Elderly PeopleNCT05652803
Bibliotherapy-based Psychoeducation Program the Effect of Elderly Individuals on Depression and Hopelessness Levels
A study testing bibliotherapy-based psychoeducation program and psychoeducation program in people with Elderly People and Depressive Symptoms, run by Istanbul Medeniyet University at 1 site in Turkey (Türkiye).
Trial summary
Bibliotherapy has been mainly focused on the social and emotional problems of children and young people, and studies with the elderly are very few. Based on the suggestion of meeting the right book with the right individual, which is the basis of bibliotherapy, it is predicted that the bibliotherapy method can be… Read more about this study
- Who is it for?
- Ages 65 to 80 yearsHealthy volunteers can take part
- Conditions the study is for
- Elderly People, Depressive Symptoms, Despondency
- What is being tested?
- bibliotherapy-based psychoeducation program and psychoeducation program
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 38 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 22 Dec 2022to 20 Jul 2023
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 65 to 80 years
- All sexes
- Healthy volunteers accepted
- Older adult
Who may be able to join
- Being 65 years or older
- A score between 5 and 11 on the Geriatric Depression scale (mild to moderate)
- Not having a perception disorder that will prevent communication
- Volunteering to participate in the research
Who cannot join
- • Having a communication barrier,
- Having been diagnosed with dementia,
- Being diagnosed with a severe psychiatric illness
- Having a terminal illness
- Not attending any session of the six-session training program and not attending the make-up session,
- Not participating in any of the Pretest, Posttest- and Follow-up tests.
Trial locations and contacts
1 site in 1 country.
About this study
Bibliotherapy has been mainly focused on the social and emotional problems of children and young people, and studies with the elderly are very few. Based on the suggestion of meeting the right book with the right individual, which is the basis of bibliotherapy, it is predicted that the bibliotherapy method can be useful in reducing depression and increasing hope in the elderly, with the selection of books that are suitable for the cognitive levels of the elderly.
Read the detailed description
Today, one of the most important social changes is the aging of the world population. The number and rate of elderly individuals is increasing in the populations of almost all countries in the world. During the aging process, increasing number and severity of health problems, decreasing functional abilities, loss of spouse and friends, financial constraints, retirement, loss of social status are the problems that elderly individuals can potentially encounter in life change. In the face of these problems, the elderly may feel worthless and experience negative feelings such as depression and hopelessness.
Nurses have important responsibilities in the health services provided to elderly individuals in the old age, when hopelessness and depression can be experienced intensely. Cognitive and mental status are considered in the evaluation of the elderly individual. In this sense, in the approach to the elderly person with depression, the nurse should make a comprehensive assessment of the signs and symptoms of depression that may be seen in the individual. The aim of nursing care includes taking a role in the prevention, recognition, treatment and care of depression. The more effective use of the independent roles of the nurse in nursing care increases the quality of the care provided. One of the methods to be applied in this sense is art therapy.
Art therapy is a supportive treatment method that enables individuals to express themselves, gain coping skills and increase their resilience by using art as a tool in the Nursing Intervention Classification. It helps them to develop their interpersonal skills, reduce stress, manage their behavior, increase their self-esteem, self-confidence and gain insight.Creating art and reflecting it on art products can increase individuals' self-confidence, enable them to cope with stress and other traumatic experiences, improve their cognitive skills and enjoy life.
Bibliotherapy, which can be expressed as a method of improving mental health through reading, includes the use of non-fiction self-help books, as well as the treatment of emotional and behavioral disorders through a literary work, poem or film. As a matter of fact, studies have shown that tales, stories and myths are effective tools in counseling and contribute to the healing of clients. This technique has been used successfully in the treatment of many problems in children, adolescents, adults and the elderly and its effectiveness has been proven. Bibliotherapy has been mainly focused on the social and emotional problems of children and young people, and studies with the elderly are very few. Based on the suggestion of meeting the right book with the right individual, which is the basis of bibliotherapy, it is predicted that the bibliotherapy method can be useful in reducing depression and increasing hope in the elderly, with the selection of books that are suitable for the cognitive levels of the elderly.
