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CTRI Number  CTRI/2025/05/086520 [Registered on: 07/05/2025] Trial Registered Prospectively
Last Modified On: 01/07/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Behavioral
Other (Specify) [Positive Psychology Interventions]  
Study Design  Cluster Randomized Trial 
Public Title of Study   The Impact of Positive Aging Intervention on Elderly in India 
Scientific Title of Study   The Impact of Positive Aging Intervention on Flourishing of Elderly in India: A Pan-India Cluster Randomized Controlled Trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Pratishtha Bhattacharyya 
Designation  Assistant Professor 
Affiliation  MS RAMAIAH UNIVERSITY OF APPLIED SCIENCES 
Address  Department of Psychology, School of Social Sciences, MS Ramaiah University of Applied Sciences, New BEL Road, Banglore

Bangalore
KARNATAKA
560054
India 
Phone  8250094150  
Fax    
Email  pratishtha.ss@msruas.ac.in  
 
Details of Contact Person
Scientific Query
 
Name  Pratishtha Bhattacharyya 
Designation  Assistant Professor 
Affiliation  MS RAMAIAH UNIVERSITY OF APPLIED SCIENCES 
Address  Department of Psychology, School of Social Sciences, MS Ramaiah University of Applied Sciences, New BEL Road, Banglore

Bangalore
KARNATAKA
560054
India 
Phone  8250094150  
Fax    
Email  pratishtha.ss@msruas.ac.in  
 
Details of Contact Person
Public Query
 
Name  Pratishtha Bhattacharyya 
Designation  Assistant Professor 
Affiliation  MS RAMAIAH UNIVERSITY OF APPLIED SCIENCES 
Address  Department of Psychology School of Social Sciences, MS Ramaiah University of Applied Sciences, New BEL Road, Banglore

Bangalore
KARNATAKA
560054
India 
Phone  8250094150  
Fax    
Email  pratishtha.ss@msruas.ac.in  
 
Source of Monetary or Material Support  
Indian Council of Medical Research V. Ramalingaswami Bhawan, P.O. Box No. 4911 Ansari Nagar, New Delhi - 110029, India Ph: 91-11-26588895 / 91-11-26588980, 91-11-26589794 / 91-11-26589336, 91-11-26588707 Fax: 91-11-26588662 Email:icmrhqds@sansad.nic.in 
 
Primary Sponsor  
Name  ICMR 
Address  Indian Council of Medical Research Department of Health Research Ministry of Health & Family Welfare Government of India Ansari Nagar, New Delhi - 110029, India www.icmr.gov.in 
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
Dr Aradhana S Talwar  School of Social Sciences MS Ramaiah University of Applied Sciences Bangalore 560054 Karnataka 
Dr Sudharsana V Iyengar  School of Social Sciences MS Ramaiah University of Applied Sciences Bangalore 560054 Karnataka 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 6  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Mohan Bairwa  All India Institute of Medical Sciences, Delhi  Room No 28 Centre for Community Medicine, Old OT Block All India Institute of Medical Sciences Ansari Nagar New Delhi INDIA 110029
New Delhi
DELHI 
09718835447

mohanbairwa@aiims.edu 
Dr Divyamol K Sasidharan  Amrita Vishwa Vidyapeetham, AIMS Health Sciences,Ernakulum  Assistant professor, Department of Geriatrics, Amrita Vishwa Vidyapeetham, AIMS Health Sciences Campus, AIMS Ponekkara P. O., Kochi, Kerala 682 041, India
Ernakulam
KERALA 
9995653009

divz64@gmail.com 
Dr Ranjan Ranjan Prusty  ICMR-National Institute for Research in Reproductive and Child Health, Mumbai  Scientist C, Department of Biostatistics, ICMR-National Institute for Research in Reproductive and Child Health Jehangir Merwanji Street, Parel, Mumbai 400012
Mumbai
MAHARASHTRA 
7070097387

prustyr@nirrch.res.in 
Dr Kajori Banerjee  Indian Statistical Institute, Kolkata  Assistant Professor Population Studies Unit, Kolkata Social Sciences Division Kolkata Headquarters Plot No, 203, Barrackpore Trunk Rd, Dunlop, Bonhooghly Government Colony, Baranagar, West Bengal 700108
Kolkata
WEST BENGAL 
98205 06794

kajori.b@isical.ac.in 
Dr Pratishtha Bhattacharyya  MS Ramaiah University of Applied Sciences Bangalore, Bangalore  School of Social Sciences MS Ramaiah University of Applied Sciences Bangalore 560054
Bangalore
KARNATAKA 
8250094150

pratishtha.ss@msruas.ac.in 
Dr Selvamani Y  SRM Institute of Science and Technology,Chennai  SRM School of Public Health Medicine and Health Sciences Kattankulathur Chennai 603203
Chennai
TAMIL NADU 
09082480154

