FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4386953693> ?p ?o ?g. }

• W4386953693 abstract "<sec> <title>BACKGROUND</title> Depression is the most prevalent mental health condition among older adults. While evidence-supported treatments are available, not all are easily accessible. Web-delivered cognitive-behavioral therapy (wCBT) facilitated by laypersons presents a viable treatment alternative. </sec> <sec> <title>OBJECTIVE</title> This study evaluates the efficacy of a novel wCBT program, Empower@Home, supported by trained lay coaches, against a waitlist attention control in a randomized controlled trial. Empower@Home is among the very few existing wCBT programs designed specifically for older adults. The primary objective assesses the efficacy of the intervention compared to attention control. The secondary objective evaluates the program’s impact on secondary psychosocial outcomes and explores potential change mechanisms. </sec> <sec> <title>METHODS</title> Older adults (N = 70) were randomly assigned to either the intervention or control group following a 1:1 allocation ratio. The intervention group received access to Empower@Home, which included 9 web-delivered self-help lessons and weekly telephone coaching sessions by a layperson over 10 weeks. The control group received weekly friendly phone calls and depressive symptoms monitoring. The primary clinical outcome was the severity of depressive symptoms assessed using the Patient Health Questionnaire (PHQ-9). Secondary clinical outcomes included anxiety, anger, social isolation, insomnia, pain intensity, and quality of life. Linear mixed modeling was used to determine the treatment effects on depression, and t-tests were used to assess within-group changes and between-group differences. </sec> <sec> <title>RESULTS</title> Most participants in the intervention group completed all 9 sessions (n = 31, 89%). Usability and acceptability ratings were excellent. The intervention group had a large within-group change in depressive symptoms (Cohen’s d = 1.22, p < .001), whereas the attention control group experienced a medium change (Cohen’s d = .57, p < .001). The between-group effect size was significant, favoring the intervention over the control (Cohen’s d = .72, p < .001). In the linear mixed model, group-by-time interaction was statistically significant (b = -.68, 95% CI [ -1.00, -.35], p < .001). The treatment effects were mediated by improvements in CBT skills acquisition, behavioral activation, and satisfaction with the basic psychological needs of autonomy, competence, and relatedness. Furthermore, the intervention group had significant within-group improvements in secondary psychosocial outcomes, including anxiety, anger, social isolation, insomnia, and pain. In contrast, the control group did not experience significant changes in these outcome domains. However, the between-group differences in secondary outcomes were not statistically significant due to the small sample size. </sec> <sec> <title>CONCLUSIONS</title> Empower@Home, a wCBT program supported by lay coaches, was more efficacious in reducing depressive symptoms than friendly telephone calls and depression symptom monitoring. Future studies should examine the effectiveness of the intervention in community and practice settings, utilizing non-clinician staff already present in these real-world settings as coaches. </sec> <sec> <title>CLINICALTRIAL</title> ClinicalTrials.gov. NCT05593276. Registered on 24 October 2022. https://clinicaltrials.gov/ct2/show/NCT05593276 </sec> <sec> <title>INTERNATIONAL REGISTERED REPORT</title> RR2-10.2196/44210 </sec>" @default.
• W4386953693 created "2023-09-23" @default.
• W4386953693 creator A5035983437 @default.
• W4386953693 creator A5062296919 @default.
• W4386953693 creator A5069558966 @default.
• W4386953693 creator A5072218068 @default.
• W4386953693 creator A5089202034 @default.
• W4386953693 date "2023-09-21" @default.
• W4386953693 modified "2023-09-29" @default.
• W4386953693 title "Layperson-Supported, Web-delivered Cognitive-behavioral Therapy for Older Adults with Depression: A Randomized Controlled Trial (Preprint)" @default.
• W4386953693 cites W1878602894 @default.
• W4386953693 cites W1970246626 @default.
• W4386953693 cites W1974017051 @default.
• W4386953693 cites W1979217435 @default.
• W4386953693 cites W1986334160 @default.
• W4386953693 cites W1999882722 @default.
• W4386953693 cites W2004008986 @default.
• W4386953693 cites W2013791534 @default.
• W4386953693 cites W2017517475 @default.
• W4386953693 cites W2043705607 @default.
• W4386953693 cites W2047796742 @default.
• W4386953693 cites W2055591956 @default.
