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About:
PEER COMPANIONSHIP FOR MENTAL HEALTH OF OLDER ADULTS IN PRIMARY CARE: A PRAGMATIC, NON-BLINDED, PARALLEL-GROUP, RANDOMIZED CONTROLLED TRIAL
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wasabi.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
PEER COMPANIONSHIP FOR MENTAL HEALTH OF OLDER ADULTS IN PRIMARY CARE: A PRAGMATIC, NON-BLINDED, PARALLEL-GROUP, RANDOMIZED CONTROLLED TRIAL
Creator
Conwell, Yeates
Ma,
Kaukeinen, Kimberly
Likamwa, Wendy
Ma, Susan
Mcintosh, Wendy
Messing, Susan
Mph, Mcintosh
Phd, Tu
Phd, Xin
Podgorski, Carol
Rowe, Jody
Stone Scd, Deborah
Stone, Deborah
Tu, Xin
Van Orden, Kim
Source
Elsevier; Medline; PMC
abstract
OBJECTIVES: To determine whether peer companionship delivered by an aging services agency to socially-disconnected older adult primary care patients was associated with improvement in suicidal ideation depression, anxiety, and psychological connectedness. DESIGN: Pragmatic, non-blinded, parallel-group, randomized controlled trial comparing peer companionship, The Senior Connection (TSC), to care-as-usual (CAU). SETTING: Lifespan, a non-medical, community-based aging services agency. PARTICIPANTS: Adult primary care patients ages ≥60 years who endorsed feelings of loneliness or being a burden on others. INTERVENTION: TSC was delivered by Lifespan volunteers who provided supportive visits and phone calls in the subjects’ homes. CAU involved no peer companion assignment. MEASUREMENTS: The primary outcome was suicidal ideation assessed by the Geriatric Suicide Ideation Scale; secondary outcomes were depression, anxiety, and feelings of belonging and being a burden on others. Data were collected at baseline, 3-, 6-, and 12-months. RESULTS: Subjects (55% female) had a mean age of 71 years. There was no difference between groups in change in suicidal ideation or belonging. Subjects randomized to TSC had greater reduction in depression (PHQ-9; 2.33 point reduction for TSC vs. 1.32 for CAU, p=0.05), anxiety (GAD-7; TSC 1.52 vs. CAU 0.28, p=0.03), and perceived burden on others (INQ; 0.46 TSC vs. 0.09 CAU, p<0.01). CONCLUSIONS: TSC was superior to CAU for improving depression, anxiety, and perceived burden, but not suicidal ideation. Although effect sizes were small, the low-cost and nationwide availability of peer companionship justify further examination of its effectiveness and scalability in improving mental health outcomes of socially disconnected older adults.
has issue date
2020-06-02
(
xsd:dateTime
)
bibo:doi
10.1016/j.jagp.2020.05.021
bibo:pmid
32586693
has license
no-cc
sha1sum (hex)
6e84d5ad56bfd26779157804a671a389417eafbe
schema:url
https://doi.org/10.1016/j.jagp.2020.05.021
resource representing a document's title
PEER COMPANIONSHIP FOR MENTAL HEALTH OF OLDER ADULTS IN PRIMARY CARE: A PRAGMATIC, NON-BLINDED, PARALLEL-GROUP, RANDOMIZED CONTROLLED TRIAL
has PubMed Central identifier
PMC7266585
has PubMed identifier
32586693
schema:publication
Am J Geriatr Psychiatry
resource representing a document's body
covid:6e84d5ad56bfd26779157804a671a389417eafbe#body_text
is
schema:about
of
named entity 'older adults'
named entity 'mental illness'
named entity 'GAD-7'
named entity 'U.S.'
named entity 'in-home'
named entity 'missing data'
named entity 'social support'
named entity 'social connectedness'
named entity 'social activities'
named entity 'PHQ-9'
named entity 'mental health'
named entity 'effect size'
named entity 'suicide prevention'
named entity 'anxiety'
named entity 'cognitive impairment'
named entity 'Suicide Ideation'
named entity 'Case control studies'
named entity 'oral administration'
named entity 'older adults'
named entity 'suicidal ideation'
named entity 'symptom'
named entity 'suicidal behavior'
named entity 'older adults'
named entity 'social service'
named entity 'depression'
named entity 'older age'
named entity 'Non-medical'
named entity 'informed consent'
named entity 'PHQ-9'
named entity 'social connectedness'
named entity 'health outcomes'
named entity 'instrumental activities of daily living'
named entity 'Corporation for National and Community Service'
named entity 'health care'
named entity 'Patient Health Questionnaire'
named entity 'missing data'
named entity 'region 23'
named entity 'suicidal ideation'
named entity 'Western New York State'
named entity 'WGEE'
named entity 'University of Rochester'
named entity 'social services'
named entity 'Geriatric'
named entity 'primary care'
named entity 'social scientists'
named entity 'older adults'
named entity 'community-based'
named entity 'valid inference'
named entity 'valid inference'
named entity 'WGEE'
named entity 'Mortality risk'
named entity 'emotional distress'
named entity 'INQ'
named entity 'negative outcomes'
named entity 'social connectedness'
named entity 'U.S.'
named entity 'meta-analysis'
named entity 'suicidal ideation'
named entity 'social connections'
named entity 'statistical model'
named entity 'statistical inference'
named entity 'Suicide'
named entity 'depression'
named entity 'suicidal ideation'
named entity 'suicidal ideation'
named entity 'Native American'
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