Evidence map›Paper›PMID 24501015›Full record

Trial reportDepression and anxiety2014

Six-month postintervention depression and disability outcomes of in-home telehealth problem-solving therapy for depressed, low-income homebound older adults.

Namkee G Choi, C Nathan Marti, Martha L Bruce, Mark T Hegel, Nancy L Wilson, Mark E Kunik

Registry-linked trialOpen access · greenAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Depression and anxiety, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04714164 (Feasibility of Delivering Group Cognitive Behavioral Therapy for Older Adults With Depression and Anxiety by Telehealth), which is not on this map. Cited by 70 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 12 pooled it
12.0field-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.

NCT04714164 naterminatednot on this mapstarted 2021, after this paper: background citation

Feasibility of Delivering Group Cognitive Behavioral Therapy for Older Adults With Depression and Anxiety by Telehealth

TypeinterventionalSponsorNova Scotia Health AuthorityRan2021 to 2023Enrolled5ConditionsMajor Depressive Disorder, Generalized Anxiety Disorder, Social Anxiety Disorder, Panic DisorderArmsGroup Cognitive Behavioral Therapy
3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 12 syntheses or guidelines pooled it, 158 citations in OpenAlex.

  1. Pooled it
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  3. Therapist-guided remote versus in-person cognitive behavioural therapy: a systematic review and meta-analysis of randomized controlled trials.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
    Pooled it
  4. Remote care through telehealth for people with inflammatory bowel disease.The Cochrane database of systematic reviews · 2023
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  5. TelehealthPsychological medicine · 2022
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  18. 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 more citing papers are in PubMed but not listed here.

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

6 authors at 5 institutions in 1 country.

Namkee G ChoiThe University of Texas at Austin, Austin, Texas.
C Nathan Marti
Martha L Bruce
Mark T Hegel
Nancy L Wilson
Mark E Kunik
The University of Texas at Austin · USBaylor College of Medicine · USCornell University · USDartmouth College · USMichael E. DeBakey VA Medical Center · US

Funding

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
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 R01 MH096441NIMH NIH HHS R34 MH083872
6 · The paper itself

Abstract

backgroundDespite their high rates of depression, homebound older adults have limited access to evidence-based psychotherapy. The purpose of this paper was to report both depression and disability outcomes of telehealth problem-solving therapy (tele-PST via Skype video call) for low-income homebound older adults over 6 months postintervention.

methodsA 3-arm randomized controlled trial compared the efficacy of tele-PST to in-person PST and telephone care calls with 158 homebound individuals who were aged 50+ and scored 15+ on the 24-item Hamilton Rating Scale for Depression (HAMD). Treatment effects on depression severity (HAMD score) and disability (score on the WHO Disability Assessment Schedule [WHODAS]) were analyzed using mixed-effects regression with random intercept models. Possible reciprocal relationships between depression and disability were examined with a parallel-process latent growth curve model.

resultsBoth tele-PST and in-person PST were efficacious treatments for low-income homebound older adults; however the effects of tele-PST on both depression and disability outcomes were sustained significantly longer than those of in-person PST. Effect sizes (dGMA-raw ) for HAMD score changes at 36 weeks were 0.68 for tele-PST and 0.20 for in-person PST. Effect sizes for WHODAS score changes at 36 weeks were 0.47 for tele-PST and 0.25 for in-person PST. The results also supported reciprocal and indirect effects between depression and disability outcomes.

conclusionsThe efficacy and potential low cost of tele-delivered psychotherapy show its potential for easy replication and sustainability to reach a large number of underserved older adults and improve their access to mental health services.

Indexed as

Treatment OutcomeAgedAged, 80 and overDepressionDisability EvaluationFemaleFollow-Up StudiesHomebound PersonsHumansMaleMiddle AgedPovertyProblem SolvingPsychotherapyTelemedicineTime Factorsdepressiondisability, tele-psychotherapyhomebound older adults

Identifiers

PMID24501015
PMCPMC4122624
OpenAlexW1909024825

What OpenQuestion holds

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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.