Home-Based Activity Program for Older People With Depressive Symptoms: DeLLITE-A Randomized Controlled Trial

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dc.contributor.author Kerse, Ngaire en
dc.contributor.author Hayman, Karen en
dc.contributor.author Moyes, SA en
dc.contributor.author Peri, Kathryn en
dc.contributor.author Robinson, Elizabeth en
dc.contributor.author Dowell, A en
dc.contributor.author Kolt, GS en
dc.contributor.author Elley, Carolyn en
dc.contributor.author Hatcher, Simon en
dc.contributor.author Kiata, L en
dc.contributor.author Wiles, Janine en
dc.contributor.author Keeling, S en
dc.contributor.author Parsons, John en
dc.contributor.author Arroll, Bruce en
dc.date.accessioned 2011-09-07T21:57:54Z en
dc.date.issued 2010-05 en
dc.identifier.citation Annals of Family Medicine 8(3):214-223 May 2010 en
dc.identifier.issn 1544-1709 en
dc.identifier.uri http://hdl.handle.net/2292/7850 en
dc.description.abstract PURPOSE We wanted to assess the effectiveness of a home-based physical activity program, the Depression in Late Life Intervention Trial of Exercise (DeLLITE), in improving function, quality of life, and mood in older people with depressive symptoms. METHODS We undertook a randomized controlled trial involving 193 people aged 75 years and older with depressive symptoms at enrollment who were recruited from primary health care practices in Auckland, New Zealand. Participants received either an individualized physical activity program or social visits to control for the contact time of the activity intervention delivered over 6 months. Primary outcome measures were function, a short physical performance battery comprising balance and mobility, and the Nottingham Extended Activities of Daily Living scale. Secondary outcome measures were quality of life, the Medical Outcomes Study 36-item short form, mood, Geriatric Depression Scale (GDS-15), physical activity, Auckland Heart Study Physical Activity Questionnaire, and self-report of falls. Repeated measures analyses tested the differential impact on outcomes over 12 months’ follow-up. RESULTS The mean age of the participants was 81 years, and 59% were women. All participants scored in the at–risk category on the depression screen, 53% had a Diagnostic and Statistical Manual of Mental Disorders or International Classification of Diseases, Tenth Revision diagnosis of major depression or scored more than 4 on the GDS-15 at baseline, indicating moderate or severe depression. Almost all participants, 187 (97%), completed the trial. Overall there were no differences in the impact of the 2 interventions on outcomes. Mood and mental health related quality of life improved for both groups. CONCLUSION The DeLLITE activity program improved mood and quality of life for older people with depressive symptoms as much as the effect of social visits. Future social and activity interventions should be tested against a true usual care control. en
dc.language EN en
dc.publisher Annals of Family Medicine en
dc.relation.ispartofseries Annals of Family Medicine en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/1544-1709/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.subject Aged en
dc.subject depression en
dc.subject exercise en
dc.subject social behavior en
dc.subject intervention studies en
dc.subject GENERAL-PRACTICE en
dc.subject HEALTH-STATUS en
dc.subject PRIMARY-CARE en
dc.subject ELDERLY-PEOPLE en
dc.subject ADULTS en
dc.title Home-Based Activity Program for Older People With Depressive Symptoms: DeLLITE-A Randomized Controlled Trial en
dc.type Journal Article en
dc.identifier.doi 10.1370/afm.1093 en
pubs.issue 3 en
pubs.begin-page 214 en
pubs.volume 8 en
dc.rights.holder Copyright: 2010 the Annals of Family Medicine en
dc.identifier.pmid 20458104 en
pubs.end-page 223 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 102792 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Nursing en
pubs.org-id Population Health en
pubs.org-id Gen.Practice& Primary Hlthcare en
pubs.org-id Social & Community Health en
dc.identifier.eissn 1544-1717 en
pubs.record-created-at-source-date 2010-09-01 en
pubs.dimensions-id 20458104 en

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