Background Depression is the most prevalent mental health condition in older adults. However, not all evidence-based treatments are easily accessible. Web-delivered cognitive behavioral therapy (wCBT) facilitated by laypersons a viable treatment alternative. Objective This randomized controlled trial aims to evaluate efficacy of novel wCBT program, Empower@Home, supported trained lay coaches, against waitlist attention control. Empower@Home among very few existing programs specifically...

From August 1977 to October 1978, 23 patients with acute myelogenous leukemia (AML) received induction therapy at Vanderbilt University Hospital. Six died of documented fungal infection, predominantly aspergillus pneumonia; the complete remission rate was only 40%. Based on this experience we began using amphotericin B empirically in any AML patient remaining febrile or having recurrent fever after a week broad spectrum antibiotics. Of 22 treated from 1978 1980, none infection during...

Depression in older adults has serious biological, psychological, and social consequences. Homebound experience a high burden of depression significant barriers to accessing mental health treatments. Few interventions address their specific needs have been developed. Existing treatment modalities can be challenging scale up, are not tailored unique population concerns, require staffing support. Technology-assisted, layperson-facilitated psychotherapy the potential overcome these...

Purpose This study explores the feasibility, acceptability, and treatment outcomes of Empower@Home, a digital cognitive behavioral therapy intervention for geriatric depression. Method Participants with depressive symptoms (PHQ-9 ≥ 5) underwent nine-session remote supported by lay coach ( N = 103). Results Most participants (91%) completed all nine sessions (mean 8.5). According to Treatment Evaluation Inventory, participant attitudes toward program were largely positive. A medium effect in...

Background Homebound older adults are a high-risk group for depression. However, many of them face barriers to accessing evidence-supported mental health treatments. Digital interventions can potentially improve treatment access, but few web-based explicitly tailored depression in adults. Objective This paper describes the development process Empower@Home, web-delivered intervention homebound that is based on cognitive behavioral therapy, and reports outcomes usability studies. Methods...

Depression is common among homebound older adults. Internet-based cognitive behavioral therapy (iCBT) a promising but understudied approach for treating depression adults with disabilities.This study aims to understand the experiences of who participated in pilot feasibility trial an iCBT depression.The participants included 21 generic program that was not specifically designed and 8 home care workers assisted program. Informants completed semistructured individual interviews, which were...

The Geriatric Emergency Care Applied Research (GEAR) Network (1) conducted a scoping review of the current literature on identification and interventions to address elder abuse among patients receiving care in emergency departments (2) used this prioritize research questions for knowledge development. Two guided review: What is effect universal department screening compared targeted or usual practice cases identified, safety outcomes, health utilization?; safety, health, legal, psychosocial...

Dear Editor, The increased number of older adults with mental health needs, combined a shortage geriatric professionals, is growing crisis in American care. ongoi...

completed its first season in late 2023. Its companion show,

Abstract Social isolation poses significant risks to cognitive health in older adults, with isolated individuals facing higher of impairment. However, existing research assumes symmetrical effects increases and decreases social isolation. This study examines the impact changes on cognition using data from National Health Aging Trends Study (2011-2018). was measured a 4-item scale based Berkman Syme’s Network Index, assessed dichotomous classification dementia (no vs possible or probable...

Abstract Background and Objectives Volunteers are the foundation of social service agencies in rural communities, yet limited research exists on their needs challenges. Motivated by multidimensional older voluntarism sustainability framework, this study aims to understand (1) characteristics volunteers, (2) relationships between volunteers’ sense community own aging volunteer retention, (3) unique challenges faced volunteers volunteer-based agencies. Research Design Methods This uses a...

This mixed-methods study examines the acceptability, feasibility, and preliminary effect of a novel, remotely delivered group intervention (Empower@Home: Connected) targeting depression, social isolation, loneliness in older adults (≥ 60).

