Evidence map›Paper›PMID 30765288›Full record

Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2019

Video-Delivered Relaxation Intervention Reduces Late-Life Anxiety: A Pilot Randomized Controlled Trial.

Christine E Gould, Brian C Kok, Vanessa K Ma, Julie Loebach Wetherell, Keith Sudheimer, Sherry A Beaudreau

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Christine E GouldPalo Alto Geriatric Research, Education, and Clinical Center (CEG, BCK, VKM), VA Palo Alto Health Care System, Palo Alto, CA; Department of Psychiatry and Behavioral Sciences (CEG, KS, SAB), Stanford University School of Medicine, Stanford, CA. Electronic address: cegould@stanford.edu.
Brian C KokPalo Alto Geriatric Research, Education, and Clinical Center (CEG, BCK, VKM), VA Palo Alto Health Care System, Palo Alto, CA; Pacific Graduate School of Psychology (BCK, VKM), Palo Alto University, Palo Alto, CA.
Vanessa K MaPalo Alto Geriatric Research, Education, and Clinical Center (CEG, BCK, VKM), VA Palo Alto Health Care System, Palo Alto, CA; Pacific Graduate School of Psychology (BCK, VKM), Palo Alto University, Palo Alto, CA.
Julie Loebach WetherellPsychology Service (JLW), VA San Diego Healthcare System, San Diego, CA; Department of Psychiatry (JLW), University of California, San Diego, La Jolla, CA.
Keith SudheimerDepartment of Psychiatry and Behavioral Sciences (CEG, KS, SAB), Stanford University School of Medicine, Stanford, CA.
Sherry A BeaudreauDepartment of Psychiatry and Behavioral Sciences (CEG, KS, SAB), Stanford University School of Medicine, Stanford, CA; Mental Illness Research Education and Clinical Center (SAB), VA Palo Alto Health Care System, Palo Alto, CA.

Funding

Reducing Anxiety and Improving Functioning in Older VeteransIK2RX001478 · VA · VETERANS ADMIN PALO ALTO HEALTH CARE SYS · PI GOULD, CHRISTINE E. · 2015 to 2020
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Intramural VA VA999999RRD VA IK2 RX001478
6 · The paper itself

Abstract

objectiveThe study's aim was to demonstrate the feasibility and preliminary efficacy of a 4-week video-delivered relaxation program called Breathing, Relaxation, and Education for Anxiety Treatment in the Home Environment (BREATHE) for reducing anxiety and increasing activity engagement in older adults with anxiety disorders.

methodsThis was an 8-week pilot randomized controlled trial performed as outpatient and self-directed learning at home among 40 community-dwelling adults aged 60years or older who met criteria for an anxiety disorder (generalized anxiety disorder, social anxiety disorder, panic disorder, agoraphobia, or anxiety disorder unspecified). The study looked at the BREATHE intervention compared with a wait list control condition. The primary outcome measure was anxiety symptoms (Geriatric Anxiety Scale). Secondary outcomes included activity engagement (modified Activity Card Sort), depressive symptoms (Patient Health Questionnaire), and somatic symptoms (Somatic Symptom Scale).

resultsIn linear mixed-effects models, findings indicated a significant reduction in anxiety symptoms. There was no significant effect of group on activity engagement. Results also showed significant reductions in depressive and somatic symptoms associated with the BREATHE intervention compared with wait list.

conclusionOur findings demonstrate feasibility and preliminary efficacy for this brief video-delivered relaxation intervention and suggest that older adults can benefit from technology-delivered interventions with minimal provider contact. Although activity engagement did not improve, lessons learned suggest that targeted coaching around activity goals may help target this outcome.

Indexed as

AgedAged, 80 and overAnxiety DisordersFemaleHumansMaleMiddle AgedPilot ProjectsPsychiatric Status Rating ScalesRelaxation TherapySurveys and QuestionnairesVideo RecordingAnxietyrelaxationself-managementworry

Identifiers

PMID30765288
PMCPMC13537017

What OpenQuestion holds

Textmetadata
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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.