ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2015
Barriers to Mental Health Treatment in Rural Older Adults.
Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05019053 (Acceptability/Feasibility of COVID-19 Intervention of a Virtual Group Intervention for COVID-19 Distress), which is not on this map. Cited by 66 papers, 3 of them syntheses that pooled 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.
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.
Acceptability/Feasibility of COVID-19 Intervention of a Virtual Group Intervention for COVID-19 Distress
Who cites it
66 citing papers in PubMed, 3 syntheses or guidelines pooled it, 165 citations in OpenAlex.
- The effects of dance interventions on physical function and quality of life among middle-aged and older adults: A systematic review.PloS one · 2024Pooled it
- Barriers and facilitators of older adults for professional mental health help-seeking: a systematic review.BMC geriatrics · 2023Pooled it
- Older People's Help-Seeking Behaviors in Rural Contexts: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Hybrid type 1 randomized controlled trial of technology-assisted stepped care behavioral health intervention for caregivers and children following pediatric traumatic injury.Contemporary clinical trials · 2026Trial
- Problem Adaptation Therapy for Older Adults with Chronic Pain and Negative Emotions in Primary Care (PATH-Pain): A Randomized Clinical Trial.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2025Trial
- Reasons for refusing referrals and challenges to effectual engagement in tele-treatment for depression among low-income homebound older adults.Aging & mental health · 2022Trial
- Facilitator Contact, Discussion Boards, and Virtual Badges as Adherence Enhancements to a Web-Based, Self-guided, Positive Psychological Intervention for Depression: Randomized Controlled Trial.Journal of medical Internet research · 2021Trial
- Adherence to Depression Treatment in Primary Care: A Randomized Clinical Trial.JAMA psychiatry · 2017Trial
- Long-Term Effects of Telephone-Delivered Psychotherapy for Late-Life GAD.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2017Trial
- Prevalence, Correlates, and Treatment of Major Depression Among Community-Dwelling Adults Aged ≥50 in the US.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026Article
- Integration of Behavioral Health by Community Health Workers Into a Lifestyle Intervention That Addresses Reduction of Risk for Cardiovascular Disease in Rural Communities.Preventing chronic disease · 2026Article
- Early Evidence of Geographic Variation in Medicare Participation Among Newly Eligible Mental Health Providers Following the 2024 Coverage Expansion.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- How Can Community Paramedics Help in Addressing Mental Health for Vulnerable Australians?The Australian journal of rural health · 2026Article
- County-level social determinants of health and suicide mortality trends among formerly incarcerated persons in North Carolina, 2010-2018.Health & justice · 2026Article
- Rural-Urban Suicide Mortality Disparities in High-Burden U.S. States: An Intersectional Analysis.Healthcare (Basel, Switzerland) · 2026Article
- Prevalence and related influencing factors of depression symptoms among empty-nest elderly in China.Scientific reports · 2026Article
- Assessing the Incremental Health Care Utilization and Expenditures Associated With Serious Psychological Distress by Living Arrangements Among Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025Article
- Quantifying age-related disparities in outpatient psychotherapy utilization: a representation quotient analysis of routine data from 29 university clinics in Germany.BMC health services research · 2025Article
- Validation of the Effectiveness of a Behavioral Activation-Based Digital App for Treatment of Depressive Symptoms: A Randomized Controlled Trial.Behavioral sciences (Basel, Switzerland) · 2025Article
- Older adults' perceptions and needs regarding mental health WeChat applet: a qualitative study.BMC psychiatry · 2025Article
6 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectivesThe purpose of this study was to identify the barriers to seeking mental health treatment experienced by rural older adults. We also examined if barriers differed by age and worry severity.
methodsParticipants were 478 rural older adults responding to a flyer for a psychotherapy intervention study. Interested participants were screened by telephone, and barriers to mental health treatment were assessed. Participants completed a demographic questionnaire and the Penn State Worry Questionnaire-Abbreviated.
resultsThe most commonly reported barrier to treatment was the personal belief that "I should not need help." Other commonly reported barriers included practical barriers (cost, not knowing where to go, distance), mistrust of mental health providers, not thinking treatment would help, stigma, and not wanting to talk with a stranger about private matters. Multivariable analyses indicated that worry severity and younger age were associated with reporting more barriers.
conclusionsMultiple barriers interfere with older adults seeking treatment for anxiety and depression. Older age is associated with fewer barriers, suggesting that the oldest old may have found strategies for overcoming these barriers. Young-old adults may benefit from interventions addressing personal beliefs about mental health and alternative methods of service delivery.
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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.