Evidence map›Paper›PMID 24026257›Full record

Trial reportAnnals of internal medicine2013

A home-based intervention to reduce depressive symptoms and improve quality of life in older African Americans: a randomized trial.

Laura N Gitlin, Lynn Fields Harris, Megan C McCoy, Nancy L Chernett, Laura T Pizzi, Eric Jutkowitz, Edward Hess, Walter W Hauck

2 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of internal medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 pooled it
5.2field-weighted citation impact, top 5% 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.

NCT00511680 phase3completednot on this map

Treating Depression in African American Elders: A Community-Academic Partnership

TypeinterventionalSponsorThomas Jefferson UniversityRan2008 to 2012Enrolled192ConditionsDepression, Stress Reduction, Behavioral Activation TreatmentArmsBehavioral Based In-Home Intervention
NCT03239665 nacompletednot on this mapstarted 2017, after this paper: background citation

Randomized Trial of Peer-to-Peer Versus Pharmacist Education to Improve Older Adults' Vaccination Knowledge Through the Senior Center Model of Care

TypeinterventionalSponsorRutgers, The State University of New JerseyRan2017 to 2019Enrolled335ConditionsInfectious Disease, Pneumonia, Bacterial, Influenza, ZosterArmsPharmacist-led Intervention (PHARM), Peer-led Intervention (PEER)
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 54 citations in OpenAlex.

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  6. 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
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  10. 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
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  15. Association Between Prehip Fracture Antidepressant Use and Posthip Fracture Length of Hospital Stay in Medicare Beneficiaries and Assessing Sex Differences.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2025
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  20. Perceived discrimination and health-related quality-of-life: gender differences among older African Americans.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2017
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Laura N Gitlin
Lynn Fields Harris
Megan C McCoy
Nancy L Chernett
Laura T Pizzi
Eric Jutkowitz
Edward Hess
Walter W Hauck
Johns Hopkins University · USUniversity of Minnesota System · USThomas Jefferson University · US

Funding

Treating Depression in African American Elders: A Community-Academic PartnershipR01MH079814 · NIMH · THOMAS JEFFERSON UNIVERSITY · PI GITLIN, LAURA N. · 2007 to 2011
$2.9M
NIMH NIH HHS R01 MH079814NIMH NIH HHS R01MH079814
6 · The paper itself

Abstract

backgroundEffective care models for treating older African Americans with depressive symptoms are needed.

objectiveTo determine whether a home-based intervention alleviates depressive symptoms and improves quality of life in older African Americans.

designParallel, randomized trial stratified by recruitment site. Interviewers assessing outcomes were blinded to treatment assignment. (ClinicalTrials.gov: NCT00511680).

settingA senior center and participants' homes from 2008 to 2010. PATIENTS: African Americans aged 55 years or older with depressive symptoms.

interventionA multicomponent, home-based intervention delivered by social workers or a wait-list control group that received the intervention at 4 months. MEASUREMENTS: Self-reported depression severity at 4 months (primary outcome) and depression knowledge, quality of life, behavioral activation, anxiety, function, and remission at 4 and 8 months.

resultsOf 208 participants (106 and 102 in the intervention and wait-list groups, respectively), 182 (89 and 93, respectively) completed 4 months and 160 (79 and 81, respectively) completed 8 months. At 4 months, participants in the intervention group showed reduced depression severity (difference in mean change in Patient Health Questionnaire-9 score from baseline, -2.9 [95% CI, -4.6 to -1.2]; difference in mean change in Center for Epidemiologic Studies Depression Scale score from baseline, -3.7 [CI, -5.4 to -2.1]); improved depression knowledge, quality of life, behavioral activation, and anxiety (P < 0.001); and improved function (P = 0.014) compared with wait-list participants. More intervention than wait-list participants entered remission at 4 months (43.8% vs. 26.9%). After treatment, control participants showed benefits similar in magnitude to those of participants in the initial intervention group. Those in the initial intervention group maintained benefits at 8 months. LIMITATION: The study had a small sample, short duration, and differential withdrawal rate.

conclusionA home-based intervention delivered by social workers could reduce depressive symptoms and enhance quality of life in most older African Americans. PRIMARY FUNDING SOURCE: National Institute of Mental Health.

Indexed as

Black or African AmericanHome Care ServicesAffectAgedAnxietyDepressionFemaleHumansMaleMiddle AgedQuality of LifeSingle-Blind MethodWaiting Lists

Identifiers

PMID24026257
PMCPMC4091662
OpenAlexW1991083845

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.