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A home-based intervention to reduce depressive symptoms and improve quality of life in older African Americans: a randomized trial

TitleA home-based intervention to reduce depressive symptoms and improve quality of life in older African Americans: a randomized trial
Publication TypeJournal Article
Year of Publication2013
AuthorsGitlin, LN, Harris, LF, McCoy, MC, Chernett, NL, Pizzi, LT, Jutkowitz, E, Hess, E, Hauck, WW
JournalAnn Intern MedAnn Intern MedAnn Intern Med
Volume159
Pagination243-52
Date PublishedAug 20
ISBN Number1539-3704 (Electronic)<br/>0003-4819 (Linking)
Accession Number24026257
KeywordsAffect, African Americans, Aged, Anxiety, Depression/ ethnology/ therapy, Female, Home Care Services, Humans, Male, Middle Aged, Quality of Life, Single-Blind Method, Waiting Lists
AbstractBACKGROUND: Effective care models for treating older African Americans with depressive symptoms are needed. OBJECTIVE: To determine whether a home-based intervention alleviates depressive symptoms and improves quality of life in older African Americans. DESIGN: Parallel, randomized trial stratified by recruitment site. Interviewers assessing outcomes were blinded to treatment assignment. (ClinicalTrials.gov: NCT00511680). SETTING: A senior center and participants' homes from 2008 to 2010. PATIENTS: African Americans aged 55 years or older with depressive symptoms. INTERVENTION: A multicomponent, home-based intervention delivered by social workers or a wait-list control group that received the intervention at 4 months. MEASUREMENTS: Self-reported depression severity at 4 months (primary outcome) and depression knowledge, quality of life, behavioral activation, anxiety, function, and remission at 4 and 8 months. RESULTS: Of 208 participants (106 and 102 in the intervention and wait-list groups, respectively), 182 (89 and 93, respectively) completed 4 months and 160 (79 and 81, respectively) completed 8 months. At 4 months, participants in the intervention group showed reduced depression severity (difference in mean change in Patient Health Questionnaire-9 score from baseline, -2.9 [95% CI, -4.6 to -1.2]; difference in mean change in Center for Epidemiologic Studies Depression Scale score from baseline, -3.7 [CI, -5.4 to -2.1]); improved depression knowledge, quality of life, behavioral activation, and anxiety (P
Short TitleAnnals of internal medicineAnnals of internal medicine
Alternate JournalAnnals of internal medicine
Ethno Med: