Journal article
Acceptability and Feasibility of a Pain and Depressive Symptoms Management Intervention in Middle-Aged and Older African American Women
Innovation in aging, v 7(10), pigad096
2023
PMID: 38094930
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background and Objectives The intersection of race, gender, and age puts older African American women at high risk of experiencing comorbid pain and depressive symptoms. The purpose of this study was to assess the feasibility and acceptability of a 12-week behavioral activation intervention to target self-selected goals related to pain and depressive symptoms in middle-aged and older African American women.Research Design and Methods This randomized waitlist control study included 34 self-identified African American women, 50 years of age or older, with moderate-to-severe chronic pain and depressive symptoms. The intervention consisted of 8 in-person or virtual 1-hour visits with a nurse. Follow-up acceptability assessments were conducted with 10 participants.Results The average age of the participants was 64.8 (standard deviation [SD] 10.5). They reported an average pain intensity score of 7.0 (SD 1.9) out of 10 and an average Patient Health Questionnaire-9 depressive symptoms score of 11.9 (SD 4.0) at baseline. Of the 34 participants who consented, 28 (82.4%) women started the intervention and 23 (82.1%) completed the intervention. Participants described the study as useful and beneficial. Participants recommended including a group component in future iterations. Effect sizes at 12 weeks were -0.95 for depressive symptoms indicating a substantial decrease in experienced depressive symptoms, but pain intensity was virtually unchanged (+0.09).Discussion and Implications The findings of this study demonstrate that the intervention is acceptable among middle-aged and older African American women and their personal goals were met. Including a group component and identifying effective ways to decrease attrition rates will be key in the next steps of development for this intervention. It is crucial to provide tailored, nonpharmacological approaches to pain, and depression symptom management in older adult populations who experience inequities in pain and mental health outcomes. This study emphasizes the importance of participant-driven goal-setting interventions.
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Details
- Title
- Acceptability and Feasibility of a Pain and Depressive Symptoms Management Intervention in Middle-Aged and Older African American Women
- Creators
- Janiece L. Taylor (Corresponding Author) - Johns Hopkins UniversityCatherine A. Clair - Johns Hopkins UniversityLaura N. Gitlin - Drexel University, College of Nursing and Health ProfessionsShelbie AtkinsKaren Bandeen-Roche - Johns Hopkins UniversityMartha Abshire Saylor - Johns Hopkins Univ, Johns Hopkins Sch Nursing, Baltimore, MD 21218 USAMelissa deCardi Hladek - Johns Hopkins UniversityTiffany J. Riser - Johns Hopkins UniversityRoland J. Thorpe Jr - Johns Hopkins UniversitySarah L. Szanton - Johns Hopkins University
- Publication Details
- Innovation in aging, v 7(10), pigad096
- Publisher
- Oxford University Press
- Number of pages
- 10
- Grant note
- P30AG021334 / Johns Hopkins University Older Americans Independence Center of the National Institute on Aging Robert Wood Johnson Harold Amos Medical Faculty Program
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Nursing and Health Professions
- Web of Science ID
- WOS:001123944700005
- Scopus ID
- 2-s2.0-85180080716
- Other Identifier
- 991021227516604721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Geriatrics & Gerontology
- Gerontology