selvamay@srmist.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 6  
Name of Committee  Approval Status 
Ethics Committee of Amrita School of Medicine  Approved 
ICMR-NIRRCH ETHICS COMMITTE FOR HUMAN STUDIES  Approved 
Institute Ethics Committee  Approved 
SRM Medical College Hospital- Faculty Institutional Ethics Committee  Approved 
The Indian Statistical Institute Review Committee for Protection of Research Rights to Humans (ISI-RCPRRH)   Approved 
University Ethics Committee for Human Trials  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Severe depression Cognitive impairment  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  No intervention  The control group wont receive any intervention while the treatment group is receiving intervention. It will be waitlisted and receive the intervention once the original study is completed that is immediately after 6 months of the original intervention gets completed.  
Intervention  The intervention module is titled swarna mitra and it is based on positive psychological interventions  The study will involve training institutionalized elderly in positive psychology intervention. We have titled the intervention module "Swarna Mitra". It constitutes 26-week of structured intervention plan targeting gratitude, compassion, forgiveness, optimism, savoring, altruism, meaning of life, and hope among participants, particularly older adults in old age homes. Key highlights include: 1. Phased Intervention Modules: o Optimism: Exercises for imagining the best possible self and reflection. o Hope: Sessions using narrative techniques like hope finding and hope bonding, hope enhancing and hope reminding. o Gratitude: Sessions using activities like counting blessings and expressive writing. o Forgiveness : The REACH model of forgiveness, will be used it is a structured approach that guides individuals through five steps: Recalling the hurt, Empathizing with the offender, Altruistically offering forgiveness, Committing to forgive, and Holding onto forgiveness. This model helps individuals move past resentment and achieve emotional healing by fostering empathy and intentional forgiveness. o Compassion: Self-compassion training based on the Mindful Self-Compassion model involving mediation practice. o Savoring: Exercises on savoring moments, reminiscence, and mindful photography using the Savoring Beliefs Inventory. o Altruism: Activities fostering altruistic behavior assessed with the Helping Attitudes Scale. o Meaning of Life: Life review interventions include asking participants to share the concept of life review and explore the meaning it holds for them.  
 
Inclusion Criteria  
Age From  65.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Individuals aged 65 and above. Willingness to participate in the study without coercion and provide informed consent to participate in the study. Absence of severe cognitive impairment
Absence of severe depressive symptoms 
 
ExclusionCriteria 
Details  Presence of cognitive impairment
Presence of severe depression 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
The primary outcome will be measured using the following instruments:
• Flourishing- Butler and Kern’s PERMA-Profiler to measure flourishing consisting of 23 items.
• Psychological well-being- Psychological well-being is conceptualized by Carol Ryff as six dimensions namely autonomy, environmental mastery, purpose in life, positive relations with others, personal growth, and self-acceptance. It will be measured by Ryff’s Psychological Well-Being Scales (PWB), Long version 84 items version.
• Subjective happiness- Lyubomirsky, and Lepper’s subjective happiness scale consisting of 4 items. 
baseline, 6 months after baseline and 8 months after baseline 
 
Secondary Outcome  
Outcome  TimePoints 
The secondary outcomes will be measured using the following instruments:

• Loneliness- A 20-item UCLA Loneliness Scale will be used to measure loneliness.
• Anxiety- Anxiety will be measured by the Indian adaptation of the Geriatric Anxiety Inventory.
• Depressive symptoms- Depressive symptoms will be measured by the Geriatric Depression Scale .
• Quality of life- Quality of life will be measured by the World Health Organization QoL (WHOQOL-BREF) scale.
• Quality of sleep - The Pittsburgh Sleep Quality Index (PSQI) 1will be used to measure quality of sleep.
• Positive and negative affect- It will be measured by Positive and Negative Affect Schedule (PANAS).
 
baseline, 6 months after baseline and 8 months after baseline 
 
Target Sample Size   Total Sample Size="4800"
Sample Size from India="4800" 
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   Phase 3 
Date of First Enrollment (India)   30/05/2025 
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="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details
Modification(s)  
Nil 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  

This study involves a 26-week intervention module called ‘Swarna Mitra’, which uses positive psychology activities—such as practicing gratitude, optimism, compassion, forgiveness, helping others, enjoying small moments, using personal strengths, finding meaning in life, and building hope—to support the mental and emotional well-being of older adults living in old age homes.

The study will be conducted in six major Indian cities: Delhi, Mumbai, Kolkata, Kochi, Bangalore, and Chennai. In each city, 20 old age homes will participate. Out of these, 10 will be randomly selected to receive the Swarna Mitra program, while the other 10 will be placed on a waitlist and offered the program later.

The study will assess self-reported levels of flourishing, psychological well-being (which includes autonomy, environmental mastery, purpose in life, positive relations with others, personal growth, and self-acceptance), and subjective happiness. It will also look at changes in loneliness, anxiety, depressive symptoms, quality of life, sleep quality, and positive and negative affect.

 
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