The Effect of Orientation Program based on Activities of Daily Living on Depression, Anxiety, and Stress in the Elderly.
Marzieh Piadehkouhsar, Fazlollah Ahmadi, Masoud Fallahi Khoshknab and 1 others
PMID 31341916WHAT IT FOUND
One month after older adults in nursing homes received a multi-component daily living orientation program, their depression, anxiety, and stress scores were lower than controls.
By two months, stress and anxiety stayed improved, but depression improvement faded.
Key findings
01One month after the program, the intervention group had lower stress, anxiety, and depression than the control group.
02At two months, stress and anxiety in the intervention group did not change significantly from the one-month scores, but depression scores rose significantly from the one-month score.
03The control group showed no significant change in stress, anxiety, or depression across the three monthly assessments.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was small and drawn from five nursing homes in Tehran, so results may not apply to other settings or countries. Participants had to communicate and had no cognitive disorder, paralysis, or complete bed rest, so the study excludes many nursing home residents with greater impairment. The intervention was a bundle of education, practical training, monitoring, and researcher contact, so the active component cannot be identified. The allocation description and final group counts are not fully consistent: the methods say the first 32 participants were assigned to intervention, but results report 33 intervention and 32 control. Follow-up was only two months and the depression effect was not stable over that period.
Declared interests
The supplied text does not report funding or conflicts of interest.
The easy way to misread this
Do not conclude that this program provides lasting relief from depression in nursing home residents. The intervention combined education, practical training, weekly monitoring, and researcher contact, so the active component is unclear, and depression scores rose significantly between the one and two month follow-ups.