- •What is the primary question addressed by this study?—Is a behavioral intervention that targets sleep, meals, and physical activity feasible and acceptable to older spousally bereaved adults who are at high risk for major depressive disorder.
- •What is the main finding of this study?—We observed high levels of adherence in both intervention arms (90%–92%); and 88% of participants were retained. In linear mixed-effects models, findings indicated a significant reduction in depression symptoms, but a test of the interaction between time and intervention was not significant.
- •What is the meaning of the finding?—A behavioral intervention that uses both digital monitoring and motivational health coaching is feasible and acceptable to older bereaved adult, with resulting improvement in symptoms of depression
To evaluate the feasibility and acceptability of a behavioral intervention and explore its impact on depression symptom burden among older spousally-bereaved adults.
Participants were age ≥60 years, bereaved ≤8 months, and at high risk for depression. Participants were randomized to 12 weeks of digital monitoring of sleep, meals, and physical activity; digital monitoring plus health coaching; or enhanced usual care and followed for 9 months for new-episode depression.
We enrolled 57 participants, 85% of eligible adults and 38% of all adults screened. We observed high levels of adherence in both digital monitoring (90%) and health coaching (92%); 88% of participants were retained. In linear mixed-effects models, depression symptoms significantly decreased, but the interaction between time and intervention was not significant.
A behavioral intervention that uses both digital monitoring and motivational health coaching is feasible and acceptable to older bereaved adults.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to The American Journal of Geriatric Psychiatry
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Sleep disturbance in bereavement.Psychiatr Ann. 2008; 38: 671-675https://doi.org/10.3928/00485713-20081001-06
- Bereavement among hospice caregivers of cancer patients one year following loss: predictors of grief, complicated grief, and symptoms of depression.J Palliat Med. 2013; 16: 745-751https://doi.org/10.1089/jpm.2012.0450
- Lifestyle regularity and activity level as protective factors against bereavement‐related depression in late‐life.Depression. 1995; 3: 297-302https://doi.org/10.1002/depr.3050030607
- Rating chronic medicalillness burden in geropsychiatric practice and research: application of the Cumulative Illness Rating Scale.Psychiatry Res. 1992; 41: 237-248http://www.ncbi.nlm.nih.gov/pubmed/1594710Date accessed: July 10, 2017
- A rating scale for depression.J Neurol NeurosurgPsychiatry. 1960; 23: 56-62http://www.ncbi.nlm.nih.gov/pubmed/14399272Date accessed: July 5, 2017
- A brief measure for assessing generalized anxiety disorder.Arch Intern Med. 2006; 166: 1092https://doi.org/10.1001/archinte.166.10.1092
- Inventory of complicated grief: a scale to measure maladaptive symptoms of loss.Psychiatry Res. 1995; 59: 65-79http://www.ncbi.nlm.nih.gov/pubmed/8771222Date accessed: May 18, 2017
- The Modified mini-mental state (3MS) examination.J Clin Psychiatry. 1987; 48: 314-318http://www.ncbi.nlm.nih.gov/pubmed/3611032Date accessed: July 11, 2017
- Design and rationale for a technology-based healthy lifestyle intervention in older adults grieving the loss of a spouse.Contemp Clin Trials Commun. 2017; 8: 99-105https://doi.org/10.1016/J.CONCTC.2017.09.002
- Motivational interviewing treatment integrity coding manual 4.1 (MITI 4.2).Unpubl Man. 2015; : 1-40
- A fresh look at the use of nonparametric analysis in actimetry.Sleep Med Rev. 2015; 20: 84-91https://doi.org/10.1016/j.smrv.2014.06.002
Published online: March 08, 2020
Accepted: February 24, 2020
Received in revised form: February 24, 2020
Received: October 15, 2019
Clinical Trials ID: NCT02631291
© 2020 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.