Evidence map›Paper›PMID 32693614›Full record

ArticleAging & mental health2021

Acceptability and effects of tele-delivered behavioral activation for depression in low-income homebound older adults: in their own words.

Namkee G Choi, Julieta Caamano, Kelly Vences, C Nathan Marti, Mark E Kunik

Registry-linked trialAbstract read
In one paragraph

Article in Aging & mental health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05634317 (Supporting Family Caregivers of People With Dementia and Identifying an Effective Adaptive Intervention to Reduce Their Depressive Symptoms), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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.

NCT05634317 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Supporting Family Caregivers of People With Dementia and Identifying an Effective Adaptive Intervention to Reduce Their Depressive Symptoms: a Sequential Multiple Assignment Randomized Trial

TypeinterventionalSponsorThe Hong Kong Polytechnic UniversityRan2022 to 2025Enrolled136ConditionsDementiaArmsSmartphone delivered Behavioral activation, Smartphone delivered Mindfulness
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  14. Modifying Behavioral Activation to Reduce Social Isolation and Loneliness Among Older Adults.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2021
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  15. Review
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.

Namkee G ChoiSteve Hicks School of Social Work, The University of Texas at Austin, Austin, TX, USA.ORCID 0000-0002-8382-1191
Julieta CaamanoSteve Hicks School of Social Work, The University of Texas at Austin, Austin, TX, USA.
Kelly VencesSteve Hicks School of Social Work, The University of Texas at Austin, Austin, TX, USA.
C Nathan MartiSteve Hicks School of Social Work, The University of Texas at Austin, Austin, TX, USA.ORCID 0000-0002-6743-8512
Mark E KunikHouston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. Debakey VA Medical Center, VA South Central Mental Illness Research, Education and Clinical Center, & Baylor College of Medicine, Houston, TX, USA.ORCID 0000-0002-7349-5521

Funding

Telehealth Treatments for Depression with Low-Income Homebound SeniorsR01MD009675 · NIMHD · UNIVERSITY OF TEXAS AT AUSTIN · PI CHOI, NAMKEE G · 2015 to 2025
$5.3M
NIMHD NIH HHS R01 MD009675
6 · The paper itself

Abstract

objectivesTo examine experiences and perspectives of low-income homebound older adults (

methodsWe used the 11-item Treatment Evaluation Inventory (TEI) to measure participants' acceptability of Tele-BA. We used inductive thematic analysis to explore participants' Tele-BA session goals and activities and unsolicited and solicited comments about their Tele-BA experience.

resultsParticipant's TEI score averaged 70 out of maximum possible 77. The most frequently chosen Tele-BA goals were to improve self-care management of physical and mental health, engage in self-enrichment/self-enjoyment, improve living environment and daily routine, and to increase social connectedness. The themes that emerged from participants' comments about Tele-BA were: (1) benefits of psychoeducation; (2) importance of and gratitude for working with a counselor; (3) benefits of activity planning; (4) understanding of behavior and mood connection; (5) positive effects of increased activity on health and self-enjoyment; (6) sense of being productive and useful from accomplishing goals; (7) hope for the future; and (8) pride in tele-treatment.

conclusionParticipants' comments show that Tele-BA aimed at reinforcing healthy behaviors that improve both physical functioning and mood is well aligned with these older adults' perception of what treatment should be. The findings also provide support for lay counselors' clinical capacity. Given geriatric mental health workforce shortages, lay counselors may be able to effectively supplement existing professional mental health service systems.

Indexed as

DepressionHomebound PersonsAgedHumansMental HealthPovertyTreatment Outcomebehavioral activationdepressionHomebound older adultsmental healthtele-delivery

Identifiers

PMID32693614
PMCPMC7855933

What OpenQuestion holds

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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.