Evidence map›Paper›PMID 38650489›Full record

ArticlePsychiatric services (Washington, D.C.)2024

Comparative Effectiveness of Clinician- Versus Peer-Supported Problem-Solving Therapy for Rural Older Adults With Depression.

Brooke Hollister, Rebecca Crabb, Patricia Areán

Open access · greenAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.6field-weighted citation impact, top 12% 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

2 citing papers in PubMed, 3 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. 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

3 authors at 1 institution in 1 country.

Brooke HollisterInstitute for Health and Aging, University of California, San Francisco, San Francisco (Hollister, Crabb); Center for Care Research South, Department of Health and Nursing Sciences, University of Agder, Agder, Norway (Hollister); Accelerating the Reach and Impact of Treatments for Youth and Adults With Mental Illness (ALACRITY) Center, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle (Areán).
Rebecca CrabbInstitute for Health and Aging, University of California, San Francisco, San Francisco (Hollister, Crabb); Center for Care Research South, Department of Health and Nursing Sciences, University of Agder, Agder, Norway (Hollister); Accelerating the Reach and Impact of Treatments for Youth and Adults With Mental Illness (ALACRITY) Center, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle (Areán).
Patricia AreánInstitute for Health and Aging, University of California, San Francisco, San Francisco (Hollister, Crabb); Center for Care Research South, Department of Health and Nursing Sciences, University of Agder, Agder, Norway (Hollister); Accelerating the Reach and Impact of Treatments for Youth and Adults With Mental Illness (ALACRITY) Center, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle (Areán).
University of Agder · NO

Funding

Case Management and Problem Solving Therapy for Depressed Older AdultsR01AG043584 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HOLLISTER, BROOKE ANN · 2013 to 2017
$2.5M
NIA NIH HHS R01 AG043584
6 · The paper itself

Abstract

objectiveSelf-guided and peer-supported treatments for depression among rural older adults may address some common barriers to treatment. This pilot study compared the effect on depression of peer-supported, self-guided problem-solving therapy (SG-PST) with case management problem-solving therapy (CM-PST) among older adults in rural California.

methodsOlder adults with depression (N=105) received an introductory PST session with a clinician, followed by 11 sessions of CM-PST with a clinician (N=85) or SG-PST with a peer counselor (N=20).

resultsBoth interventions resulted in clinically significant improvement in depression by week 12. Depression scores in the CM-PST group dropped by 4.1 points more than in the SG-PST group between baseline and week 12 (95% CI=0.99-7.22, p<0.001, Hedges's g=1.08).

conclusionsThe results suggest that peer-supported SG-PST is a viable, acceptable option for rural older adults with depression as a second-line treatment if access to clinicians is limited.

Indexed as

Peer GroupProblem SolvingRural PopulationAgedAged, 80 and overCaliforniaCase ManagementDepressionDepressive DisorderFemaleHumansMaleMiddle AgedPilot ProjectsPsychotherapyGeriatric psychiatryPeer-supported therapy, Problem-solving therapy, Senior peer counselors, DepressionRural older adults

Identifiers

PMID38650489
PMCPMC11366500
OpenAlexW4395044184

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.