Evidence map›Paper›PMID 30795944›Full record

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

Depression Agency-Based Collaborative: Effect of Problem-Solving Therapy on Risk of Common Mental Disorders in Older Adults With Home Care Needs.

Steven M Albert, Jennifer King, Stewart Anderson, Mary Amanda Dew, Jun Zhang, Sarah T Stahl, Jordan F Karp, Ariel G Gildengers, Meryl A Butters, Charles F Reynolds Iii

Open access · greenAbstract readRandomized Controlled Trial
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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Article
  3. Subjective Sleep Quality and Trajectories of Interleukin-6 in Older Adults.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2021
    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

10 authors at 1 institution in 1 country.

Steven M AlbertDepartment of Behavioral and Community Health Sciences (SMA, JK), Graduate School of Public Health, University of Pittsburgh, Pittsburgh. Electronic address: smalbert@pitt.edu.
Jennifer KingDepartment of Behavioral and Community Health Sciences (SMA, JK), Graduate School of Public Health, University of Pittsburgh, Pittsburgh.
Stewart AndersonDepartment of Biostatistics (SA, MAD, JZ), University of Pittsburgh, Pittsburgh.
Mary Amanda DewDepartment of Biostatistics (SA, MAD, JZ), University of Pittsburgh, Pittsburgh; Department of Psychiatry (MAD, STS, JFK, AGG, MAB, CFR), University of Pittsburgh, Pittsburgh.
Jun ZhangDepartment of Biostatistics (SA, MAD, JZ), University of Pittsburgh, Pittsburgh.
Sarah T StahlDepartment of Psychiatry (MAD, STS, JFK, AGG, MAB, CFR), University of Pittsburgh, Pittsburgh.
Jordan F KarpDepartment of Psychiatry (MAD, STS, JFK, AGG, MAB, CFR), University of Pittsburgh, Pittsburgh.
Ariel G GildengersDepartment of Psychiatry (MAD, STS, JFK, AGG, MAB, CFR), University of Pittsburgh, Pittsburgh.
Meryl A ButtersDepartment of Psychiatry (MAD, STS, JFK, AGG, MAB, CFR), University of Pittsburgh, Pittsburgh.
Charles F Reynolds IiiDepartment of Psychiatry (MAD, STS, JFK, AGG, MAB, CFR), University of Pittsburgh, Pittsburgh.
University of Pittsburgh · US

Funding

UNIVERSITY OF PITTSBURGH CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE: BPCAUL1RR024153 · NCRR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2006 to 2011
$73.9M
University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Caterina Rosano · 2004 to 2026
$28.6M
RESEARCH METHODS COREP30MH090333 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REYNOLDS, CHARLES F. · 2011 to 2015
$8.3M
NCATS NIH HHS UL1 TR000005NCRR NIH HHS UL1 RR024153NIA NIH HHS P30 AG024827NIMH NIH HHS P30 MH090333
6 · The paper itself

Abstract

backgroundInterventions to prevent depression in older adults have mainly focused on young-old ambulatory adults, not on the old-old with disabilities who receive supportive services in their homes.

objectiveThe Depression Agency-Based Collaborative (Dep-ABC) is a single-blind pilot randomized controlled trial assessing the effect of an intervention-development strategy using problem-solving therapy (PST) on the risk of common mental health disorders in this vulnerable population.

methodsThe intervention involved six to eight sessions of PST over 12 weeks. Participants were followed up to 12 months postintervention.

resultsDep-ABC randomized 104 participants-68.4% of eligible and 17.5% of all older adults screened. The proportion of participants with incident major depressive disorder or generalized anxiety disorder was 11.4% in PST and 14.3% in the enhanced usual care control arm. A test of the interaction between time and intervention for anxiety symptoms favored the PST arm (p = 0.04).

conclusionPST did not lower the risk of incident common mental illness but did lower anxiety symptom burden. Apart from low power, the effects of PST may have been blunted by referral for medical and aging services in the enhanced usual care group.

Indexed as

Problem SolvingAgedAged, 80 and overAnxiety DisordersFemaleHome Care ServicesHumansMajor Depressive DisorderMaleMiddle AgedPsychotherapySingle-Blind MethodTreatment OutcomecaregivingDepressiondisabilityolder adultspreventionproblem-solving therapy

Identifiers

PMID30795944
PMCPMC6511292
OpenAlexW2909284427

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.