Journal article
Valuation of Life as outcome and mediator of a depression intervention for older African Americans: the Get Busy Get Better Trial
International journal of geriatric psychiatry, v 33(1), pp e31-e39
Jan 2018
PMID: 28401587
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective
Previously, we showed that Get Busy Get Better (GBGB), a 10‐session multicomponent home‐based, behavioral intervention, reduced depressive symptom severity in older African Americans. As appraising the value of life is associated with depressive symptoms, this study examined whether GBGB enhanced positive appraisals of life and if, in turn, this mediated treatment effects on depressive symptoms.
Methods
Data were from a single‐blind parallel randomized trial involving 208 African Americans (≥55 years old) with depressive symptoms (Patient Health Questionnaire, PHQ‐9 ≥5). GBGB involved five components: care management, referral/linkage, stress reduction, depression education, and behavioral activation. A 13‐item Valuation of Life (VOL) scale with two subfactors (optimism and engagement) was examined as an outcome and as mediating GBGB effects on PHQ‐9 scores at 4 months.
Results
Of 208 enrolled African Americans, 180 completed the 4‐month interview (87 = GBGB; 93 = control). At 4 months, compared with wait‐list control group participants, the GBGB group had improved VOL (difference in mean changes from baseline = 4.67, 95% confidence interval 2.53, 6.80). Structural equation models indicated that enhanced VOL mediated a significant proportion of GBGB's impact on depressive symptoms, explaining 71% of its total effect, and its subfactors (optimism, explaining 67%; engagement, 52%).
Conclusion
Valuation of Life appears malleable through an intervention providing resources and activation skills. GBGB's impact on depressive symptoms is attributed in large part to participants' enhanced attachment to life. Attention to VOL as mediator and outcome and the reciprocal relationship between mood and attachment to life is warranted. Copyright © 2017 John Wiley & Sons, Ltd.
Metrics
Details
- Title
- Valuation of Life as outcome and mediator of a depression intervention for older African Americans: the Get Busy Get Better Trial
- Creators
- Laura N. Gitlin - Johns Hopkins UniversityJeanine M. Parisi - Bloomberg (United States)Jin Huang - Johns Hopkins UniversityLaraine Winter - Villanova UniversityDavid L. Roth - Johns Hopkins University
- Publication Details
- International journal of geriatric psychiatry, v 33(1), pp e31-e39
- Publisher
- Wiley
- Number of pages
- 9
- Grant note
- National Institute of Mental Health (RO1 MH 079814)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Nursing and Health Professions; Drexel University
- Web of Science ID
- WOS:000418408100004
- Scopus ID
- 2-s2.0-85017545479
- Other Identifier
- 991020112252804721
UN Sustainable Development Goals (SDGs)
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Geriatrics & Gerontology
- Gerontology
- Psychiatry