OBJECTIVE: To evaluate the acceptance and preliminary efficacy of in-home telehealth delivery of problem-solving therapy (tele-PST) among depressed low-income homebound older adults in a pilot randomized control trial designed to test its feasibility and preliminary efficacy. METHODS: A total of 121 homebound individuals who were age 50+ and scored 15+ on the 24-item Hamilton Rating Scale for Depression (HAMD) participated in the three-arm randomized control trial, comparingtele-PST with in-person PST and telephone support calls. Six sessions of the PST-primary care were conducted for the PST participants. For tele-PST, sessions 2-6 were conducted via Skype video call. Acceptance of tele-PST or in-person PST was measured with the 11-item, 7-point scale modified Treatment Evaluation Inventory (TEI). A mixed-effect regression analysis was used to examine the effects of treatment group, time, and the interaction term between treatment group and time on the HAMD scores. RESULTS: The TEI score was slightly higher among tele-PST participants than among in-person PST participants. The HAMD scores of tele-PST participants and in-person PST participants at a 12-week follow-up were significantly lower than those of telephone support call participants, and the treatment effects were maintained at a 24-week follow-up. The HAMD scores of tele-PST participants did not differ from those of in-person PST participants. CONCLUSIONS: Despite their initial skepticism, almost all participants had extremely positive attitudes toward tele-PST at the 12-week followup. Tele-PST also appears to be an efficacious treatment modality for depressed homebound older adults and to have significant potential to facilitate their access to treatment.
RCT Entities:
OBJECTIVE: To evaluate the acceptance and preliminary efficacy of in-home telehealth delivery of problem-solving therapy (tele-PST) among depressed low-income homebound older adults in a pilot randomized control trial designed to test its feasibility and preliminary efficacy. METHODS: A total of 121 homebound individuals who were age 50+ and scored 15+ on the 24-item Hamilton Rating Scale for Depression (HAMD) participated in the three-arm randomized control trial, comparing tele-PST with in-personPST and telephone support calls. Six sessions of the PST-primary care were conducted for the PSTparticipants. For tele-PST, sessions 2-6 were conducted via Skype video call. Acceptance of tele-PST or in-personPST was measured with the 11-item, 7-point scale modified Treatment Evaluation Inventory (TEI). A mixed-effect regression analysis was used to examine the effects of treatment group, time, and the interaction term between treatment group and time on the HAMD scores. RESULTS: The TEI score was slightly higher among tele-PSTparticipants than among in-personPSTparticipants. The HAMD scores of tele-PSTparticipants and in-personPSTparticipants at a 12-week follow-up were significantly lower than those of telephone support call participants, and the treatment effects were maintained at a 24-week follow-up. The HAMD scores of tele-PSTparticipants did not differ from those of in-personPSTparticipants. CONCLUSIONS: Despite their initial skepticism, almost all participants had extremely positive attitudes toward tele-PST at the 12-week followup. Tele-PST also appears to be an efficacious treatment modality for depressed homebound older adults and to have significant potential to facilitate their access to treatment.
Authors: George S Alexopoulos; Patrick J Raue; Dimitris N Kiosses; R Scott Mackin; Dora Kanellopoulos; Charles McCulloch; Patricia A Areán Journal: Arch Gen Psychiatry Date: 2011-01
Authors: Zvi D Gellis; Jean McGinty; Amy Horowitz; Martha L Bruce; Elizabeth Misener Journal: Am J Geriatr Psychiatry Date: 2007-09-10 Impact factor: 4.105
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Authors: Steven M Albert; Jennifer King; Stewart Anderson; Mary Amanda Dew; Jun Zhang; Sarah T Stahl; Jordan F Karp; Ariel G Gildengers; Meryl A Butters; Charles F Reynolds Iii Journal: Am J Geriatr Psychiatry Date: 2019-01-10 Impact factor: 4.105