Reasons for refusing referrals and challenges to effectual engagement in tele-treatment for depression among low-income homebound older adults.

ABSTRACT: Objectives: To describe reasons for refusal to be referred to or enroll in a depression treatment study and post-enrollment challenges to treatment engagement and technology-related problems among low-income homebound individuals aged 50+ years with depression.Methods: Data came from a 3-arm randomized clinical trial that evaluated real-world effectiveness of lay counselor-delivered behavioral activation (BA) versus clinician-delivered problem-solving therapy (PST). Interventionists were embedded in a large home-delivered meals program and treatment sessions were videoconferenced; hence Tele-BA and Tele-PST. We described refusal reasons of those who refused initial case manager referrals (n = 279), telephone screening (n = 64), enrollment (n = 47), or pos

SUBMITTER: Choi NG 

PROVIDER: S-EPMC8853830 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature