Evidence map›Paper›PMID 28401587›Full record

Trial reportInternational journal of geriatric psychiatry2018

Valuation of Life as outcome and mediator of a depression intervention for older African Americans: the Get Busy Get Better Trial.

Laura N Gitlin, Jeanine M Parisi, Jin Huang, Laraine Winter, David L Roth

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of geriatric psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Psychotherapy for older adults with depression: a narrative review.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  2. Positive attributes in elderly people with different degrees of depression: a study based on network analysis.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2023
    Article
  3. Article
  4. Article
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

5 authors at 2 institutions in 1 country.

Laura N GitlinCenter for Innovative Care in Aging School of Nursing, Johns Hopkins University, Baltimore, MD, USA.ORCID http://orcid.org/0000-0003-2869-473X
Jeanine M ParisiPrincipal Faculty, Center for Innovative Care in Aging, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Jin HuangCenter on Aging and Health, Division of Geriatric Medicine and Gerontology, Johns Hopkins University, Baltimore, MD, USA.
Laraine WinterSchool of Nursing, Villanova University, Villanova, PA, USA.
David L RothCenter on Aging and Health, Division of Geriatric Medicine and Gerontology, Johns Hopkins University, Baltimore, MD, USA.
Johns Hopkins University · USVillanova University · US

Funding

Improving Outcomes for Family Caregivers and Older Adults with Complex Conditions: The Adult Day Service Plus ProgramR01AG049692 · NIA · JOHNS HOPKINS UNIVERSITY · PI GAUGLER, JOSEPH E., GITLIN, LAURA N. · 2016 to 2020
$4.9M
Reducing Agitation in Dementia Patients at Home: The Customized Activity TrialR01AG041781 · NIA · JOHNS HOPKINS UNIVERSITY · PI GITLIN, LAURA N. · 2012 to 2017
$3.3M
Treating Depression in African American Elders: A Community-Academic PartnershipR01MH079814 · NIMH · THOMAS JEFFERSON UNIVERSITY · PI GITLIN, LAURA N. · 2007 to 2011
$2.9M
NIA NIH HHS R01 AG041781NIA NIH HHS R01 AG049692NIMH NIH HHS R01 MH079814
6 · The paper itself

Abstract

objectivePreviously, we showed that Get Busy Get Better (GBGB), a 10-session multicomponent home-based, behavioral intervention, reduced depressive symptom severity in older African Americans. As appraising the value of life is associated with depressive symptoms, this study examined whether GBGB enhanced positive appraisals of life and if, in turn, this mediated treatment effects on depressive symptoms.

methodsData were from a single-blind parallel randomized trial involving 208 African Americans (≥55 years old) with depressive symptoms (Patient Health Questionnaire, PHQ-9 ≥5). GBGB involved five components: care management, referral/linkage, stress reduction, depression education, and behavioral activation. A 13-item Valuation of Life (VOL) scale with two subfactors (optimism and engagement) was examined as an outcome and as mediating GBGB effects on PHQ-9 scores at 4 months.

resultsOf 208 enrolled African Americans, 180 completed the 4-month interview (87 = GBGB; 93 = control). At 4 months, compared with wait-list control group participants, the GBGB group had improved VOL (difference in mean changes from baseline = 4.67, 95% confidence interval 2.53, 6.80). Structural equation models indicated that enhanced VOL mediated a significant proportion of GBGB's impact on depressive symptoms, explaining 71% of its total effect, and its subfactors (optimism, explaining 67%; engagement, 52%).

conclusionValuation of Life appears malleable through an intervention providing resources and activation skills. GBGB's impact on depressive symptoms is attributed in large part to participants' enhanced attachment to life. Attention to VOL as mediator and outcome and the reciprocal relationship between mood and attachment to life is warranted. Copyright © 2017 John Wiley & Sons, Ltd.

Indexed as

Home Care ServicesPsychiatric Status Rating ScalesValue of LifeAffectAgedAgingBlack or African AmericanDepressive DisorderFemaleGeriatric AssessmentHumansLife StyleMaleMiddle AgedOutcome Assessment, Health CareSingle-Blind Methodattachment to lifebehavioral treatmentdepressionmediation analysis

Identifiers

PMID28401587
PMCPMC5788279
OpenAlexW2607162584

What OpenQuestion holds

Textmetadata
LicenceTDM
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.