The Effect of Orientation Program Based on the Activities of Daily Living on Stress, Anxiety and Depression in the Elderly

Document Type: Original Article


1 Student of Master of Geriatric Nursing, Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran

2 Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran

3 Department of Nursing Education, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

4 Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran


Background: This study aimed to analyze the effect of the Orientation Program based on Activities
of Daily Living on depression, anxiety, and stress in the elderly.
Methods: This is an experimental study on 65 elderly individuals living in 5 nursing homes in
Tehran in 2017 for 6 months (May to October). Samples were selected using non-random available
sampling methods and randomly assigned to intervention and control groups. Demographic
information questionnaire and 21-item version of the Depression Anxiety Stress Scale (DASS- 21)
were used. The elderly in the intervention group were subjected to the Orientation Program based on
Activities of Daily Living for 6 one-hour sessions for 1 month. DASS- 21 was measured before the
intervention, one month and two months after the intervention. Data were analyzed using SPSS V.
24 and Independent T-test, Mann-Whitney, Chi-Square and repeated measure ANOVA tests with a
significance level of P<0.05.
Results: The results showed differences between the two groups regarding depression, anxiety, and
stress one month after the intervention (P=0.003, P=0.005 and P<001, respectively). One month after
the intervention, the mean scores of depression, anxiety, and stress in the intervention group decreased
to 8±4.54, 4.5±3.09 and 7.53±5.42, respectively, and two months after the intervention, they decreased
to 8.25±4.44, 4.71±3.05 and 8.21±5.71, respectively.
Conclusion: According to the results, the Orientation Program based on Activities of Daily Living is
effective on depression, anxiety, and stress in the elderly. Considering the instability of the intervention
on the depression variable, further studies and long-term interventions are recommended.
Trial Registration Number: IRCT20180504039528N1



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