Trial reportJournal of the American Geriatrics Society2014
Factors mediating the effects of a depression intervention on functional disability in older African Americans.
Trial report in Journal of the American Geriatrics Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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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.
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.
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Who cites it
6 citing papers in PubMed, 21 citations in OpenAlex.
- Bidirectional, longitudinal associations between depressive symptoms and IADL/ADL disability in older adults in China: a national cohort study.BMC geriatrics · 2024Article
- Participatory development of a home-based depression care model with lived experience older Nigerians and their caregivers: A theory of change.International journal of geriatric psychiatry · 2023Article
- Association of the cumulative burden of late-life anxiety and depressive symptoms with functional impairment.International journal of geriatric psychiatry · 2020Article
- Symptomatic and Functional Recovery From Major Depressive Disorder in the Ibadan Study of Ageing.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2018Article
- A Cross-Disciplinary Successful Aging Intervention and Evaluation: Comparison of Person-to-Person and Digital-Assisted Approaches.International journal of environmental research and public health · 2018Article
- The importance of disability as a health issue for mid-life women.Women's midlife health · 2015Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
objectivesTo determine factors mediating the effects of a depression intervention for older African Americans on functional disability and, secondarily, whether functional improvements mediate intervention effects on depressive symptoms.
designStructural equation modeling to examine mediators in a secondary analysis of a randomized trial with 4-month follow-up.
settingPhiladelphia region.
participantsCommunity-dwelling African Americans (≥55) with depressive symptoms living in an urban area (N = 208).
interventionUp to 10 one-hour sessions over 4 months conducted by licensed social workers who provided care management, referrals and linkages, stress reduction techniques, depression knowledge and symptom recognition, and behavioral activation techniques. MEASUREMENTS: Main outcome was self-reported functional difficulty level for 18 basic activities. Mediators included depression severity (Patient Health Questionnaire), depression knowledge and symptom recognition, behavioral activation, and anxiety.
resultsAt 4 months, the intervention had positive effects on functional difficulty and all mediators (P < .001). Separate structural equation models indicated that two factors (reduced depressive symptoms (23.5% mediated) and improved depression knowledge and symptom recognition (52.9% mediated)) significantly mediated the intervention's effect on functional disability. Enhancing behavioral activation and decreasing anxiety were not found to mediate improvements in functional disability. The two significant mediators jointly explained 62.5% of the intervention's total effect on functional disability. Functional improvement was not found to mediate the intervention's effect on depressive symptoms.
conclusionThis multicomponent depression intervention for African Americans has an effect on functional disability that is driven primarily by enhancing symptom recognition and decreasing depressive symptoms. Reduction of functional difficulties did not account for improvements in depressive symptoms. Nonpharmacological treatments for depressive symptoms that enhance symptom recognition in older African Americans can also reduce their functional difficulties with daily living activities.
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