Evidence map›Paper›PMID 20871804›Full record

Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2010

Problem solving therapy for subthreshold depression in home healthcare patients with cardiovascular disease.

Zvi D Gellis, Martha L Bruce

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 pooled it
18.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 4 syntheses or guidelines pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Collaborative care for depression and anxiety problems.The Cochrane database of systematic reviews · 2012
    Pooled it
  4. Pooled it
  5. Depression Agency-Based Collaborative: Effect of Problem-Solving Therapy on Risk of Common Mental Disorders in Older Adults With Home Care Needs.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2019
    Trial
  6. Trial
  7. Trial
  8. Design and Recruitment for a Randomized Controlled Trial of Problem-Solving Therapy to Prevent Depression among Older Adults with Need for Supportive Services.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2016
    Trial
  9. Article
  10. Review
  11. Article
  12. Article
  13. Problem-Solving Therapy in the Elderly.Current treatment options in psychiatry · 2014
    Article
  14. Article
  15. Article
  16. Article
  17. Mental healthcare need and service utilization in older adults living in public housing.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2012
    Article
  18. Mental health services research: moving from academia to the community.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2010
    Article
  19. Research on late-life depression and dementia care: across disciplines, across settings.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2010
    Article
  20. Quality of life outcomes for depressed and nondepressed older adults in community long-term care.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2010
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Zvi D GellisSchool of Social Policy & Practice, Center for Mental Health and Aging, University of Pennsylvania, Philadelphia, PA 19104, USA. zgellis@sp2.upenn.edu
Martha L Bruce
Cornell University · USUniversity of Pennsylvania · US

Funding

Effectiveness of a Depression Care Management Initiative in Home HealthcareR01MH082425 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI BRUCE, MARTHA L · 2008 to 2012
$2.8M
Homecare Agency-Randomized Trial of Web Implementation Strategy for DepressionR01MH096441 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI BRUCE, MARTHA L · 2012 to 2015
$1.6M
Treatment for Late Life Depression in Homecare ElderlyK01MH071253 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI GELLIS, ZVI D · 2005 to 2009
$818k
NIMH NIH HHS K01 MH071253NIMH NIH HHS K01 MH071253-01NIMH NIH HHS R01 MH082425NIMH NIH HHS R01MH082425NIMH NIH HHS R01 MH096441
6 · The paper itself

Abstract

backgroundRandomized trial evaluated problem-solving therapy in home care (PSTHC) for homebound older adults with cardiovascular disease receiving acute home care services. This study hypothesized that compared with usual care plus education intervention, home-based PST-HC would significantly reduce depression and anxiety scores, lead to improved quality of life, and greater satisfaction with treatment among elderly with cardiovascular disease.

methodsThirty-eight participants were recruited from a university-affiliated home healthcare agency for the trial. Six 1-hour PST-HC sessions included depression education, problem-solving skills, pleasurable activity scheduling, homework, and weekly telephone calls over a 6-week period. The control comparison group received usual care plus two sessions of education and a depression brochure. Outcome measures included the Beck Depression Inventory, Hamilton Rating Scale for Depression, Beck Anxiety Inventory, and the short form (SF)-36 health status measure. After the intervention, both groups completed the Patient Satisfaction Questionnaire.

resultsCompared with the control group, the PST-HC group showed a significant decrease in depression but not anxiety scores. The PST-HC group generally reported more favorable satisfaction with treatment than the control group. The PST-HC group improved significantly, when compared with the control group in only two of eight SF-36 subscales: mental health and emotional role function.

conclusionsThe brief PST-HC intervention demonstrated that depression improved among home care elderly. However, there was no change in six of eight health status measures or anxiety level. Authors discuss integrating interdisciplinary depression care in the home care setting.

Indexed as

Home Care ServicesProblem SolvingAgedCardiovascular DiseasesDepressionFemaleHumansMalePatient SatisfactionPsychotherapy, Briefdepressionheart diseasehomebound elderlyhome health care

Identifiers

PMID20871804
PMCPMC2943727
OpenAlexW2071653329

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.