Journal article
Delivery Characteristics, Acceptability, and Depression Outcomes of a Home-based Depression Intervention for Older African Americans: The Get Busy Get Better Program
The Gerontologist, v 56(5), pp 956-965
Oct 2016
PMID: 26608333
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To facilitate replication, we examined delivery characteristics, acceptability, and depression outcomes of a home-based intervention, Get Busy Get Better, Helping Older Adults Beat the Blues (GBGB). GBGB, previously tested in a randomized trial, reduced depressive symptoms and enhanced quality of life in African Americans.
A total of 208 African Americans aged above 55 years with Patient Health Questionnaire (PHQ-9) scores ≥5 on two subsequent screenings were randomized to receive GBGB immediately or 4 months later. GBGB involves up to 10 home sessions consisting of care management, referral/linkage, depression education/symptom recognition, stress reduction, and behavioral activation. Interventionists recorded delivery characteristics (dose, intensity) and perceived acceptability of sessions. Baseline and post-tests were used to characterize participants and examine associations between dose/intensity and depression scores. Participant satisfaction and perceived benefits were examined at 8 months.
Of 208 participants, 181 (87%, mean age = 69.6) had treatment data. Of these, 165 (91.2%) had ≥3 treatment sessions (minimal dose). Participants had on average 8.1 sessions (SD = 2.6) for an average of 65.4min (SD = 18.3) each. Behavioral activation and care management were provided the most (average of six sessions for average duration = 17.9 and 22.2min per session respectively), although all participants received each treatment component. GBGB was perceived as highly acceptable and beneficial by interventionists and participants. More sessions and time in program were associated with greater symptom reduction.
GBGB treatment components were highly acceptable to participants. Future implementation and sustainability challenges include staffing, training requirements, reimbursement limitations, competing agency programmatic priorities, and generalizability to other groups.
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Details
- Title
- Delivery Characteristics, Acceptability, and Depression Outcomes of a Home-based Depression Intervention for Older African Americans: The Get Busy Get Better Program
- Creators
- Laura N Gitlin - Johns Hopkins UniversityLynn Fields Harris - Center in the Park, Philadelphia, Pennsylvania.Megan C McCoy - Center in the Park, Philadelphia, Pennsylvania.Edward Hess - University of Colorado DenverWalter W Hauck - Product Innovation and Engineering (United States) (United States, Saint James) - LLC
- Publication Details
- The Gerontologist, v 56(5), pp 956-965
- Publisher
- Oxford University Press
- Grant note
- R01 MH079814 / NIMH NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Nursing and Health Professions; Drexel University
- Web of Science ID
- WOS:000386081600019
- Scopus ID
- 2-s2.0-84994479748
- Other Identifier
- 991020100184204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Gerontology