Addie Weaver1, Anao Zhang1, Caroline Landry1, Jessica Hahn2, Lynne McQuown3, Lisa A O'Donnell4, Meghan M Harrington1, Trevor Buys1, Katherine M Tucker1, Paul Pfeiffer5,6, Amy M Kilbourne6,7,8, Andrew Grogan-Kaylor1, Joseph A Himle1,5. 1. University of Michigan School of Social Work, Ann Arbor, MI, USA. 2. Trinity Lutheran Church, Hillsdale, MI, USA. 3. Jonesville First Presbyterian Church, Jonesville, MI, USA. 4. Wayne State University School of Social Work, Detroit, MI, USA. 5. Department of Psychiatry, University of Michigan School of Medicine, Ann Arbor, MI, USA. 6. Department of Veterans Affairs, Ann Arbor, MI, USA. 7. Department of Learning Health Sciences, University of Michigan School of Medicine, Ann Arbor, MI, USA. 8. Quality Enhancement Research Initiative, U.S. Department of Veterans Affairs, Washington, DC, USA.
Abstract
Purpose: This pilot study assesses the association of Raising Our Spirits Together (ROST), a technology-assisted, group-based cognitive behavioral therapy for depression, with rural adults' depressive symptoms and anxiety. Method: Nine adults from rural Michigan participated in an open pilot of ROST. Clergy facilitated pilot groups. The pilot began in February 2020 in-person. Due to COVID-19, the pilot was completed virtually. Results: Mean depressive symptom scores, based on the PHQ-9, significantly decreased from pre-treatment (M = 14.4) to post-treatment (M = 6.33; t (8) = 6.79; P < .001). Symptom reduction was maintained at 3-month follow-up (M = 8.00), with a significant pattern of difference in depressive symptoms over time (F(2) = 17.7; P < .001; eta-squared = .689). Similar patterns occurred for anxiety based on the GAD-7. Participants attended an average of 7.33 of 8 sessions. Fidelity ratings were excellent. Discussion: ROST is a potentially feasible intervention for rural adults' depressive symptoms. ROST offers a promising model for increasing treatment access and building capacity in rural areas.
Purpose: This pilot study assesses the association of Raising Our Spirits Together (ROST), a technology-assisted, group-based cognitive behavioral therapy for depression, with rural adults' depressive symptoms and anxiety. Method: Nine adults from rural Michigan participated in an open pilot of ROST. Clergy facilitated pilot groups. The pilot began in February 2020 in-person. Due to COVID-19, the pilot was completed virtually. Results: Mean depressive symptom scores, based on the PHQ-9, significantly decreased from pre-treatment (M = 14.4) to post-treatment (M = 6.33; t (8) = 6.79; P < .001). Symptom reduction was maintained at 3-month follow-up (M = 8.00), with a significant pattern of difference in depressive symptoms over time (F(2) = 17.7; P < .001; eta-squared = .689). Similar patterns occurred for anxiety based on the GAD-7. Participants attended an average of 7.33 of 8 sessions. Fidelity ratings were excellent. Discussion: ROST is a potentially feasible intervention for rural adults' depressive symptoms. ROST offers a promising model for increasing treatment access and building capacity in rural areas.
Authors: Xiaoling Xiang; Shiyou Wu; Ashley Zuverink; Kathryn N Tomasino; Ruopeng An; Joseph A Himle Journal: Aging Ment Health Date: 2019-03-27 Impact factor: 3.658
Authors: Ronald C Kessler; Patricia Berglund; Olga Demler; Robert Jin; Doreen Koretz; Kathleen R Merikangas; A John Rush; Ellen E Walters; Philip S Wang Journal: JAMA Date: 2003-06-18 Impact factor: 56.272
Authors: Philip S Wang; Olga Demler; Mark Olfson; Harold A Pincus; Kenneth B Wells; Ronald C Kessler Journal: Am J Psychiatry Date: 2006-07 Impact factor: 19.242