Effect of Integrated Reminiscence Program on Depression in Older Adults: a Pilot Study in Older Adults, Ban Mai Daeng Subdistrict, Amphur Muang, Nakhon Si Thammarat Province : ผลของโปรแกรมการระลึกความหลังแบบบูรณาการต่อภาวะซึมเศร้าในผู้สูงอายุ: การศึกษานำร่องกับผู้สูงอายุตำบลบ้านไม้แดง อำเภอเมือง จังหวัดนครศรีธรรมราช

บทคัดย่อ

          This quasi-experimental research aimed to study the effect of integrated reminiscence program on depression in older adults by compared their mean scores of depression before and after receiving this program. The samples were older adults, who lived in the area of responsibility of Health Promotion Hospital, Ban Mai Daeng Subdistrict, Amphur Muang, Nakhon Si Thammarat Province. They were screened for depression by 2Q. They have the depression scores from 13 to 24 and the mental scores less than 24 as assessed by TGDS and TMSE, respectively. Ten older adults were enrolled into this study by simple sampling, lottery technique. The instruments in this experiment consisted of integrated reminiscence program developed by researcher based on the concept of Melendez-Moral et al.  They consisted of 5 activities, 60-90 minutes for each activity and were tested for the validity by index of item objective congruence (IOC). The IOC of each activity ranged from 0.67 to 1.0. The instrument for depression data collection was TGDS assessment. The mean scores of depression before and after receiving the integrated reminiscence program were compared by Paired-sample t-test.

          The results showed that before program participation, the samples had mean scores of depression in mild to moderate level (Mean = 15.80, S.D. = 2.82). After program participation, they had no depression (Mean = 4.50, S.D. = 1.58) which was significantly lower than those before program participation (p < 0.001).  These result showed that, after the effectiveness of this program has been tested, the integrated reminiscence program is possible to be used for therapy of elderly with mild to moderate level of depression.

          Keywords : Integrated Reminiscence Program, Depression, Older Adults