Improving quality of life in diverse rural older adults: a randomized trial of a psychological treatment

Psychology and Aging
Forrest ScoginGrace Kong

Abstract

The efficacy of home-delivered cognitive-behavioral therapy (CBT) in improving quality of life and reducing psychological symptoms in older adults was examined in this study. One hundred thirty-four participants, predominately African American and characterized as primarily rural, low resource, and physically frail, were randomly assigned to either CBT or a minimal support control condition. Results indicate that CBT participants evidenced significantly greater improvements in quality of life and reductions in psychological symptoms. Mediation of treatment through cognitive and behavioral variables was not found despite the acceptable delivery of CBT by research therapists. These data suggest that treatment can be effective with a disadvantaged sample of older adults and extend efficacy findings to quality of life domains. Creating access to evidence-based treatments through nontraditional delivery is an important continuing goal for geriatric health care.

Citations

Feb 20, 2009·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Jintao ZhangQing Xiong
Aug 5, 2008·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Edward McAuleyKarl R Rosengren
Mar 23, 2011·Psychology and Aging·Forrest ScoginGrace Kong
Jul 27, 2010·Journal of Gerontological Social Work·Fei SunJames D Leeper
Jun 9, 2012·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Andrew PresnellForrest Scogin
Jul 18, 2015·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Forrest ScoginWilliam Chaplin
Feb 5, 2011·Behavior Therapy·Melissa SnarskiJacquelyn Marcinak
Jul 31, 2013·International Journal of Geriatric Psychiatry·Forrest R ScoginAndrew H Presnell
Nov 14, 2015·Aging & Mental Health·Edward Helmes, Bradley G Ward
Dec 18, 2014·Journal of the American Geriatrics Society·Laura N GitlinDavid L Roth
Feb 1, 2010·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Nan Sook ParkRichard M Allman
May 23, 2019·Aging & Mental Health·Martin MorthlandForrest Scogin
Mar 25, 2016·Clinical Gerontologist·Michael A LaRocca, Forrest R Scogin

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