Evidence map›Paper›PMID 28452665›Full record

Trial reportClinical gerontologist

Effects of Home-Delivered Cognitive Behavioral Therapy (CBT) for Depression on Anxiety Symptoms among Rural, Ethnically Diverse Older Adults.

Elizabeth A DiNapoli, Christina M Pierpaoli, Avani Shah, Xin Yang, Forrest Scogin

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical gerontologist. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. 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.

Elizabeth A DiNapolia VA Pittsburgh Healthcare System , Pittsburgh , Pennsylvania , USA.
Christina M Pierpaolic University of Alabama , Tuscaloosa , Alabama , USA.
Avani Shahc University of Alabama , Tuscaloosa , Alabama , USA.
Xin Yangc University of Alabama , Tuscaloosa , Alabama , USA.
Forrest Scoginc University of Alabama , Tuscaloosa , Alabama , USA.

Funding

QUALITY OF LIFE AND OLDER RURAL HEALTH CARE RECIPIENTSR01AG016311 · NIA · UNIVERSITY OF ALABAMA IN TUSCALOOSA · PI SCOGIN, FORREST R · 1999 to 2003
$2.6M
NIA NIH HHS R01 AG016311
6 · The paper itself

Abstract

backgroundWe examined the effects of home-delivered cognitive-behavioral therapy (CBT) for depression on anxiety symptoms in an ethnically diverse, low resource, and medically frail sample of rural, older adults.

methodThis was a secondary analysis of a randomized clincial trial with 134 rural-dwelling adults 65 years and older with decreased quality of life and elevated psychological symptomatology. Anxiety symptoms were assessed with the anxiety and phobic anxiety subscales of the Symptom Checklist-90-Revised (SCL-90-R).

resultsCompared to a minimal support control condition, CBT for depression resulted in significantly greater improvements in symptoms of anxiety and phobic anxiety from pre-treatment to post-treatment.

conclusionHome-delivered CBT for depression can be an effective treatment for anxiety in a hard-to-reach older populations. CLINICAL IMPLICATIONS: Additional research should explore integrated anxiety and depression protocols and other treatment modalities, including bibliotherapy or telehealth models of CBT, to reduce costs associated with its in home delivery. Flexibility in administration and adaptations to the CBT protocol may be necessary for use with vulnerable, rural older adults.

Indexed as

AgedAnxiety DisordersCognitive Behavioral TherapyDepressive DisorderEthnicityFemaleGeriatric AssessmentHumansMaleRural PopulationTelemedicineTreatment OutcomeAnxietyCBThome-delivered interventionrural

Identifiers

PMID28452665
PMCPMC6174534

What OpenQuestion holds

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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.