1. Layperson-Supported Internet-Delivered Cognitive Behavioral Therapy for Depression Among Older Adults.
- Author
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Xiang, Xiaoling, Kayser, Jay, Turner, Skyla, and Zheng, Chuxuan
- Subjects
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PREVENTION of mental depression , *PATIENT compliance , *WORLD Wide Web , *CURRICULUM , *STATISTICAL models , *THERAPEUTICS , *RESEARCH funding , *T-test (Statistics) , *STATISTICAL hypothesis testing , *MEETINGS , *MEDICAL care , *DIGITAL health , *QUESTIONNAIRES , *CLINICAL trials , *INTERNET , *TREATMENT effectiveness , *SEVERITY of illness index , *LONELINESS , *DESCRIPTIVE statistics , *SURVEYS , *PRE-tests & post-tests , *COMPUTERS in medicine , *TELEPHONES , *ONLINE education , *COGNITIVE therapy , *PATIENT satisfaction , *APPLICATION software , *DATA analysis software , *PATIENT aftercare , *EVALUATION , *OLD age ,ANXIETY prevention - Abstract
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. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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