Technology-Enhanced Peer Support for Depression in Older Adults: Single-Arm Mixed Methods Feasibility Study

Area of Science:

• Gerontology and Geriatric Medicine
• Mental Health Technology
• Digital Health Interventions

Background:

• Late-life depression is often exacerbated by social isolation and limited access to care.
• Research on technology-enhanced peer support for depression in older adults is scarce.

Purpose of the Study:

• To evaluate the feasibility and acceptability of a technology-enhanced peer support intervention for reducing depression in older adults.
• To assess preliminary outcomes of the intervention on depressive symptoms and related factors.

Main Methods:

• A mixed-methods pilot study involving adults aged 50+ with depression.
• Intervention: 8 weekly video chats and texts (Peers+) focused on self-care and coping.
• Data collection: Screening, baseline, post-intervention, and 3-month follow-up; analyzed using mixed-effects models and qualitative thematic analysis.

Main Results:

• Significant decline in depressive symptoms over 35 weeks (P<.001).
• Improvements observed in emotional well-being (P<.001), social functioning (P<.001), self-efficacy (P<.001), and coping (P<.001).
• Participants found texts reinforcing and supportive; technology support was crucial for engagement.

Conclusions:

• The technology-enhanced peer support intervention is feasible and acceptable for older adults with depression.
• Video chats and texts, delivered by peer coaches, effectively engaged an ethnically diverse group.
• Accessible technology support is vital for sustained participation and engagement in digital health interventions for older adults.