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  • Title: The effect of community based daycare on mental health and quality of life of elderly in rural south India: a community intervention study.
    Author: Jacob ME, Abraham VJ, Abraham S, Jacob KS.
    Journal: Int J Geriatr Psychiatry; 2007 May; 22(5):445-7. PubMed ID: 17096463.
    Abstract:
    BACKGROUND: Sustainable cost-effective interventions to improve psychiatric morbidity and quality of life among the elderly have not been systematically evaluated in developing countries. METHOD: The most vulnerable elderly living in Pennathur, Vellore district, India, in terms of socioeconomic status and social supports, were invited to participate in a day-care program. Baseline assessments were done using the Mini Mental Status Examination, the Revised Clinical Interview Schedule and the World Health Organisation Quality of Life- Bref. Follow-up assessment was done at 3 months on subjects who took part and those who refused. RESULTS AND CONCLUSIONS: Forty-one (16.4%) were invited to take part. Twenty subjects took part in the program while 21 refused. There was a significant reduction in psychiatric morbidity and improvement in quality of life scores at 3 months for subjects who attended the program. The improvement in quality of life persisted after adjusting for gender, socioeconomic status and baseline scores. Costing of the program suggests sustainability.
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