Technology-Assisted, Group-Based CBT for Rural Adults’ Depression: Open Pilot Trial Results-Reference-Cited by-同舟云学术

Technology-Assisted, Group-Based CBT for Rural Adults’ Depression: Open Pilot Trial Results

Published:2021-10-02 Issue:2 Volume:32 Page:131-145
ISSN:1049-7315
Container-title:Research on Social Work Practice
language:en
Short-container-title:Research on Social Work Practice

Author:

Weaver Addie¹^ORCID,Zhang Anao¹^ORCID,Landry Caroline¹,Hahn Jessica²,McQuown Lynne³,O’Donnell Lisa A.⁴,Harrington Meghan M.¹,Buys Trevor¹,Tucker Katherine M.¹,Pfeiffer Paul⁵⁶,Kilbourne Amy M.⁶⁷⁸,Grogan-Kaylor Andrew¹,Himle Joseph A.¹⁵

Affiliation:

1. University of Michigan School of Social Work, Ann Arbor, MI, USA

2. Trinity Lutheran Church, Hillsdale, MI, USA

3. Jonesville First Presbyterian Church, Jonesville, MI, USA

4. Wayne State University School of Social Work, Detroit, MI, USA

5. Department of Psychiatry, University of Michigan School of Medicine, Ann Arbor, MI, USA

6. Department of Veterans Affairs, Ann Arbor, MI, USA

7. Department of Learning Health Sciences, University of Michigan School of Medicine, Ann Arbor, MI, USA

8. Quality Enhancement Research Initiative, U.S. Department of Veterans Affairs, Washington, DC, USA

Abstract

Purpose: This pilot study assesses the association of Raising Our Spirits Together (ROST), a technology-assisted, group-based cognitive behavioral therapy for depression, with rural adults’ depressive symptoms and anxiety. Method: Nine adults from rural Michigan participated in an open pilot of ROST. Clergy facilitated pilot groups. The pilot began in February 2020 in-person. Due to COVID-19, the pilot was completed virtually. Results: Mean depressive symptom scores, based on the PHQ-9, significantly decreased from pre-treatment ( M = 14.4) to post-treatment ( M = 6.33; t (8) = 6.79; P < .001). Symptom reduction was maintained at 3-month follow-up ( M = 8.00), with a significant pattern of difference in depressive symptoms over time (F(2) = 17.7; P < .001; eta-squared = .689). Similar patterns occurred for anxiety based on the GAD-7. Participants attended an average of 7.33 of 8 sessions. Fidelity ratings were excellent. Discussion: ROST is a potentially feasible intervention for rural adults’ depressive symptoms. ROST offers a promising model for increasing treatment access and building capacity in rural areas.

Funder

National Institute of Mental Health

Publisher

SAGE Publications

Subject

General Psychology,Sociology and Political Science,Social Sciences (miscellaneous)

Link

http://journals.sagepub.com/doi/pdf/10.1177/10497315211044835

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