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

IF 1.7 4区社会学 Q1 SOCIAL WORK

Research on Social Work Practice Pub Date : 2023-06-26 DOI:10.1177/10497315231184143

Xiaoling Xiang, Jay Kayser, Skyla Turner, Chuxuan Zheng

引用次数: 1

Abstract

This study explores the feasibility, acceptability, and treatment outcomes of Empower@Home, a digital cognitive behavioral therapy intervention for geriatric depression. Participants with depressive symptoms (PHQ-9 ≥ 5) underwent a nine-session remote intervention supported by a lay coach ( N = 103). 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. Empower@Home is a promising, acceptable digital mental health intervention for treating depression in older adults.

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普通人支持的互联网认知行为疗法治疗老年人抑郁症

本研究探讨了Empower@Home，一种针对老年抑郁症的数字认知行为治疗干预。有抑郁症状的参与者（PHQ-9 ≥ 5）在非专业教练的支持下进行了九次远程干预（N = 103）。大多数参与者（91%）完成了全部九个疗程（平均 = 8.5）。根据治疗评估量表，参与者对该项目的态度基本上是积极的。干预后观察到抑郁减轻的中等效果（Cohen’s d = 0.75）和10周随访（Cohen’s d = 0.60） = 1.31在后测和Cohen的d = 1.18，随访10周）在基线时出现中度抑郁症的患者中（PHQ-9 ≥ 10）。在焦虑、社交孤立、孤独和行为激活方面也有显著改善。Empower@Home是一种有前景、可接受的数字心理健康干预措施，用于治疗老年人的抑郁症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Research on Social Work Practice SOCIAL WORK-

CiteScore

3.50

自引率

11.10%

发文量

105

期刊介绍： Research on Social Work Practice, sponsored by the Society for Social Work and Research, is a disciplinary journal devoted to the publication of empirical research concerning the methods and outcomes of social work practice. Social work practice is broadly interpreted to refer to the application of intentionally designed social work intervention programs to problems of societal and/or interpersonal importance, including behavior analysis or psychotherapy involving individuals; case management; practice involving couples, families, and small groups; community practice education; and the development, implementation, and evaluation of social policies.