Estimating the effectiveness of nurse led community mental health outreach program on health-related quality of life of elderly at community areas, Chittoor, Andhra Pradesh: a mixed methods approach

Kiranmayi Koni; Muthuvenkatachalam Srinivasan; Jayakrishna Kotakonda; Ashok Kumar Reddy K.; Kurvatteppa Halemani

doi:10.18203/2394-6040.ijcmph20264121

Authors

Kiranmayi Koni College of Nursing, All India Institute of Medical Sciences, Raebareli, India
Muthuvenkatachalam Srinivasan College of Nursing, All India Institute of Medical Sciences Mangalagiri, Guntur, Andhra Pradesh, India
Jayakrishna Kotakonda Apollo Hospitals Hyderabad, Telangana, India
Ashok Kumar Reddy K. Department of Community Medicine, Apollo Medical College, Apollo Institute of Medical Sciences and Research, Chittoor, Andhra Pradesh, India
Kurvatteppa Halemani College of Nursing, All India Institute of Medical Sciences Mangalagiri, Guntur, Andhra Pradesh, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20264121

Keywords:

Social prescription, Geriatric, Aged, Quality of life, Mental health services, Community health nursing

Abstract

Background: India’s ageing population faces rising health issues and reduced family support, with old-age homes being culturally less accepted. The nurse led community mental health outreach program (NL-CoMHOP) uses social prescribing to provide affordable, community-based care. Managed by nurses, it improves health, quality of life (QoL), and reduces loneliness for elderly living at home, while easing family burden. This study will evaluate NL-CoMHOP’s effectiveness and estimates its costs, aligning with National Mental Health Program’s (NMHPs) vision.

Methods: This mixed-methods study (QUAN+qual) adopts an open-label randomized controlled trial with concurrent triangulation in community areas of Chittoor district, Andhra Pradesh. Eligible elderly (≥60 years, residents ≥5 years) will be randomly recruited, excluding those needing emergency care or with acute psychosis. Total 162 participants will be enrolled. Over 6 months, the NL-CoMHOP will deliver individualized physical, psychological, social, and spiritual activities using local resources.

Conclusions: The NL-CoMHOP, a newer concept and an intermediary solution for the elderly to improve their health-related QoL (HRQoL).

Trial registration: CTRI/2025/06/089067 dated 18/06/2025 under clinical trials registry-India.

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