• W4386953693 cites W2056813394 @default.
• W4386953693 cites W2057468507 @default.
• W4386953693 cites W2082850379 @default.
• W4386953693 cites W2084940969 @default.
• W4386953693 cites W2096119912 @default.
• W4386953693 cites W2104522373 @default.
• W4386953693 cites W2105568547 @default.
• W4386953693 cites W2122517769 @default.
• W4386953693 cites W2148093748 @default.
• W4386953693 cites W2159516675 @default.
• W4386953693 cites W2163932187 @default.
• W4386953693 cites W2170728205 @default.
• W4386953693 cites W2414638899 @default.
• W4386953693 cites W2473786944 @default.
• W4386953693 cites W2480604618 @default.
• W4386953693 cites W2592214867 @default.
• W4386953693 cites W2607282171 @default.
• W4386953693 cites W2610403891 @default.
• W4386953693 cites W2760441837 @default.
• W4386953693 cites W2775282581 @default.
• W4386953693 cites W2790198332 @default.
• W4386953693 cites W2795274753 @default.
• W4386953693 cites W2809258727 @default.
• W4386953693 cites W2924616237 @default.
• W4386953693 cites W2945409099 @default.
• W4386953693 cites W3081527212 @default.
• W4386953693 cites W3098536600 @default.
• W4386953693 cites W3132202418 @default.
• W4386953693 cites W3183286355 @default.
• W4386953693 cites W3202728264 @default.
• W4386953693 cites W3206208894 @default.
• W4386953693 cites W3213740945 @default.
• W4386953693 cites W4200088285 @default.
• W4386953693 cites W4232297861 @default.
• W4386953693 cites W4313433335 @default.
• W4386953693 cites W4362737643 @default.
• W4386953693 cites W4382065694 @default.
• W4386953693 doi "https://doi.org/10.2196/preprints.53001" @default.
• W4386953693 hasPublicationYear "2023" @default.
• W4386953693 type Work @default.
• W4386953693 citedByCount "0" @default.
• W4386953693 crossrefType "posted-content" @default.
• W4386953693 hasAuthorship W4386953693A5035983437 @default.
• W4386953693 hasAuthorship W4386953693A5062296919 @default.
• W4386953693 hasAuthorship W4386953693A5069558966 @default.
• W4386953693 hasAuthorship W4386953693A5072218068 @default.
• W4386953693 hasAuthorship W4386953693A5089202034 @default.
• W4386953693 hasConcept C118552586 @default.
• W4386953693 hasConcept C134362201 @default.
• W4386953693 hasConcept C141071460 @default.
• W4386953693 hasConcept C150966472 @default.
• W4386953693 hasConcept C15744967 @default.
• W4386953693 hasConcept C159110408 @default.
• W4386953693 hasConcept C168563851 @default.
• W4386953693 hasConcept C17744445 @default.
• W4386953693 hasConcept C1862650 @default.
• W4386953693 hasConcept C199539241 @default.
• W4386953693 hasConcept C2779363792 @default.
• W4386953693 hasConcept C2779951463 @default.
• W4386953693 hasConcept C2780477327 @default.
• W4386953693 hasConcept C2780665704 @default.
• W4386953693 hasConcept C2781265626 @default.
• W4386953693 hasConcept C542102704 @default.
• W4386953693 hasConcept C558461103 @default.
• W4386953693 hasConcept C67597806 @default.
• W4386953693 hasConcept C70410870 @default.
• W4386953693 hasConcept C71924100 @default.
• W4386953693 hasConceptScore W4386953693C118552586 @default.
• W4386953693 hasConceptScore W4386953693C134362201 @default.
• W4386953693 hasConceptScore W4386953693C141071460 @default.
• W4386953693 hasConceptScore W4386953693C150966472 @default.
• W4386953693 hasConceptScore W4386953693C15744967 @default.
• W4386953693 hasConceptScore W4386953693C159110408 @default.
• W4386953693 hasConceptScore W4386953693C168563851 @default.
• W4386953693 hasConceptScore W4386953693C17744445 @default.
• W4386953693 hasConceptScore W4386953693C1862650 @default.
• W4386953693 hasConceptScore W4386953693C199539241 @default.
• W4386953693 hasConceptScore W4386953693C2779363792 @default.

• next