theory have been shown to reduce depressive symptoms among students and middle-aged adults, research in nursing home residents is scarce. This study aimed to investigate whether physical activity can alleviate depressive symptoms in nursing home residents over an extended period.

Methods

Between September 2020 and August 2021, 46 nursing home residents in Shenyang were randomly assigned to either a control group (n = 23) or an intervention group (n = 23). The control group followed a standard physical activity programme, whereas the intervention group underwent a programme based on self-determination theory. Both groups were monitored for 24 weeks post-intervention. Depression scores were assessed using the Geriatric Depression Scale, sociodemographic data collected via a self-designed questionnaire, cognitive function evaluated using the Mini-Mental State Examination, and weight and body fat measured using the Omron KARADA Scan Body Composition and Scale.

Results

Depression scores were measured at five time points: baseline (T₀), weeks 12 (T₁), and 24 (T₂) of the intervention, and weeks 12 (T₃) and 24 (T₄) during follow-up. Both groups exhibited a trend of decline by more than five points. The intervention group demonstrated more favourable pre-to-post changes in depression scores compared to the control group.

Conclusions

A physical activity intervention based on self-determination conceptual framework has been proven to be effective for nursing home residents with depressive symptoms, also aiding in the maintenance of their physical activity levels. This study offers a theoretical foundation for the development of intervention programmes by researchers and identifies potential intervention strategies for caregivers in nursing homes.

Trial registration

The Chinese Clinical Trial Registry (ChiCTR2200060598) (June 5, 2022).

SUBMITTER: Liu L 

PROVIDER: S-EPMC11255488 | biostudies-literature | 2024 Jul

REPOSITORIES: biostudies-literature