Evidence map›Paper›PMID 23954036›Full record

Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2014

Beat the Blues decreases depression in financially strained older African-American adults.

Sarah L Szanton, Roland J Thorpe, Laura N Gitlin

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Improvements of Disability Outcomes in CAPABLE Older Adults Differ by Financial Strain Status.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    Article
  8. Article
  9. 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

3 authors.

Sarah L SzantonJohns Hopkins University School of Nursing, Baltimore, Maryland. Electronic address: sszanto1@jhu.edu.
Roland J ThorpeJohns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland.
Laura N GitlinJohns Hopkins University School of Nursing, Baltimore, Maryland; Johns Hopkins University School of Medicine, Baltimore, Maryland.

Funding

Treating Depression in African American Elders: A Community-Academic PartnershipR01MH079814 · NIMH · THOMAS JEFFERSON UNIVERSITY · PI GITLIN, LAURA N. · 2007 to 2011
$2.9M
Supporting Mental Health of African American EldersR24MH074779 · NIMH · THOMAS JEFFERSON UNIVERSITY · PI GITLIN, LAURA N. · 2005 to 2009
$2.1M
Cost Effectiveness of a Home Support Program for Depression in Black EldersRC1MH090770 · NIMH · THOMAS JEFFERSON UNIVERSITY · PI GITLIN, LAURA N. · 2009 to 2010
$997k
NIMH NIH HHS R01 MH 079814NIMH NIH HHS R01 MH079814NIMH NIH HHS R24 MH074779NIMH NIH HHS RC1 MH090770NIMH NIH HHS RC1MH090770
6 · The paper itself

Abstract

objectivesFinancial strain, defined as inadequate income to cover basic needs, is related to depression in minority populations. It is unclear whether interventions can improve depression in those reporting financial strain.

designRandomized controlled trial.

settingPhiladelphia senior center.

participantsA total of 208 African-American adults 55 years of age and older with mild to severe depressive symptoms. MEASUREMENTS: Beat the Blues (BTB) depression intervention, which includes care management, referral/linkage, stress reduction, depression education, and behavioral activation. Measurements included responses to the Patient Health Questionnaire-9, financial strain, and age.

resultsAlthough financial strain was related to depressive symptoms at baseline, participants receiving BTB at all levels of financial strain showed reduced depressive symptoms compared with a waitlist control group at 4 months. BTB participants reporting financial strain had a mean (standard deviation) decrease of 6.4 (0.85) points on the Patient Health Questionnaire-9, reflecting a clinically meaningful improvement.

conclusionsThis nonpharmacologic intervention reduced depressive symptoms in both African-American subjects with and without financial strain. However, screening for and helping people manage financial strain may boost the magnitude of intervention benefit for those with financial strain and should be explored as part of depression care.

Indexed as

Cognitive Behavioral TherapyAgedAgingBlack or African AmericanDepressionFemaleHumansMalePovertyAfrican Americansdepressionfinancial strain

Identifiers

PMID23954036
PMCPMC3836900

What OpenQuestion holds

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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.