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Journal article
PROBLEM-SOLVING TRAINING IN VA HOME BASED PRIMARY CARE TO REDUCE STRESS AND IMPROVE QUALITY OF LIFE
Innovation in aging, v 2(Suppl 1), pp 38-38
11 Nov 2018
Abstract
Veterans in Home-Based Primary Care (HBPC) face substantial physical, cognitive, and/or mental health challenges. Problem-solving therapy approaches have empirical support for improving distress among older adults and primary care patients. This evaluation examined the effectiveness of a 6-session Problem-Solving Training (PST) intervention with 167 HBPC-enrolled Veterans, 40 to 94 years old, between 2014 and 2016. From baseline to post-intervention, Veterans reported significantly reduced depressive symptoms on the Patient Health Questionnaire 9-item, t(141) = 6.39, p < .001, d = .54, and significantly improved quality of life on the WHO Quality of Life-BREF in physical health, t(137) = -6.00, p < .001, d = .51, psychological, t(137) = -4.41, p < .001, d = .38, and environmental domains, t(137) = -3.33, p<.01, d = .28. Clinicians and Veterans reported high satisfaction with the program. Findings support ongoing dissemination and implementation of PST-HBPC and potential for its use in non-VA home-care settings.
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Details
- Title
- PROBLEM-SOLVING TRAINING IN VA HOME BASED PRIMARY CARE TO REDUCE STRESS AND IMPROVE QUALITY OF LIFE
- Creators
- S A Beaudreau - VA Palo Alto Health Care SystemJ Wetherell - University of California, San DiegoJ Funderburk - Syracuse VA Medical CenterA Aspnes - American Board of Professional PsychologyAnn Aspnes - American Board of Professional PsychologyC Maguth Nezu - Sierra Pacific MIRECC, VA Palo Alto Healthcare System, Palo Alto, California, United States University of California, San Diego, CA, USA Center for Integrated Health Care at the Syracuse VA, Syracuse, NY, USA ABPP ABPP, Problem Solving Training Program, VACO OMHSP/VISN 6 MIRECC, Baltimore, MD, USA ABPP, Department of Psychology, Drexel University, Philadelphia, PA, USA ABPP,Office of Mental Health and Suicide Prevention, VA Central Office, Washington, DC, USAA M Nezu - Sierra Pacific MIRECC, VA Palo Alto Healthcare System, Palo Alto, California, United States University of California, San Diego, CA, USA Center for Integrated Health Care at the Syracuse VA, Syracuse, NY, USA ABPP ABPP, Problem Solving Training Program, VACO OMHSP/VISN 6 MIRECC, Baltimore, MD, USA ABPP, Department of Psychology, Drexel University, Philadelphia, PA, USA ABPP,Office of Mental Health and Suicide Prevention, VA Central Office, Washington, DC, USAM Karel - American Board of Professional Psychology
- Publication Details
- Innovation in aging, v 2(Suppl 1), pp 38-38
- Publisher
- Oxford University Press
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Psychological and Brain Sciences (Psychology); College of Medicine
- Other Identifier
- 991019222774804721