THE EFFECT OF USING PREVENTION AND REDUCTION DEPRESSION MODEL AMONG THE ELDERLY BY FAMILY PARTICIPATION, COMMUNITY PARTICIPATION AND PUBLIC HEALTH PERSONNEL PARTICIPATION

Abstract

The purpose of this research was to study factors related to depression in elderly and development of prevention and reduction depression model among the elderly by family participation, community participation and public health personnel participation. The subject was divided into 3 phases.                    1) The study of prevalence rate of elderly depression and to study factors related to depression in elderly, the samples in this study included 308 elderly.                 2) Development of prevention and reduction depression model among the elderly by family participation, community participation and public health personnel participation, the samples in this study included 4 elderly with depressions, 4 elderly without depressions, 4 elderly caregivers, 4 community leads, and 4 public health personnel. 3) Evaluation of the model, the samples in this study included 20 elderly with mild and moderated depressions. Data were collected through questionnaires and interviews. Analyzed the data by content analysis, frequency distribution, chi-square, one way ANOVA and t - test. The results of the study revealed that: The factors included adequate income, chronic illnesses, disability and knowledge about depression significant positively related to depression of elderly (p<0.05). The prevention and reduction depression model among the elderly by family participation, community participation and public health personnel participation included 1) Teaching depression 2) Practice self-evaluation depression 3) Positive thinking 4) Spiritual training 5) Exercise. The appropriateness assessment of program was at the high level ( = 4.24, SD = 0.14) and possibility assessment was at the highest level   (  = 4.18, SD = 0.10). After using a model, the subjects had a significantly lower score of depression before using a model, at a level of .05.