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CTRI Number  CTRI/2025/10/096019 [Registered on: 14/10/2025] Trial Registered Prospectively
Last Modified On: 08/04/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Preventive
Behavioral 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Exercise Program to Reduce Anxiety and Depression and Improve Quality of life among Elderly in Guntur Old Age Homes. 
Scientific Title of Study   A study to Evaluate the Effectiveness of Physical Activity Program (PAP) on Mental health (Anxiety, Depression) and Quality of life among Elderly residing in selected old age homes of Guntur District. 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Mr Dinesh Kumar 
Designation  Msc Nursing Student 
Affiliation  AIIMS MANGALAGIRI 
Address  103, College of Nursing, AIIMS Mangalagiri, Guntur (A.P.) – 522503.

Guntur
ANDHRA PRADESH
522503
India 
Phone  8955353036  
Fax    
Email  dineshkadela123@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Srinivasan P. 
Designation  Assistant Professor 
Affiliation  AIIMS Mangalagiri 
Address  Room No. 408, College of Nursing, AIIMS Mangalagiri, Guntur District – 522503

Guntur
ANDHRA PRADESH
522503
India 
Phone  7988410148  
Fax    
Email  vasans85@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Mr Dinesh Kumar 
Designation  Msc Nursing Student 
Affiliation  AIIMS MANGALAGIRI 
Address  103, College of Nursing, AIIMS Mangalagiri, Guntur (A.P.) – 522503.

Guntur
ANDHRA PRADESH
522503
India 
Phone  8955353036  
Fax    
Email  dineshkadela123@gmail.com  
 
Source of Monetary or Material Support  
103, College of Nursing, AIIMS Mangalagiri, Guntur (A.P.) – 522503 
 
Primary Sponsor  
Name  Mr Dinesh Kumar 
Address  103,College Of Nursing ,AIIMS MANGALAGIRI GUNTUR (A.P.)522503. 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Mr Dinesh Kumar  AIIMS Mangalagiri  103, College of Nursing, AIIMS Mangalagiri, Guntur (A.P.) – 522503.
Guntur
ANDHRA PRADESH 
8955353036

dineshkadela123@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, AIIMS, Mangalagiri  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Human Volunteers in the study are Elderly people residing in selected old age homes of Guntur district 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  No specific intervention.  Control group will not be provided any intervention. 
Intervention  Physical activity program will be administered to the experimental group over 2 weeks.  1. Comprehensive Education with Startup Session (Day 1) General information and brief psychoeducation Warm up Free walking Cooling down (sitting and deep breathing) 2. Moderate Aerobic Physical Activity Session (Day 2 and Day 3) Warm up Free walking Aerobic exercise (brisk walking, dancing, fun activity such as musical chair) Cooling down (sitting and deep breathing) 3. Multicomponent Activities Session for Strengthening and Balance (Day 4, Day 5 and Day 6) Warm up Free walking Muscle strengthening activities (wall push-ups, seated leg lifts, gentle squats, ball pass) Cooling down (sitting and deep breathing)  
 
Inclusion Criteria  
Age From  60.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1.Having a score of five or more in the Geriatric Depression Scale (GDS), and more than zero on the Geriatric Anxiety Scale (GAS).
2.Residing in selected old age homes.
3.Both genders aged sixty years and above.
4.Willing to participate in the study.
5.Alert, oriented, and able to comprehend and respond.
6.Able to speak and understand either Telugu or English.
7.Able to move without walking aids or any physical assistance 
 
ExclusionCriteria 
Details  1.With temporary or permanent disability.
2.Having serious medical or neurological conditions as per records that limit physical ability (examples include heart disease, drowsiness, etc.).
3.Not available during the study period.
4.Already engaged in regular physical activity for at least one hundred and fifty minutes per week.
5.Receiving any psychotherapy from a mental health professional as per records 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Anxiety ,depression and quality of life .   Baseline day 30,Day 45 . 
 
Secondary Outcome  
Outcome  TimePoints 
Satisfaction regarding Physical Activity Program (PAP) in intervention group.  Baseline day 30,Day 45 . 
   
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
Final Enrollment numbers achieved (Total)= "67"
Final Enrollment numbers achieved (India)="67" 
Phase of Trial   N/A 
Date of First Enrollment (India)   10/11/2025 
Date of Study Completion (India) 15/03/2026 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  
The proportion of elderly individuals in the population has been steadily rising since the year nineteen fifty one. It was projected to reach ten point one percent in the year twenty twenty one and is expected to increase to thirteen point one percent by the year twenty thirty one. With greater life expectancy, older adults are increasingly vulnerable to various health concerns such as physical illnesses, dependency, loneliness, social isolation, and mental health issues like anxiety, depression, and reduced quality of life. According to the World Health Organization, older adults should engage in at least one hundred and fifty minutes of physical activity per week, ideally in sessions lasting no less than ten minutes. Based on this recommendation and supporting research, the present study titled A Study to Evaluate the Effectiveness of a Physical Activity Program on Mental Health Anxiety and Depression and Quality of Life among the Elderly Residing in Selected Old Age Homes of Guntur District aims to implement a structured physical activity program to improve mental well-being and quality of life among the elderly. A quantitative research approach with a quasi experimental non equivalent control group pretest post test design will be used. Elderly aged sixty years and above, residing in selected old age homes of Guntur, medically stable, able to communicate in Telugu or English, and willing to participate will be included. Based on power analysis the required sample size for each group is thirty five. Convenience sampling will be used. Standardized tools such as Geriatric Anxiety Scale, Geriatric Depression Scale, and WHO Quality of Life Brief Questionnaire will be used to assess baseline mental health and quality of life in both experimental and control groups. The experimental group will receive a two week intervention that includes an initial educational session, moderate intensity aerobic exercises, and multi component activities focusing on strength and balance. Follow up assessments will be conducted on day thirty and day forty five after the intervention to evaluate changes in anxiety, depression, and quality of life. 
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