- Conditions
- Elderly People, Depressive Symptoms, Despondency
- Being tested
- bibliotherapy-based psychoeducation program, psychoeducation program
- Keywords
- Bibliotherapy, elderly individuals, depression, despair, psychoeducation
- Medical subject headings
- Depression
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
bibliotherapy-based psychoeducation programBehavioural
In this study, the researcher aimed to gain awareness, skills and attitudes in order to help the participants reduce the negative consequences of depression and hopelessness. Based on the general purpose, a separate target has been established for each session of both intervention types. For bibliotherapy-based psychoeducation, story texts compatible with the goals were added to each session, and the psychoeducation part was supported by bibliotherapy. Considering the ability of the elderly to attend the training regularly, their attention and coordination, it was decided that the study would consist of 6 sessions and each session would be 60 minutes on average.
psychoeducation programBehavioural
The General Purpose of the Psychoeducation Program for Reducing Depression and Hopelessness: To help the participants gain awareness, skills and attitudes in order to help them reduce their depression and hopelessness levels.
| Study group | Role | What they receive |
|---|---|---|
| bibliotherapy-based psychoeducation program | Experimental | In the bibliotherapy-based psychoeducation program sessions, techniques such as information and discussion based on the bibliotherapy method were included. Brief information will be given for 5-10 minutes in each session. At the end of the sessions, exercises will be given to reinforce the knowledge and skills acquired by the group members in the sessions and to transfer them to daily life, and the sessions will be concluded. Receives: Behavioral: bibliotherapy-based psychoeducation program |
| Psychoeducation Program | Experimental | The General Purpose of the Psychoeducation Program for Reducing Depression and Hopelessness: To help the participants gain awareness, skills and attitudes in order to help them reduce their depression and hopelessness levels. Receives: Behavioral: psychoeducation program |
What is being measured
The primary outcome is the main question the study is designed to answer.
geriatric depression
In line with the training given, it is aimed to decrease the level of geriatric depression.
Measured: 6 weeks
Secondary outcomes (1)
despair
In line with the education given, it is aimed to decrease the hopelessness level of the elderly individuals.
Measured: 6 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Dec 2022
- Study start22 Dec 2022
- Primary completion20 Jun 2023
- Study completion20 Jul 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Elderly PeopleStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- This research is a randomized controlled experimental study to compare the effects of two psychoeducational programs prepared in accordance with the principles of psychoeducation and bibliotherapy on the depression and hopelessness levels of elderly individuals. In this study, there are pre-test, post-test, follow-up test and comparative experimental group. In this model, there are 2 different experimental groups and 1 control group created by randomization. No intervention will be made in the control group. There will be 13 people in each group.
- Masking
- Single blind
- Who is masked
- Investigator
- Enrolment
- 38 participants (actual)
Sponsor and investigators
- Lead sponsor
- Istanbul Medeniyet University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Esra Bekircan, Istanbul Medeniyet University
- Investigators
- ayşe okanlı, Study director, a.okanliægmail.com
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05652803
- Sponsor's protocol ID
- bibliotherapy
- Status last verified
- Jul 2023
- First submitted
- 2 Dec 2022
- Last updated
- 25 Jul 2023
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: 1. Experimental Group--Bibliotherapy-based psychoeducation program (6 sessions) 2. Experimental Group-- psychoeducation program (6 sessions) control group--no intervention
Study at a glance
From the registry record, last updated by the sponsor on 25 Jul 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Bibliotherapy-based Psychoeducation Program the Effect of Elderly Individuals on Depression and Hopelessness Levels
- ClinicalTrials.gov ID
- NCT05652803
- Acronym / sponsor ID
- bibliotherapy
- Conditions
- Elderly People, Depressive Symptoms, Despondency
- Keywords
- Bibliotherapy, elderly individuals, depression, despair, psychoeducation
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 38 participants (actual)
- Lead sponsor
- Istanbul Medeniyet UniversityUniversity, hospital or other
- Study start
- 22 Dec 2022 (actual)
- Primary completion
- 20 Jun 2023 (actual)
- Study completion
- 20 Jul 2023 (actual)
- First posted
- 15 Dec 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Bibliotherapy has been mainly focused on the social and emotional problems of children and young people, and studies with the elderly are very few. Based on the suggestion of meeting the right book with the right individual, which is the basis of bibliotherapy, it is predicted that the bibliotherapy method can be useful in reducing depression and increasing hope in the elderly, with the selection of books that are suitable for the cognitive levels of the elderly.
Detailed description
Today, one of the most important social changes is the aging of the world population. The number and rate of elderly individuals is increasing in the populations of almost all countries in the world. During the aging process, increasing number and severity of health problems, decreasing functional abilities, loss of spouse and friends, financial constraints, retirement, loss of social status are the problems that elderly individuals can potentially encounter in life change. In the face of these problems, the elderly may feel worthless and experience negative feelings such as depression and hopelessness.
Nurses have important responsibilities in the health services provided to elderly individuals in the old age, when hopelessness and depression can be experienced intensely. Cognitive and mental status are considered in the evaluation of the elderly individual. In this sense, in the approach to the elderly person with depression, the nurse should make a comprehensive assessment of the signs and symptoms of depression that may be seen in the individual. The aim of nursing care includes taking a role in the prevention, recognition, treatment and care of depression. The more effective use of the independent roles of the nurse in nursing care increases the quality of the care provided. One of the methods to be applied in this sense is art therapy.
