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Project ENGAGE : An action research towards improving the psychological well-being of community-dwelling senior citizens in the Philippines

Rogie, Royce Carandang 東京大学 DOI:10.15083/0002002505

2021.10.15

概要

Background
The research project ENGAGE is community-based action research conducted in the City of Muntinlupa from 2017 to 2018 with the overall goal of improving the psychological well- being of community-dwelling senior citizens.

Methods
The research project had three phases. Phase 1 measured the depressive symptoms of community-dwelling senior citizens and examined the factors associated with it. Phase 2 trained senior volunteers for leadership and peer counseling. Phase 3 conducted community- based interventions to improve the depressive symptoms of senior citizens.

Results
Of the 1,021 senior citizens, 575 (56.3%) were suggestive of having depression based on the 15-item Geriatric Depression Scale. Loneliness and chronic diseases were the major risk factors for depressive symptoms while a higher level of psychological resilience was the primary protective factor against it among Filipino senior citizens. Senior volunteers were equipped with the proper knowledge, skills, and attitude to assume leadership roles in conducting peer counseling. Peer counseling, social engagement, and combined interventions were effective in improving depressive symptoms, psychological resilience, and perceived social support among senior citizens at risk for depression.

Conclusion
This study shows that it is feasible to identify senior citizens at risk for depression in the community and intervene effectively to improve their mental health. Other low-resource communities can learn from the Philippines’ experience and treat their senior citizens at risk for depression in similar ways.

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