Evidence map›Paper›PMID 24691156›Full record

Trial reportThe journals of gerontology. Series B, Psychological sciences and social sciences2015

BE-ACTIV for depression in nursing homes: primary outcomes of a randomized clinical trial.

Suzanne Meeks, Kimberly Van Haitsma, Ben Schoenbachler, Stephen W Looney

Open access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The journals of gerontology. Series B, Psychological sciences and social sciences, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 6 pooled it
3.3field-weighted citation impact, top 8% 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

21 citing papers in PubMed, 6 syntheses or guidelines pooled it, 93 citations in OpenAlex.

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  19. Honoring Nursing Home Resident Preferences for Recreational Activities to Advance Person-Centered Care.The annals of long-term care : the official journal of the American Medical Directors Association · 2016
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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

4 authors at 2 institutions in 1 country.

Suzanne MeeksDepartment of Psychological and Brain Sciences, University of Louisville, Kentucky. smeeks@louisville.edu.
Kimberly Van HaitsmaPolisher Research Institute, Abramson Center for Jewish Life, North Wales, Pennsylvania.
Ben SchoenbachlerDepartment of Psychiatry and Behavioral Science, University of Louisville, Kentucky.
Stephen W LooneyDepartment of Biostatistics and Epidemiology, Georgia Regents University, Augusta.
Abramson Center for Jewish Life · USUniversity of Louisville · US

Funding

BE-ACTIV: Treating Depression in Nursing HomesR01MH074865 · NIMH · UNIVERSITY OF LOUISVILLE · PI MEEKS, SUZANNE · 2007 to 2011
$2.0M
NIMH NIH HHS 1 R01 MH074865NIMH NIH HHS R01 MH074865
6 · The paper itself

Abstract

objectivesTo report the primary outcomes of a cluster randomized clinical trial of Behavioral Activities Intervention (BE-ACTIV), a behavioral intervention for depression in nursing homes.

methodTwenty-three nursing homes randomized to BE-ACTIV or treatment as usual (TAU); 82 depressed long-term care residents recruited from these nursing homes. BE-ACTIV participants received 10 weeks of individual therapy after a 2-week baseline. TAU participants received weekly research visits. Follow-up assessments occurred at 3- and 6-month posttreatment.

resultsBE-ACTIV group participants showed better diagnostic recovery at posttreatment in intent-to-treat analyses adjusted for clustering. They were more likely to be remitted than TAU participants at posttreatment and at 3-month posttreatment but not at 6 months. Self-reported depressive symptoms and functioning improved in both groups, but there were no significant treatment by time interactions in these variables. DISCUSSION: BE-ACTIV was superior to TAU in moving residents to full remission from depression. The treatment was well received by nursing home staff and accepted by residents. A large proportion of participants remained symptomatic at posttreatment, despite taking one or more antidepressants. The results illustrate the potential power of an attentional intervention to improve self-reported mood and functioning, but also the difficulties related to both studying and implementing effective treatments in nursing homes.

Indexed as

Homes for the AgedNursing HomesAgedAged, 80 and overBehavior TherapyFemaleHumansMaleMiddle AgedRemission InductionTreatment OutcomeClinical trial.DepressionInterventionNursing homes

Identifiers

PMID24691156
PMCPMC4342721
OpenAlexW2109566249

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.