Effects of Problem-Solving Therapy and Clinical Case Management on Disability in Low-Income Older Adults.

ABSTRACT:

Objective

To test the following hypotheses: (1) Clinical case management integrated with problem-solving therapy (CM-PST) is more effective than clinical case management alone (CM) in improving functional outcomes in disabled, impoverished patients and (2) improvement in depression, self-efficacy, and problem-solving skills mediates improvement of disability.

Methods

Using a randomized controlled trial with a parallel design, 271 individuals were screened and 171 were randomized to 12 weekly sessions of either CM or CM-PST at 1:1 ratio. Raters were blind to patients' assignments. Participants were at least age 60 years with major depression, had at least one disability, were eligible for home-based meals services, and had income no more than 30% of their counties' median. Th

SUBMITTER: Arean PA 

PROVIDER: S-EPMC6033321 | biostudies-literature | 2015 Dec

REPOSITORIES: biostudies-literature