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CTRI Number  CTRI/2026/02/104783 [Registered on: 25/02/2026] Trial Registered Prospectively
Last Modified On: 25/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Homeopathy 
Study Design  Single Arm Study 
Public Title of Study   Homeopathic Treatment for Anxiety, Stress and Depression in Older Adults 65 years and above: Does It Support Successful Aging? 
Scientific Title of Study   Role of Homoeopathy in Promoting Resilient Aging in Geriatric Patients Positive on DASS 21 using Successful aging inventory (SAI): An Experimental Uncontrolled Study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
nil  Other 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Justina M Steefan  
Designation  Associate Professor  
Affiliation  Father Muller Homoeopathic Medical College and hospital 
Address  Dr Justina M Steefan , Associate professor, department of psychiatry, Father Muller Homoeopathic Medical College and hospital, university road, Deralakatte, Karnataka
Father Muller Homoeopathic Medical College and hospital, university road, Deralakatte, Karnataka
Dakshina Kannada
KARNATAKA
575018
India 
Phone  8547964493  
Fax    
Email  drjustinasteefan@gmail.com   
 
Details of Contact Person
Scientific Query
 
Name  Dr Sunita Nikumbh 
Designation  Professor, Head of the department  
Affiliation  MLDawale Memorial Homoeopathic Institute 
Address  Dr Sunita Nikumbh PhD Guide and Head, Department of Psychiatry Room No 301 ML Dawale Memorial Homoeopathic Institute, Palghar
ML Dawale Memorial Homoeopathic Institute, Palghar 401404
Palghar
MAHARASHTRA
401404
India 
Phone  7721076363  
Fax    
Email  sunita.nikumbh@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Siddesha G 
Designation  Associate Professor 
Affiliation  Father Muller Homoeopathic Medical College and hospital 
Address  Dr Siddesha G , Associate professor, department of psychiatry, Father Muller Homoeopathic Medical College and hospital, university road, Deralakatte, Karnataka
Father Muller Homoeopathic Medical College and hospital, university road, Deralakatte, Karnataka
Dakshina Kannada
KARNATAKA
575018
India 
Phone  8660861093  
Fax    
Email  drsiddesh009@gmail.com  
 
Source of Monetary or Material Support  
nil 
 
Primary Sponsor  
Name  Dr Justina M Steefan  
Address  Father Muller Homoeopathic Medical College and hospital,University road, deralakatte 
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 
Dr Sunita Nikumbh  ML Dawale Memorial Homoeopathic Institute, Palghar  Department of Psychiatry Room No 301 MLDawale Memorial Homoeopathic Institute, Palghar 401404
Palghar
MAHARASHTRA 
7721076363

sunita.nikumbh@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, MLDMHI, Palghar   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F330||Major depressive disorder, recurrent, mild, (2) ICD-10 Condition: F419||Anxiety disorder, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Individualized Homoeopathic Treatment  administration of homoeopathic remedies tailored specifically to the individuals symptoms and overall health condition. 
Comparator Agent  Not applicable  Not applicable  
 
Inclusion Criteria  
Age From  65.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  Patients who are positive on DASS 21 scale (mild depression, mild anxiety and mild stress)
Patients who have any systemic illness as comorbidity. (they will be continuing the medications for the same)
 
 
ExclusionCriteria 
Details  Cognitive impairment – Patients who has score less than 24 in MMSE
Patients who are taking allopathic medications for any Psychiatric illness
Concurrent participation in other clinical trials involving interventions for anxiety, depression or stress
Those who are positive on DASS 21 but in moderate and severe categories of depression, anxiety and stress.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Change in total score of the Successful Aging Inventory (SAI) following individualized homoeopathic treatment  Screening and pre intervention assessments – 3 months
Intervention and post intervention assessments – 12 months
Data analysis and interpretation of the results – 3 months
Total duration – 1 year 6 months
 
 
Secondary Outcome  
Outcome  TimePoints 
Change in domain-wise scores of the Successful Aging Inventory (SAI), including:

Functional Performance Mechanisms

Intrapsychic Factors

Spirituality

Gerotranscendence 
Screening and pre intervention assessments – 3 months
Intervention and post intervention assessments – 12 months
 
Change in Depression, Anxiety, and Stress levels as measured by the Depression Anxiety Stress Scales–21 (DASS-21)  Screening and pre intervention assessments – 3 months
Intervention and post intervention assessments – 12 months
 
 
Target Sample Size   Total Sample Size="37"
Sample Size from India="37" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/04/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
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  

This study aims to evaluate the effectiveness of individualized homoeopathic treatment in promoting healthy and resilient aging among geriatric patients aged 65 years and above who have elevated scores on the Depression Anxiety and Stress Scale 21. Psychological distress in the elderly is common and may negatively influence overall wellbeing functional ability and quality of life. A holistic intervention that addresses both psychological and adaptive dimensions of aging may support better health outcomes in this population.

The primary objective of the study is to assess changes in healthy aging as measured by the Successful Aging Inventory. Secondary objectives include evaluating the effect of individualized homoeopathic treatment on specific domains of successful aging such as functional performance mechanisms intrapsychic factors spirituality and gerotranscendence. The study will also assess changes in depression anxiety and stress levels using the DASS 21 scale.

This is an experimental uncontrolled study conducted in a homoeopathic medical college hospital and associated centers. Participants who meet the inclusion criteria will receive individualized homoeopathic treatment based on classical principles. Baseline assessments will be conducted using DASS 21 and the Successful Aging Inventory followed by periodic follow up assessments every three months for one year.

The findings of this study are expected to provide evidence regarding the role of individualized homoeopathy in enhancing psychological wellbeing and promoting resilient aging in the geriatric population.

 
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