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Technology-Assisted, Group-Based CBT for Rural Adults' Depression: Open Pilot Trial Results.

Addie Weaver1, Anao Zhang1, Caroline Landry1

  • 1University of Michigan School of Social Work, Ann Arbor, MI, USA.

Research on Social Work Practice
|June 6, 2022
PubMed
Summary

Raising Our Spirits Together (ROST), a group cognitive behavioral therapy, significantly reduced depression and anxiety in rural adults. This technology-assisted intervention shows promise for improving mental health access in underserved areas.

Keywords:
church settingclergydepressionrural mental healthtechnology-assisted cognitive behavioral therapy

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Area of Science:

  • Mental Health
  • Rural Health
  • Cognitive Behavioral Therapy

Background:

  • Depression and anxiety are prevalent in rural populations.
  • Access to mental health services is often limited in rural areas.
  • Technology-assisted interventions may bridge this gap.

Purpose of the Study:

  • To assess the effectiveness of Raising Our Spirits Together (ROST), a technology-assisted, group-based cognitive behavioral therapy.
  • To evaluate the impact of ROST on depressive symptoms and anxiety in rural adults.

Main Methods:

  • Pilot study involving nine rural Michigan adults.
  • Intervention delivered via group-based cognitive behavioral therapy facilitated by clergy.
  • Transition from in-person to virtual delivery due to COVID-19.

Main Results:

  • Significant reduction in depressive symptoms (PHQ-9 scores) from pre-treatment (M=14.4) to post-treatment (M=6.33; P < .001).
  • Sustained symptom reduction at 3-month follow-up (M=8.00), with significant improvement over time (F(2)=17.7; P < .001).
  • Similar positive outcomes observed for anxiety symptoms (GAD-7).

Conclusions:

  • ROST is a potentially feasible and effective intervention for rural adults experiencing depressive symptoms.
  • The ROST model shows promise for enhancing mental health treatment accessibility and capacity in rural communities.