<sec> <title>BACKGROUND</title> Homebound older adults are a high-risk group for depression. However, many of them face barriers to accessing evidence-supported mental health treatments. Digital interventions can potentially improve treatment access, but few web-based explicitly tailored depression in adults. </sec> <title>OBJECTIVE</title> This paper describes the development process Empower@Home, web-delivered intervention homebound that is based on cognitive behavioral therapy, and...

Abstract The present study examines within-person changes in psychological well-being (PWB) associated with the transition to widowhood. We analyzed 9-wave data collected annually from a probability sample of Medicare beneficiaries. included married respondents at baseline (N=3,711). Five hundred ten respondents, 208 men and 202 women, became widowed survey period. created variables indicate widowhood status, time before since Depressive symptoms measured by PHQ9 positive assessed 6-items...

<sec> <title>BACKGROUND</title> Depression is the most prevalent mental health condition in older adults. However, not all evidence-based treatments are easily accessible. Web-delivered cognitive behavioral therapy (wCBT) facilitated by laypersons a viable treatment alternative. </sec> <title>OBJECTIVE</title> This randomized controlled trial aims to evaluate efficacy of novel wCBT program, Empower@Home, supported trained lay coaches, against waitlist attention control. Empower@Home among...

Abstract Internet-based cognitive behavioral therapy is a cost-effective strategy for meeting older adults’ increased mental health needs, but few existing programs are designed adults. Our team developed Empower@Home using user-centered design and community-engaged approaches. This poster presents results from year 1 of our ongoing uncontrolled trial (NCT05384704). Participants were recruited research volunteer registry, community agency referrals. 104 adults 50+ (M=63) consented started...

Abstract Digital Mental Health Interventions (DMHIs) can potentially improve treatment access for older adults experiencing depression, but few tailored web-based interventions exist. This paper describes the design and development process of a cognitive-behavioral therapy program called Empower@Home reports outcomes from usability evaluation. The was developed in collaboration with community agencies, stakeholders, adults. Development guided by user-centered principles informed multiple...

Abstract This study examines if transitioning from normal to impaired cognitive functioning is associated with changes in social isolation among community-dwelling older adults without impairment at baseline. uses nine waves (2011-2019) of data the National Health and Aging Trends Study (NHATS). The sample (N=8,245) was representative Medicare beneficiary Social measured using a seven-item index that captures range activities network characteristics. Cognitive status assessed through...

Abstract Homebound older adults experience high rates of depression, social isolation, and loneliness, which adversely impacts physical mental well-being. Accessing psychotherapy to address these concerns can be logistically challenging cost prohibitive. This study examined the feasibility preliminary effect a novel group-based internet cognitive-behavioral therapy program called Empower@Home:Connected. The intervention was implemented over nine consecutive weekly sessions in small virtual...

Abstract Adults over the age of 60 tend to have higher well-being than younger adults, and high is associated with a range favorable mental physical health outcomes. Resilience related maintenance in presence challenging circumstances stressors. Chronic conditions are common older adults represent stressor. Using longitudinal data, we address two research questions: 1) Are chronic resilience predictive changes before during Covid-19? 2) Does number interact predicting To answer these...

<sec> <title>BACKGROUND</title> Depression in older adults has serious biological, psychological, and social consequences. Homebound experience a high burden of depression significant barriers to accessing mental health treatments. Few interventions address their specific needs have been developed. Existing treatment modalities can be challenging scale up, are not tailored unique population concerns, require staffing support. Technology-assisted, layperson-facilitated psychotherapy the...

Abstract While self-reported loneliness generally declines after age 65, the likelihood of experiencing chronic illnesses increases. During Covid-19 pandemic, social isolation measures have changed context many people. We address three research questions: 1) What is predictive strength illnesses, relationship quality, and their interaction on loneliness? 2) Has altered experienced relative to pre-pandemic? 3) Was during associated with number prior in 2016? To answer these questions, we...