Evidence map›Paper›PMID 39175082›Full record

ArticlePilot and feasibility studies2024

Pilot trial protocol: community intervention to improve depressive symptoms among Peruvian older adults.

Tatiana Cruz-Riquelme, Alejandro Zevallos-Morales, Ivonne Carrión, Diego Otero-Oyague, Vanessa Patiño, Dafne Lastra, Rubén Valle, José F Parodi, Suzanne L Pollard, Lesley Steinman and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06065020 (Pilot Trial of an Evidence-based Community Intervention to Improve Depressive Symptoms Among Peruvian Older Adults), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06065020 nacompletednot on this map

Pilot Trial of an Evidence-based Community Intervention to Improve Depressive Symptoms Among Peruvian Older Adults

TypeinterventionalSponsorUniversidad de San Martín de PorresRan2023 to 2025Enrolled64ConditionsDepression, AnxietyArmsVIDACTIVA sessions, Standard Care
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Global mental health (Cambridge, England) · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Tatiana Cruz-RiquelmeFacultad de Medicina Humana, Centro de Investigación del Envejecimiento (CIEN), Universidad de San Martin de Porres, Lima, Peru.
Alejandro Zevallos-MoralesFacultad de Medicina Humana, Centro de Investigación del Envejecimiento (CIEN), Universidad de San Martin de Porres, Lima, Peru.
Ivonne CarriónFacultad de Medicina Humana, Centro de Investigación del Envejecimiento (CIEN), Universidad de San Martin de Porres, Lima, Peru.
Diego Otero-OyagueFacultad de Medicina Humana, Centro de Investigación del Envejecimiento (CIEN), Universidad de San Martin de Porres, Lima, Peru.
Vanessa PatiñoFacultad de Medicina Humana, Centro de Investigación del Envejecimiento (CIEN), Universidad de San Martin de Porres, Lima, Peru.
Dafne LastraFacultad de Medicina Humana, Centro de Investigación del Envejecimiento (CIEN), Universidad de San Martin de Porres, Lima, Peru.
Rubén ValleFacultad de Medicina Humana, Centro de Investigación en Epidemiología Clínica y Medicina Basada en Evidencias, Universidad de San Martin de Porres, Lima, Peru.
José F ParodiFacultad de Medicina Humana, Centro de Investigación del Envejecimiento (CIEN), Universidad de San Martin de Porres, Lima, Peru.
Suzanne L PollardCenter for Global Non-Communicable Disease Research and Training, School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Lesley SteinmanHealth Promotion Research Center, Department of Health Systems and Population Health, University of Washington School of Public Health, Seattle, WA, USA.
Joseph J GalloDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Oscar Flores-FloresFacultad de Medicina Humana, Centro de Investigación del Envejecimiento (CIEN), Universidad de San Martin de Porres, Lima, Peru. ofloresf@usmp.pe.ORCID http://orcid.org/0000-0002-9780-937X

Funding

A community intervention to promote evidence-based mental health care for olderadults with depressive and anxiety symptoms.K43TW011586 · FIC · UNIVERSIDAD DE SAN MARTIN DE PORRES · PI FLORES-FLORES, OSCAR GUILLERMO · 2021 to 2025
$544k
FIC NIH HHS K43 TW011586FIC NIH HHS K43TW011586
6 · The paper itself

Abstract

backgroundNon-pharmacological interventions have proven effective at alleviating depression and anxiety symptoms in older adults. Methodological refinement and testing of these interventions in new contexts are needed on a small scale before their effectiveness and implementation can be evaluated. The purpose of this pilot study is to assess the feasibility of a future large-scale trial comparing an adapted mental health multi-component evidence-based intervention (VIDACTIVA) versus standard care for older adults experiencing depression symptoms in urban, resource-limited settings in Lima, Peru. Furthermore, this study will explore the acceptability, feasibility, and fidelity of implementing the intervention.

methodsWe will conduct an open-label, mixed methods pilot feasibility study with two parallel groups. A total of 64 older adults, stratified by sex, will be randomized at a 1:1 ratio to either the "intervention" or "control." Participants will be followed for 22 weeks after enrollment. Those in the intervention group will receive eight VIDACTIVA sessions administered by community health workers (CHWs) over 14 weeks, with an additional eight weeks of follow-up. Participants in the control group will receive two psychoeducation sessions from a study fieldworker and will be directed to health care centers. Standard care does not involve CHWs. We will evaluate screening rates, recruitment strategies, retention rates, the acceptability of randomization, and assessments. Additionally, we will assess preliminary implementation outcomes-acceptability, feasibility, and fidelity-from the perspectives of CHWs (interventionists), older adults (main participants), older adults' relatives, and healthcare professionals. DISCUSSION: If the findings from this feasibility trial are favorable, a fully powered randomized controlled trial will be conducted to evaluate `both the effectiveness and implementation of the intervention. This research will make a substantial contribution to the field of mental health in older adults, particularly by emphasizing a meticulous examination and documentation of the implementation process. By doing so, this study will offer valuable methodologies and metrics for adapting and assessing mental health interventions tailored to the unique needs of older adults in resource-constrained contexts and diverse cultural settings.

trial registrationThe current trial registration number is NCT06065020, which was registered on 26th September 2023.

Indexed as

AdaptationsAnxietyCommunity health workersDepressionFeasibility studiesImplementationLonelinessOld age

Identifiers

PMID39175082
PMCPMC11340061

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.