A STUDY TO ASSESS THE EFFECTIVENESS OF A STRUCTURED TEACHING PROGRAM IN THE PREVENTION OF DEPRESSION AMONG THE ELDERLY IN SELECTED AREA OF INDORE, MADHYA PRADESH
Abstract
Background: Life expectancy is a good indicator of socioeconomic development, and as an indicator of long-term survival, it can be considered a positive health indicator. The trends in life expectancy show that people are living longer; and they have a right to a long life in good health, rather than one with pain and disability. The need to provide quality mental health care for the elderly in home settings is a critical issue, as the aging population is growing rapidly and care is becoming a necessity for a higher proportion of the elderly. Methods: A quasi-experimental research approach was adopted to assess the effectiveness of a structured teaching program on knowledge regarding the prevention of depression among the elderly in the selected area of Indore, M.P. Sixty elderly individuals (>65 yrs old) were selected by a systematic random sampling technique; and a pre-test was arranged prior to the structured teaching program and a posttest afterward. The main limitation of this approach was the lack of a control group. Results: The knowledge in the majority of elderly individuals regarding the prevention of depression was average (45%) prior to taking part in the structured teaching program; however, their knowledge improved to 80% afterward. The difference between the mean pre- and post-test knowledge scores was highly significant (p<0.001); hence, the null hypothesis H0 was rejected and the research hypothesis H1 was accepted, indicating that the structured teaching program had an impact on the knowledge in the elderly regarding the prevention of depression. In the pre-test, the majority of elderly individuals (45%) obtained an average knowledge score, 30% obtained a below average knowledge score and 25% obtained a good knowledge score. In the post-test, the majority of the elderly (80%) obtained a good knowledge score and 20% obtained an average knowledge score. Conclusion: There was a statistically significant difference between pre- and post-test knowledge scores in the majority of variables, with the exception of gender and family type. Therefore, the elderly individuals should be given the necessary awareness in the prevention of depression.
References
Reddemma K. Depression in elderly individuals suffering with neurological disorders. Indian J Psychiatry Nurs 2012; 3: 38-39.
Silk S. Depression and elderly. J American psychol 2010; 11: 193-197.
Byrne GJ, Pachana NA. Anxiety and depression in the elderly: Do we know any more?. Curr Opin Psychiatry 2010; 6: 504-509.
Connor EA, Whitlock EP, Gaynes B, Beil TL. Screening for depression in adults and older adults in primary care. Agency for health care research and quality 2009.
Hughes F. Addressing mental health needs of older adults. J Psychol Aging 2009; 35-38.
Doherty AM, Gaughran F. Psychology and Aging. Interface between physical and mental health care. Soc Psychiatry Psychiatr Epidemiol 2014; 673-682.
Loughlin A. Depression and social support. J Gerontol Nurs 2004; 30: 24-27.
Townsend MC. Psychiatric Mental Health Nursing. FA Davis publications 489, 727.
Zubenko GS, Mulsant BH, Rifai AH, Sweet RA, Pasternak RE, et al. Impact of acute psychiatric inpatient Treatment on major depression in late life. American journal of psychiatry. Am J Psychiatry 1994; 151: 987-994.
Barua A, Kar N. Screening for depression in elderly Indian population. Indian J Psychiatry 2010; 52:150-153.
Roy C. The Roy adaptation model (3rd ed.). Hall Health. 2009.
Burns N, Grove SK. The practice of nursing research. Conduct, critique and utilization; 5th edition. Philadelphia: WB Saunders. 2011.
Clarke A. Qualitative research: Data analysis techniques. Prof Nurse 1999; 14: 531-533.
Barua A. Screening for depression in Indian elderly population. Indian J Psychiatry 2010; 52: 150-153.
Sharif F. Prevalence of depression among elderly people. J of gerontol 2008; 12 : 17-19.
Wong JJ. Education support groups in changing caregiver’s psychological elder abuse behavior towards caring for elders. Adv Health Sci Educ 2009; 14: 377-386.
