A Home-Based Intervention to Reduce Depressive Symptoms and Improve Quality of Life in Older African Americans

  title={A Home-Based Intervention to Reduce Depressive Symptoms and Improve Quality of Life in Older African Americans},
  author={Laura N. Gitlin and Lynn Fields Harris and Megan C. McCoy and Nancy L. Chernett and Laura T. Pizzi and Eric Jutkowitz and Ed Hess and Walter W. Hauck},
  journal={Annals of Internal Medicine},
  pages={243 - 252}
BACKGROUND Effective care models for treating older African Americans with depressive symptoms are needed. [] Key MethodDESIGN Parallel, randomized trial stratified by recruitment site. Interviewers assessing outcomes were blinded to treatment assignment. (ClinicalTrials.gov: NCT00511680). SETTING A senior center and participants' homes from 2008 to 2010. PATIENTS African Americans aged 55 years or older with depressive symptoms.

Mediators of the impact of a home-based intervention (beat the blues) on depressive symptoms among older African Americans.

The findings suggest that most of the impact of BTB on depressive symptoms is driven by enhancing activation or becoming active, reducing anxiety, and improving depression knowledge/efficacy.

Delivery Characteristics, Acceptability, and Depression Outcomes of a Home-based Depression Intervention for Older African Americans: The Get Busy Get Better Program.

GB was perceived as highly acceptable and beneficial by interventionists and participants and was associated with greater symptom reduction and generalizability to other groups.

Clinical effectiveness of integrating depression care management into medicare home health: the Depression CAREPATH Randomized trial.

Home health care nurses can effectively integrate depression care management into routine practice, however, the clinical benefit seems to be limited to patients with moderate to severe depression.

Design and Recruitment for a Randomized Controlled Trial of Problem-Solving Therapy to Prevent Depression among Older Adults with Need for Supportive Services.

  • S. AlbertJ. King C. Reynolds
  • Psychology, Medicine
    The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
  • 2016

Internet-Based Cognitive Behavioral Therapy for Depression: A Feasibility Study for Home Care Older Adults

iCBT is a feasible and acceptable treatment modality for home care older adults with depressive symptoms and is potentially effective, and 86% would recommend the program to others with depressed mood.

Depression Agency-Based Collaborative: Effect of Problem-Solving Therapy on Risk of Common Mental Disorders in Older Adults With Home Care Needs.

  • S. AlbertJ. King C. Reynolds III
  • Psychology, Medicine
    The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
  • 2019

A feasibility study of a home-based intervention for elderly depression among Hong Kong Chinese

The low attrition rate and high participant satisfactory level supported the feasibility of the Smiley Activation Programme, and its benefits include improvements in perceived general health, physical and social activeness and pleasant activity level.

Innovations in mental health care for adult depression: Results of a series of meta-analyses

There is substantial evidence that acute phase psychotherapy results in a better treatment effects on depression and quality of life in the long-term for adult patients with depression.

Effectiveness of late‐life depression interventions on functional limitations: A systematic review

Multicomponent and collaborative‐care interventions appear to be the most promising for improvement of functional limitations, particularly in primary care and community‐dwelling populations of older persons with symptoms of depression.

Non-traditional support workers delivering a brief psychosocial intervention for older people with anxiety and depression: the NOTEPAD feasibility study

A community-based psychosocial intervention, comprising one-to-one contact between older people with anxiety and/or depression and a SW employed by Age UK North Staffordshire, based on the principles of behavioural activation (BA), with encouragement to participate in a group activity was refined.



A community-integrated home based depression intervention for older African Americans: descripton of the Beat the Blues randomized trial and intervention costs

Beat the Blues (BTB) is a single-blind parallel randomized trial to assess efficacy of a non-pharmacological intervention to reduce depressive symptoms and improve quality of life in 208 African Americans 55+ years old.

Community-integrated home-based depression treatment in older adults: a randomized controlled trial.

The PEARLS program, a community-integrated, home-based treatment for depression, significantly reduced depressive symptoms and improved health status in chronically medically ill older adults with minor depression and dysthymia.

Effectiveness of home treatment for elderly people with depression: randomised controlled trial.

  • G. KlugG. Hermann S. Priebe
  • Medicine, Psychology
    The British journal of psychiatry : the journal of mental science
  • 2010
Individuals receiving home treatment had significantly fewer symptoms of depression, better global functioning and a higher SQOL at 3 months and at 12 months and the cost of care was lower.

Identification of and beliefs about depressive symptoms and preferred treatment approaches among community-living older African Americans.

Overall, this older African American sample had positive attitudes and beliefs and endorsed traditional treatment modalities suggesting that beliefs alone are unlikely barriers to underutilization of mental health services.

The Treatment Initiation Program: an intervention to improve depression outcomes in older adults.

These data support the usefulness of the TIP to improve depression outcomes and treatment participation among older adults.

Improving Depression Care for Older, Minority Patients in Primary Care

Compared with care as usual, collaborative care significantly improved rates and outcomes of depression care in older adults from ethnic minority groups and in older whites.

Healthy IDEAS

It is concluded that nonspecialty providers can be trained to successfully implement an evidence-based self-management intervention for depression with frail, high-risk, and diverse older adults.

Recommendations for treating depression in community-based older adults.

Behavioral health service utilization and preferences of older adults receiving home-based aging services.

  • A. GumLindsay IserA. Petkus
  • Psychology, Medicine
    The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
  • 2010
Older adults receiving home-based services have ready access to psychotropic medications but receive very few specialty behavioral health services and medication monitoring visits and strategies for integrating Behavioral health services in the aging network are discussed.