Art therapy is a supportive treatment method that enables individuals to express themselves, gain coping skills and increase their resilience by using art as a tool in the Nursing Intervention Classification. It helps them to develop their interpersonal skills, reduce stress, manage their behavior, increase their self-esteem, self-confidence and gain insight.Creating art and reflecting it on art products can increase individuals' self-confidence, enable them to cope with stress and other traumatic experiences, improve their cognitive skills and enjoy life.
Bibliotherapy, which can be expressed as a method of improving mental health through reading, includes the use of non-fiction self-help books, as well as the treatment of emotional and behavioral disorders through a literary work, poem or film. As a matter of fact, studies have shown that tales, stories and myths are effective tools in counseling and contribute to the healing of clients. This technique has been used successfully in the treatment of many problems in children, adolescents, adults and the elderly and its effectiveness has been proven. Bibliotherapy has been mainly focused on the social and emotional problems of children and young people, and studies with the elderly are very few. Based on the suggestion of meeting the right book with the right individual, which is the basis of bibliotherapy, it is predicted that the bibliotherapy method can be useful in reducing depression and increasing hope in the elderly, with the selection of books that are suitable for the cognitive levels of the elderly.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (investigator)
- Number of arms
- 2
- Model description
- This research is a randomized controlled experimental study to compare the effects of two psychoeducational programs prepared in accordance with the principles of psychoeducation and bibliotherapy on the depression and hopelessness levels of elderly individuals. In this study, there are pre-test, post-test, follow-up test and comparative experimental group. In this model, there are 2 different experimental groups and 1 control group created by randomization. No intervention will be made in the control group. There will be 13 people in each group.
| Arm | Type | Receives |
|---|---|---|
| bibliotherapy-based psychoeducation program | Experimental | Behavioral: bibliotherapy-based psychoeducation programIn the bibliotherapy-based psychoeducation program sessions, techniques such as information and discussion based on the bibliotherapy method were included. Brief information will be given for 5-10 minutes in each session. At the end of the sessions, exercises will be given to reinforce the knowledge and skills acquired by the group members in the sessions and to transfer them to daily life, and the sessions will be concluded. |
| Psychoeducation Program | Experimental | Behavioral: psychoeducation programThe General Purpose of the Psychoeducation Program for Reducing Depression and Hopelessness: To help the participants gain awareness, skills and attitudes in order to help them reduce their depression and hopelessness levels. |
Who may qualify
- Ages
- 65 to 80 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Older adult
Key inclusion criteria (4 listed)
- Being 65 years or older
- A score between 5 and 11 on the Geriatric Depression scale (mild to moderate)
- Not having a perception disorder that will prevent communication
- Volunteering to participate in the research
Key exclusion criteria (6 listed)
- • Having a communication barrier,
- Not attending any session of the six-session training program and not attending the make-up session,
- Not participating in any of the Pretest, Posttest- and Follow-up tests.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| bibliotherapy-based psychoeducation programIn this study, the researcher aimed to gain awareness, skills and attitudes in order to help the participants reduce the negative consequences of depression and hopelessness. Based on the general purpose, a separate target has been established for each session of both intervention types. For bibliotherapy-based psychoeducation, story texts compatible with the goals were added to each session, and the psychoeducation part was supported by bibliotherapy. Considering the ability of the elderly to attend the training regularly, their attention and coordination, it was decided that the study would consist of 6 sessions and each session would be 60 minutes on average. | Behavioural | bibliotherapy-based psychoeducation program |
| psychoeducation programThe General Purpose of the Psychoeducation Program for Reducing Depression and Hopelessness: To help the participants gain awareness, skills and attitudes in order to help them reduce their depression and hopelessness levels. | Behavioural | Psychoeducation Program |
Primary outcome
geriatric depression
Time frame: 6 weeks
In line with the training given, it is aimed to decrease the level of geriatric depression.
1 secondary outcome
despair
Time frame: 6 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Jul 2023.
- Effects of Developmental Bibliotherapy on Subjective Well-Being of Older Adults Living in Nursing Homes: A Quasi-Experimental StudyLink provided by the sponsor.
- Culture Change in Nursing Homes: What Is the Role of Nursing Home Resources?Link provided by the sponsor.
- How effective is bibliotherapy for very old adults with subthreshold depression? A randomized controlled trialLink provided by the sponsor.
- The effectiveness of a bibliotherapy in increasing the self-management ability of slightly to moderately frail older people.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. 1. Experimental Group--Bibliotherapy-based psychoeducation program (6 sessions) 2. Experimental Group-- psychoeducation program (6 sessions) control group--no intervention
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
ayşe okanlı study director
a.okanliægmail.com
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing bibliotherapy-based psychoeducation program and psychoeducation program in people with Elderly People and Depressive Symptoms, run by Istanbul Medeniyet University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 25 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
geriatric depression (time frame: 6 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Jul 2023.