Effectiveness of digital modified behavioral activation treatment program for rural older adults with depressive symptoms in Western Hunan: study protocol for a multi-center randomized controlled trial
Abstract Background Rural older adults experience a high burden of depressive symptoms and significant barriers to accessing mental health services. The Modified Behavioral Activation Treatment (MBAT) has been verified to be effective among rural older adults in China. Due to its structured format a...
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2024-12-01
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| Series: | BMC Psychology |
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| Online Access: | https://doi.org/10.1186/s40359-024-02215-5 |
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| author | Yating Luo Jingying Wang Gang Gan Min Liu Zitong Lu Sipei Jia Mingyue Huang Sha Wang Minfei Gan Jianfei Xie Andy S. K. Cheng |
| author_facet | Yating Luo Jingying Wang Gang Gan Min Liu Zitong Lu Sipei Jia Mingyue Huang Sha Wang Minfei Gan Jianfei Xie Andy S. K. Cheng |
| author_sort | Yating Luo |
| collection | DOAJ |
| description | Abstract Background Rural older adults experience a high burden of depressive symptoms and significant barriers to accessing mental health services. The Modified Behavioral Activation Treatment (MBAT) has been verified to be effective among rural older adults in China. Due to its structured format and skill-based learning, it is well suited for digital-based delivery. However, only a few studies were from developed countries, and the evidence to support its application in rural China still needs to be provided. Thus, based on the fact that digital health technology has the potential to address the shortage of healthcare resources and the constraints of community mental health services in rural China, the effectiveness of the digital MBAT (D-MBAT) program among rural older adults is worth further evaluation. Methods A multi-center randomized controlled trial will be conducted among 216 rural older adults from Huayuan County and Fenghuang County in Western Hunan. The intervention group will receive the D-MBAT program, while the control group will receive routine care. Depressive and anxiety symptoms, social health, quality of life, and satisfaction will be measured at baseline, one-month, and three-month follow-ups to evaluate the digital MBAT program’s effectiveness. Discussion Existing digital psychological intervention strategies seldom take into account the needs and preferences of the older adults in low-resource rural areas. Thus, this study aims to develop a D-MBAT program based on person-centered and community-engaged approach to maximize the mental health service of rural older adults with depressive symptoms.A successful D-MBAT program would be a feasible and scalable approach to the management of prevalent mental health conditions of rural older adults in resource-limited Western Hunan. Trial registration Chinese Clinical Trial Registry ChiCTR2400091193. Registered on 23 October 2024. |
| format | Article |
| id | doaj-art-9df073195b5040249d8dc9e9fa812a22 |
| institution | DOAJ |
| issn | 2050-7283 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychology |
| spelling | doaj-art-9df073195b5040249d8dc9e9fa812a222025-08-20T02:43:27ZengBMCBMC Psychology2050-72832024-12-011211710.1186/s40359-024-02215-5Effectiveness of digital modified behavioral activation treatment program for rural older adults with depressive symptoms in Western Hunan: study protocol for a multi-center randomized controlled trialYating Luo0Jingying Wang1Gang Gan2Min Liu3Zitong Lu4Sipei Jia5Mingyue Huang6Sha Wang7Minfei Gan8Jianfei Xie9Andy S. K. Cheng10Nursing Department, The Third Xiangya Hospital, Central South UniversityXiangya School of Nursing, Central South UniversityNursing Department, The Third Xiangya Hospital, Central South UniversityNursing Department, The Third Xiangya Hospital, Central South UniversityNursing Department, The Third Xiangya Hospital, Central South UniversityXiangya School of Nursing, Central South UniversityXiangya School of Nursing, Central South UniversityNursing Department, The Third Xiangya Hospital, Central South UniversityNursing Department, The Third Xiangya Hospital, Central South UniversityNursing Department, The Third Xiangya Hospital, Central South UniversitySchool of Health Sciences, Western Sydney UniversityAbstract Background Rural older adults experience a high burden of depressive symptoms and significant barriers to accessing mental health services. The Modified Behavioral Activation Treatment (MBAT) has been verified to be effective among rural older adults in China. Due to its structured format and skill-based learning, it is well suited for digital-based delivery. However, only a few studies were from developed countries, and the evidence to support its application in rural China still needs to be provided. Thus, based on the fact that digital health technology has the potential to address the shortage of healthcare resources and the constraints of community mental health services in rural China, the effectiveness of the digital MBAT (D-MBAT) program among rural older adults is worth further evaluation. Methods A multi-center randomized controlled trial will be conducted among 216 rural older adults from Huayuan County and Fenghuang County in Western Hunan. The intervention group will receive the D-MBAT program, while the control group will receive routine care. Depressive and anxiety symptoms, social health, quality of life, and satisfaction will be measured at baseline, one-month, and three-month follow-ups to evaluate the digital MBAT program’s effectiveness. Discussion Existing digital psychological intervention strategies seldom take into account the needs and preferences of the older adults in low-resource rural areas. Thus, this study aims to develop a D-MBAT program based on person-centered and community-engaged approach to maximize the mental health service of rural older adults with depressive symptoms.A successful D-MBAT program would be a feasible and scalable approach to the management of prevalent mental health conditions of rural older adults in resource-limited Western Hunan. Trial registration Chinese Clinical Trial Registry ChiCTR2400091193. Registered on 23 October 2024.https://doi.org/10.1186/s40359-024-02215-5DigitalDepressive symptomsRural older adultsModified behavioral activation treatmentWestern Hunan |
| spellingShingle | Yating Luo Jingying Wang Gang Gan Min Liu Zitong Lu Sipei Jia Mingyue Huang Sha Wang Minfei Gan Jianfei Xie Andy S. K. Cheng Effectiveness of digital modified behavioral activation treatment program for rural older adults with depressive symptoms in Western Hunan: study protocol for a multi-center randomized controlled trial BMC Psychology Digital Depressive symptoms Rural older adults Modified behavioral activation treatment Western Hunan |
| title | Effectiveness of digital modified behavioral activation treatment program for rural older adults with depressive symptoms in Western Hunan: study protocol for a multi-center randomized controlled trial |
| title_full | Effectiveness of digital modified behavioral activation treatment program for rural older adults with depressive symptoms in Western Hunan: study protocol for a multi-center randomized controlled trial |
| title_fullStr | Effectiveness of digital modified behavioral activation treatment program for rural older adults with depressive symptoms in Western Hunan: study protocol for a multi-center randomized controlled trial |
| title_full_unstemmed | Effectiveness of digital modified behavioral activation treatment program for rural older adults with depressive symptoms in Western Hunan: study protocol for a multi-center randomized controlled trial |
| title_short | Effectiveness of digital modified behavioral activation treatment program for rural older adults with depressive symptoms in Western Hunan: study protocol for a multi-center randomized controlled trial |
| title_sort | effectiveness of digital modified behavioral activation treatment program for rural older adults with depressive symptoms in western hunan study protocol for a multi center randomized controlled trial |
| topic | Digital Depressive symptoms Rural older adults Modified behavioral activation treatment Western Hunan |
| url | https://doi.org/10.1186/s40359-024-02215-5 |
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