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One Year Impact on Social Connectedness for Homebound Older Adults: Randomized Controlled Trial of Tele-delivered Behavioral Activation Versus Tele-delivered Friendly Visits.


ABSTRACT:

Objectives

Lonely and socially isolated homebound older participants of a randomized trial comparing behavioral activation (BA) versus friendly visiting, both delivered by lay counselors using tele-videoconferencing, were reassessed at 1-year to determine whether benefits at 12 weeks were maintained over time.

Methods

The study reinterviewed 64/89 (71.9%) participants.

Results

The positive 12-week impact of tailored BA on 3 indicators of social connectedness (loneliness, social interaction and satisfactions with social support) was maintained, albeit to a lesser degree, over 1 year. The positive impact on depressive symptoms and disability was also maintained.

Conclusions

The intervention's potential reach and scalability are suggested by several factors: participants were recruited by home delivered meals programs during routine assessments; the intervention was brief and delivered by lay counselors; care delivery by tele-videoconferencing is increasingly common. The 1 year outcomes indicate that brief BA delivered by tele-video conferencing can have an enduring impact on social connectedness.

SUBMITTER: Bruce ML 

PROVIDER: S-EPMC8286332 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature

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Publications

One Year Impact on Social Connectedness for Homebound Older Adults: Randomized Controlled Trial of Tele-delivered Behavioral Activation Versus Tele-delivered Friendly Visits.

Bruce Martha L ML   Pepin Renee R   Marti C Nathan CN   Stevens Courtney J CJ   Choi Namkee G NG  

The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry 20210516 8


<h4>Objectives</h4>Lonely and socially isolated homebound older participants of a randomized trial comparing behavioral activation (BA) versus friendly visiting, both delivered by lay counselors using tele-videoconferencing, were reassessed at 1-year to determine whether benefits at 12 weeks were maintained over time.<h4>Methods</h4>The study reinterviewed 64/89 (71.9%) participants.<h4>Results</h4>The positive 12-week impact of tailored BA on 3 indicators of social connectedness (loneliness, so  ...[more]

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