Sarah T Stahl1, Stephen F Smagula2, Mary Amanda Dew2, Richard Schulz3, Steven M Albert4, Charles F Reynolds2. 1. Department of Psychiatry (STS, SFS, MAD, RS, CFR), University of Pittsburgh, Pittsburgh, PA. Electronic address: Sarah.Stahl@pitt.edu. 2. Department of Psychiatry (STS, SFS, MAD, RS, CFR), University of Pittsburgh, Pittsburgh, PA. 3. Department of Psychiatry (STS, SFS, MAD, RS, CFR), University of Pittsburgh, Pittsburgh, PA; University Center for Social and Urban Research, Pittsburgh, PA. 4. Department of Behavioral and Community Health Sciences, University of Pittsburgh (SMA), Pittsburgh, PA.
Abstract
OBJECTIVES: To evaluate the feasibility and acceptability of a behavioral intervention and explore its impact on depression symptom burden among older spousally-bereaved adults. METHODS:Participants were age ≥60 years, bereaved ≤8 months, and at high risk for depression. Participants were randomized to 12 weeks of digital monitoring of sleep, meals, and physical activity; digital monitoring plus health coaching; or enhanced usual care and followed for 9 months for new-episode depression. RESULTS:We enrolled 57 participants, 85% of eligible adults and 38% of all adults screened. We observed high levels of adherence in both digital monitoring (90%) and health coaching (92%); 88% of participants were retained. In linear mixed-effects models, depression symptoms significantly decreased, but the interaction between time and intervention was not significant. CONCLUSION: A behavioral intervention that uses both digital monitoring and motivational health coaching is feasible and acceptable to older bereaved adults.
RCT Entities:
OBJECTIVES: To evaluate the feasibility and acceptability of a behavioral intervention and explore its impact on depression symptom burden among older spousally-bereaved adults. METHODS:Participants were age ≥60 years, bereaved ≤8 months, and at high risk for depression. Participants were randomized to 12 weeks of digital monitoring of sleep, meals, and physical activity; digital monitoring plus health coaching; or enhanced usual care and followed for 9 months for new-episode depression. RESULTS: We enrolled 57 participants, 85% of eligible adults and 38% of all adults screened. We observed high levels of adherence in both digital monitoring (90%) and health coaching (92%); 88% of participants were retained. In linear mixed-effects models, depression symptoms significantly decreased, but the interaction between time and intervention was not significant. CONCLUSION: A behavioral intervention that uses both digital monitoring and motivational health coaching is feasible and acceptable to older bereaved adults.
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Authors: Sarah T Stahl; James Emanuel; Steven M Albert; Mary Amanda Dew; Richard Schulz; Gregg Robbins-Welty; Charles F Reynolds Journal: Contemp Clin Trials Commun Date: 2017-09-14