Evidence map›Paper›PMID 23929664›Full record

Trial reportThe Gerontologist2014

Acceptance of home-based telehealth problem-solving therapy for depressed, low-income homebound older adults: qualitative interviews with the participants and aging-service case managers.

Namkee G Choi, Nancy L Wilson, Leslie Sirrianni, Mary Lynn Marinucci, Mark T Hegel

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The Gerontologist, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  7. Improving Social Connectedness for Homebound Older Adults: Randomized Controlled Trial of Tele-Delivered Behavioral Activation Versus Tele-Delivered Friendly Visits.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2020
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  15. The iMHere 2.0 System for Family Caregivers of Older Adults: A Focus Group.International journal of telerehabilitation · 2023
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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

5 authors.

Namkee G ChoiSchool of Social Work, University of Texas at Austin. nchoi@austin.utexas.edu.
Nancy L WilsonBaylor College of Medicine & VA HSR&D Houston Center of Excellence, Michael E. DeBakey VA Medical Center, Houston, Texas.
Leslie SirrianniSchool of Social Work, University of Texas at Austin.
Mary Lynn MarinucciOutpatient Programs, Austin Lakes Hospital, Austin, Texas.
Mark T HegelGiesel School of Medicine at Dartmouth, Lebanon, New Hampshire.

Funding

Telehealth Problem-Solving Therapy for Depressed Homebound Older AdultsR34MH083872 · NIMH · UNIVERSITY OF TEXAS AT AUSTIN · PI CHOI, NAMKEE G · 2009 to 2011
$679k
NIMH NIH HHS R34 MH083872
6 · The paper itself

Abstract

purposeTo report low-income homebound older adults' experience of telehealth problem-solving therapy (tele-PST) and aging-service case managers' (CMs') experience/perception of client-level personal barriers to accessing psychotherapy in general and PST specifically. DESIGN AND

methodsThe study sample consisted of 42 homebound older adults who participated in the feasibility and efficacy trial of tele-PST and completed 36-week follow-up assessments and 12 CMs of a large home-delivered meals program who referred their clients to the tele-PST trial. In-depth interviews with the older adults and written feedback and focus group discussions with the CMs provided the data.

resultsOlder adults reported a high rate of approval of PST procedures and acknowledged its positive treatment effect. Tele-PST participants were satisfied with videoconferenced sessions because they were convenient and allowed them to see their therapist. However, CMs reported that only about 10%-20% of potentially eligible older adults gave oral consent for PST. Significant treatment engagement barriers were the older adults' lack of motivation, denial of depression, perceived stigma, and other personal attitudinal factors. IMPLICATIONS: The real-world implementation of tele-PST or other psychotherapies needs to include educating and motivating depressed homebound elders to recognize their depression and accept treatment.

Indexed as

AgingProblem SolvingAgedAged, 80 and overDepressionFemaleFollow-Up StudiesHomebound PersonsHumansMaleMiddle AgedPovertyPsychiatric Status Rating ScalesPsychotherapyTelemedicineTime FactorsAcceptanceTelepsychotherapyTreatment engagement

Identifiers

PMID23929664
PMCPMC4155450

What OpenQuestion holds

Textmetadata
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.