Layperson-Supported Internet-Delivered Cognitive Behavioral Therapy for Depression Among Older Adults.

Purpose: This study explores the feasibility, acceptability, and treatment outcomes of Empower@Home, a digital cognitive behavioral therapy intervention for geriatric depression. Method: Participants with depressive symptoms (PHQ-9 ≥ 5) underwent a nine-session remote intervention supported by a lay...

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Publicado en:Research on Social Work Practice Vol. 34; no. 7; pp. 725 - 736
Autores principales: Xiang, Xiaoling, Kayser, Jay, Turner, Skyla, Zheng, Chuxuan
Formato: Artículo
Publicado: Sage Publications Inc. Oct2024
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2024
      vid: 34
      iid: 7
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      pub: Sage Publications Inc.
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        179767178
        10.1177/10497315231184143
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        atl: Layperson-Supported Internet-Delivered Cognitive Behavioral Therapy for Depression Among Older Adults.
      aug:
        au:
          Xiang, Xiaoling
          Kayser, Jay
          Turner, Skyla
          Zheng, Chuxuan
        affil:
          School of Social Work, 1259University of Michigan, Ann Arbor, MI, USA
          Department of Psychology, College of Literature, Science, And the Arts, 1259University of Michigan, Ann Arbor, MI, USA
      su:
        Prevention of mental depression
        Patient compliance
        World Wide Web
        Curriculum
        Therapeutics
        Meetings
        Medical care
        Clinical trials
        Internet
        Loneliness
        Telephones
        Online education
        Cognitive therapy
        Patient satisfaction
        Old age
        Anxiety prevention
        Statistical models
        Research funding
        T-test (Statistics)
        Statistical hypothesis testing
        Digital health
        Questionnaires
        Treatment effectiveness
        Severity of illness index
        Descriptive statistics
        Surveys
        Pre-tests & post-tests
        Computers in medicine
        Application software
        Data analysis software
        Patient aftercare
        Evaluation
      sug:
        subj:
          Prevention of mental depression
          Patient compliance
          World Wide Web
          Curriculum
          Therapeutics
          Meetings
          Medical care
          Clinical trials
          Internet
          Loneliness
          Telephones
          Online education
          Cognitive therapy
          Patient satisfaction
          Old age
          Software Publishers
          Software publishers (except video game publishers)
          Custom Computer Programming Services
          Research and Development in the Physical, Engineering, and Life Sciences (except Biotechnology)
          Home Health Care Services
          Wired Telecommunications Carriers
          Internet Publishing and Broadcasting and Web Search Portals
          Electronic components, navigational and communications equipment and supplies merchant wholesalers
          Anxiety prevention
          Statistical models
          Research funding
          T-test (Statistics)
          Statistical hypothesis testing
          Digital health
          Questionnaires
          Treatment effectiveness
          Severity of illness index
          Descriptive statistics
          Surveys
          Pre-tests & post-tests
          Computers in medicine
          Application software
          Data analysis software
          Patient aftercare
          Evaluation
      keyword:
        digital mental health intervention
        geriatric depression
        human support
        iCBT
        digital mental health intervention
        geriatric depression
        human support
        iCBT
      ab: Purpose: This study explores the feasibility, acceptability, and treatment outcomes of Empower@Home, a digital cognitive behavioral therapy intervention for geriatric depression. Method: Participants with depressive symptoms (PHQ-9 ≥ 5) underwent a nine-session remote intervention supported by a lay coach (N = 103). Results: Most participants (91%) completed all nine sessions (mean = 8.5). According to the Treatment Evaluation Inventory, participant attitudes toward the program were largely positive. A medium effect in depression reduction was observed following the intervention (Cohen's d = 0.75) and at a 10-week follow-up (Cohen's d = 0.60). This reduction was large (Cohen's d = 1.31 at posttest and Cohen's d = 1.18 at 10-week follow-up) among those who presented with moderate depression at baseline (PHQ-9 ≥ 10). Significant improvements were also reported in anxiety, social isolation, loneliness, and behavioral activation. Discussion: Empower@Home is a promising, acceptable digital mental health intervention for treating depression in older adults.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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