The effect of out-of-home activity intervention delivered by volunteers on depressive symptoms among older people with severe mobility limitations : a randomized controlled trial
Rantakokko, M., Pakkala, I., Äyräväinen, I., & Rantanen, T. (2015). The effect of out-of-home activity intervention delivered by volunteers on depressive symptoms among older people with severe mobility limitations : a randomized controlled trial. Aging and Mental Health, 19 (3), 231-238. doi:10.1080/13607863.2014.924092
Published inAging and Mental Health
DisciplineGerontologia ja kansanterveys
© 2014 Taylor & Francis. This is an author's final draft version of an article whose final and definitive form has been published by Routledge/Taylor & Francis. Published in this repository with the kind permission of the publisher.
Objectives: To examine the effects of an individualized outdoor activity intervention carried out by volunteers on depressive symptoms among community-living older people with severe mobility limitations who have difficulties accessing the outdoors independently. Methods: Secondary analyses of the “Volunteering, Access to Outdoor Activities and Wellbeing in Older People” (VOW) data (ISRCTN56847832). VOW was a randomized single blinded two-arm controlled trial conducted in Jyväskylä, Finland, in 2009-2011. At baseline, 121 people aged 67-92 years with severe mobility limitations were interviewed at home and randomized into either an intervention or waiting list control group. Volunteers (n=47) had retired from regular work and were trained for the study. A volunteer assisted the participant in attending recreational out-of-home activities once a week for three months. Depressive symptoms were assessed using the Center for the Epidemiological Studies Depression Scale (CES-D). Results: In the intervention group the CES-D score did not change during the intervention (from 15.1± standard error 0.9 to 15.1± 0.9), while in the control group it increased from 17.0±1.3 to 19.1±1.4 (intervention effect p=.096). Among the subgroup with minor depressive symptoms at baseline (CES-D score 16-20), the CES-D score decreased in the intervention group and increased in the control group (p=.025). 2 Conclusion: A three-month outdoor activity intervention may improve mood among older people with severe mobility limitations. More randomized controlled trials of the topic are needed. ...
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