Internet-Based Cognitive Behavioral Therapy with Layperson Support: A mixed-Methods Evaluation of Empower@Home.
Objectives: This study evaluates Empower@Home, an older adult-centered, layperson-supported internet-based cognitive behavioral therapy (iCBT) program for depression using a concurrent mixed-methods design. Methods: Adults aged 50+ with at least mild depressive symptoms enrolled in the program and w...
| Publicado en: | Clinical Gerontologist Vol. 49; no. 4; pp. 847 - 862 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jul-Sep2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194898167&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194898167 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07317115 CGT jtl: Clinical Gerontologist issn: 07317115 maglogo: N pubinfo: dt: Jul-Sep2026 vid: 49 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 194898167 186330850 194898167 194898167 10.1080/07317115.2025.2528238 194898167 ppf: 847 ppct: 15 formats: tig: atl: Internet-Based Cognitive Behavioral Therapy with Layperson Support: A mixed-Methods Evaluation of Empower@Home. aug: au: Xiang, Xiaoling Zhang, Xinyin Narbut, Elyse Turner, Skyla Ash, Samson Ciagne, Caroline Kong, Dexia affil: School of Social Work, University of Michigan, Ann Arbor, Michigan, USA sug: subj: Depression Therapy Depression Therapy Telepsychiatry Methods Cognitive Therapy Methods Support, Social Treatment Outcomes Evaluation Program Evaluation Human Funding Source Male Female Middle Age Aged Aged, 80 and Over Multimethod Studies Interviews Thematic Analysis Depression Prevention and Control Anxiety Prevention and Control Social Isolation Prevention and Control Educational Status Antidepressive Agents Therapeutic Use Adverse Childhood Experiences Emotions Psychological Well-Being Interpersonal Relations Empowerment Self Care Self Concept Questionnaires Descriptive Statistics Paired T-Tests Data Analysis Software Psychological Tests Scales Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Objectives: This study evaluates Empower@Home, an older adult-centered, layperson-supported internet-based cognitive behavioral therapy (iCBT) program for depression using a concurrent mixed-methods design. Methods: Adults aged 50+ with at least mild depressive symptoms enrolled in the program and were assessed pre- and post-treatment (N = 224). A subset participated in qualitative interviews post-treatment (N = 148). Paired t-tests and mixed-effects modeling assessed quantitative program effects, while qualitative data identified key themes of impact. Results: Program completion was 90%. Depression symptoms significantly decreased (Cohen's d = 0.9 overall; d = 1.4 for those with moderate depression at baseline). Anxiety and social isolation also declined significantly. Moderation analyses showed that participants with lower education, antidepressant use, and more childhood adversities experienced faster symptom reduction. Qualitative findings aligned with quantitative results, highlighting acquisition and application of CBT skills and improved emotional well-being. Additional themes included increased insight and self-awareness, improved social relationships, empowerment, self-worth, and self-care. Conclusions: Older adult-centered, layperson-supported iCBT shows promise in reducing depression and improving mental well-being in older adults. Clinical Implications: Findings offer insights for improving mental health treatment and outcomes for older adults. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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