Academic Journal
A community-integrated home based depression intervention for older African Americans: descripton of the Beat the Blues randomized trial and intervention costs
| Τίτλος: | A community-integrated home based depression intervention for older African Americans: descripton of the Beat the Blues randomized trial and intervention costs |
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| Συγγραφείς: | Gitlin, Laura N, Harris, Lynn Fields, McCoy, Megan, Chernett, Nancy L, Jutkowitz, Eric, Pizzi, Laura T |
| Πηγή: | BMC Geriatr BMC Geriatrics, Vol 12, Iss 1, p 4 (2012) |
| Στοιχεία εκδότη: | Springer Science and Business Media LLC, 2012. |
| Έτος έκδοσης: | 2012 |
| Θεματικοί όροι: | Male, Depressive Disorder/diagnosis, Antidepressive Agents/therapeutic use, Social Environment, Study Protocol, 0302 clinical medicine, Residence Characteristics, Surveys and Questionnaires, 80 and over, Depressive Disorder/drug therapy, Single-Blind Method, Antidepressive Agents/classification, Major/epidemiology, Drug Utilization/statistics & numerical data, Depression, Mental Disorders, Middle Aged, 16. Peace & justice, Combined Modality Therapy, Home Care Services, 3. Good health, Treatment Outcome, Thomas Jefferson University, Major/drug therapy, Costs and Cost Analysis, Major/diagnosis, Female, Independent Living, 0305 other medical science, Psychotherapy/statistics & numerical data, Center for Applied Research on Aging and Health, Medicare/statistics & numerical data, Behavior and Behavior Mechanisms, 03 medical and health sciences, Humans, African Americans/psychology, Adaptation, Aged, Depressive Disorder, RC952-954.6, Depressive Disorder/epidemiology, Health Surveys, Antidepressive Agents/adverse effects, Black or African American, Depression/ethnology Depression/etiology, Cross-Sectional Studies, Geriatrics, Psychological, Geriatrics and Gerontology |
| Περιγραφή: | Primary care is the principle setting for depression treatment; yet many older African Americans in the United States fail to report depressive symptoms or receive the recommended standard of care. Older African Americans are at high risk for depression due to elevated rates of chronic illness, disability and socioeconomic distress. There is an urgent need to develop and test new depression treatments that resonate with minority populations that are hard-to-reach and underserved and to evaluate their cost and cost-effectiveness.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. It involves a collaboration with a senior center whose care management staff screen for depressive symptoms (telephone or in-person) using the Patient Health Questionnaire (PHQ-9). Individuals screened positive (PHQ-9 ≥ 5) on two separate occasions over 2 weeks are referred to local mental health resources and BTB. Interested and eligible participants who consent receive a baseline home interview and then are randomly assigned to receive BTB immediately or 4 months later (wait-list control). All participants are interviewed at 4 (main study endpoint) and 8 months at home by assessors masked to study assignment. Licensed senior center social workers trained in BTB meet with participants at home for up to 10 sessions over 4 months to assess care needs, make referrals/linkages, provide depression education, instruct in stress reduction techniques, and use behavioral activation to identify goals and steps to achieve them. Key outcomes include reduced depressive symptoms (primary), reduced anxiety and functional disability, improved quality of life, and enhanced depression knowledge and behavioral activation (secondary). Fidelity is enhanced through procedure manuals and staff training and monitored by face-to-face supervision and review of taped sessions. Cost and cost effectiveness is being evaluated.BTB is designed to bridge gaps in mental health service access and treatments for older African Americans. Treatment components are tailored to specific care needs, depression knowledge, preference for stress reduction techniques, and personal activity goals. Total costs are $584.64/4 months; or $146.16 per participant/per month.ClinicalTrials.gov #NCT00511680. |
| Τύπος εγγράφου: | Article Other literature type |
| Περιγραφή αρχείου: | application/pdf |
| Γλώσσα: | English |
| ISSN: | 1471-2318 |
| DOI: | 10.1186/1471-2318-12-4 |
| Σύνδεσμος πρόσβασης: | https://bmcgeriatr.biomedcentral.com/track/pdf/10.1186/1471-2318-12-4 https://pubmed.ncbi.nlm.nih.gov/22325065 https://doaj.org/article/1ba0bbbaac924831be077952ea937516 http://europepmc.org/articles/PMC3293778 https://www.biomedcentral.com/1471-2318/12/4/abstract https://link.springer.com/article/10.1186/1471-2318-12-4/fulltext.html https://jhu.pure.elsevier.com/en/publications/a-community-integrated-home-based-depression-intervention-for-old-3 https://jdc.jefferson.edu/carah_papers/16/ https://link.springer.com/content/pdf/10.1186%2F1471-2318-12-4.pdf |
| Rights: | Springer TDM CC BY |
| Αριθμός Καταχώρησης: | edsair.doi.dedup.....ddd988000f8f0d0fa4723d66ad46f0df |
| Βάση Δεδομένων: | OpenAIRE |
| ISSN: | 14712318 |
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| DOI: | 10.1186/1471-2318-12-4 |