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Feasibility of Problem Adaption Therapy in a Diverse, Frail Older Adult Population (PATH-MHS)

•What is the primary question addressed by this study? The purpose of this study was to demonstrate the feasibility and effectiveness of Problem Adaptation Therapy (PATH) across a culturally, educationally, and functionally diverse cohort of older adults.•What is the main finding of this study? The... Full description

Journal Title: The American journal of geriatric psychiatry 2021-12-09
Main Author: Ceïde, Mirnova E
Other Authors: Glasgow, Allison , Weiss, Erica F , Stark, Allison , Kiosses, Dimitris , Zwerling, Jessica L
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: England: Elsevier Inc
ID: ISSN: 1064-7481
Link: https://www.ncbi.nlm.nih.gov/pubmed/34974974
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title: Feasibility of Problem Adaption Therapy in a Diverse, Frail Older Adult Population (PATH-MHS)
format: Article
creator:
  • Ceïde, Mirnova E
  • Glasgow, Allison
  • Weiss, Erica F
  • Stark, Allison
  • Kiosses, Dimitris
  • Zwerling, Jessica L
subjects:
  • cognitive impairment
  • Depression
  • diverse recruitment
  • feasibility
  • inclusive
  • older adults
  • problem solving
ispartof: The American journal of geriatric psychiatry, 2021-12-09
description: •What is the primary question addressed by this study? The purpose of this study was to demonstrate the feasibility and effectiveness of Problem Adaptation Therapy (PATH) across a culturally, educationally, and functionally diverse cohort of older adults.•What is the main finding of this study? The PATH-Montefiore Health System (PATH-MHS) was associated with significant decreases in the mean depression, disability, and caregiver stress scores. Neither race/ethnicity, language, education, nor frailty influenced the remission of depression in this cohort.•What is the meaning of the finding? The PATH-MHS model can be easily adapted and disseminated to treat diverse populations to make a significant public health impact. The purpose of the Problem Adaptation Therapy - Montefiore Health System (PATH-MHS) pilot program was to demonstrate the feasibility and effectiveness of PATH across a culturally, educationally, and functionally diverse cohort of older adults. Methods: Clinicians referred 145 participants with depression and cognitive impairment to PATH-MHS. We completed analyses of the change in depression, disability and the association between baseline characteristics and remission of depression. Results: Most participants were Hispanic or Non-Hispanic Black and 54.7% (76) were primary Spanish speakers. Overall, there were significant decreases in the mean PHQ-9 and WHODAS 2.0 scores. In logistic regression models, neither age, education, gender, race/ethnicity, language nor long-term care status was significantly associated with remission of depression. Conclusions: This study demonstrates that we were able to engage a diverse, cognitively impaired, and frail cohort of older adults in PATH-MHS with significant reductions in depression and disability.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 1064-7481
fulltext: fulltext
issn:
  • 1064-7481
  • 1545-7214
url: Link


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description•What is the primary question addressed by this study? The purpose of this study was to demonstrate the feasibility and effectiveness of Problem Adaptation Therapy (PATH) across a culturally, educationally, and functionally diverse cohort of older adults.•What is the main finding of this study? The PATH-Montefiore Health System (PATH-MHS) was associated with significant decreases in the mean depression, disability, and caregiver stress scores. Neither race/ethnicity, language, education, nor frailty influenced the remission of depression in this cohort.•What is the meaning of the finding? The PATH-MHS model can be easily adapted and disseminated to treat diverse populations to make a significant public health impact. The purpose of the Problem Adaptation Therapy - Montefiore Health System (PATH-MHS) pilot program was to demonstrate the feasibility and effectiveness of PATH across a culturally, educationally, and functionally diverse cohort of older adults. Methods: Clinicians referred 145 participants with depression and cognitive impairment to PATH-MHS. We completed analyses of the change in depression, disability and the association between baseline characteristics and remission of depression. Results: Most participants were Hispanic or Non-Hispanic Black and 54.7% (76) were primary Spanish speakers. Overall, there were significant decreases in the mean PHQ-9 and WHODAS 2.0 scores. In logistic regression models, neither age, education, gender, race/ethnicity, language nor long-term care status was significantly associated with remission of depression. Conclusions: This study demonstrates that we were able to engage a diverse, cognitively impaired, and frail cohort of older adults in PATH-MHS with significant reductions in depression and disability.
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subjectcognitive impairment ; Depression ; diverse recruitment ; feasibility ; inclusive ; older adults ; problem solving
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1Copyright © 2021 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.
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abstract•What is the primary question addressed by this study? The purpose of this study was to demonstrate the feasibility and effectiveness of Problem Adaptation Therapy (PATH) across a culturally, educationally, and functionally diverse cohort of older adults.•What is the main finding of this study? The PATH-Montefiore Health System (PATH-MHS) was associated with significant decreases in the mean depression, disability, and caregiver stress scores. Neither race/ethnicity, language, education, nor frailty influenced the remission of depression in this cohort.•What is the meaning of the finding? The PATH-MHS model can be easily adapted and disseminated to treat diverse populations to make a significant public health impact. The purpose of the Problem Adaptation Therapy - Montefiore Health System (PATH-MHS) pilot program was to demonstrate the feasibility and effectiveness of PATH across a culturally, educationally, and functionally diverse cohort of older adults. Methods: Clinicians referred 145 participants with depression and cognitive impairment to PATH-MHS. We completed analyses of the change in depression, disability and the association between baseline characteristics and remission of depression. Results: Most participants were Hispanic or Non-Hispanic Black and 54.7% (76) were primary Spanish speakers. Overall, there were significant decreases in the mean PHQ-9 and WHODAS 2.0 scores. In logistic regression models, neither age, education, gender, race/ethnicity, language nor long-term care status was significantly associated with remission of depression. Conclusions: This study demonstrates that we were able to engage a diverse, cognitively impaired, and frail cohort of older adults in PATH-MHS with significant reductions in depression and disability.
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