自宅に閉じ込められた高齢者のうつ病に対するインターネットベースの認知行動療法を支援する高齢者サービスプロバイダの活用:タイプ1ハイブリッド有効性実施ランダム化試験のためのプロトコル
Xiaoling Xiang1, Elyse Narbut2, Xinyin Zhang2
1School of Social Work, University of Michigan-Ann Arbor, Ann Arbor, MI, United States.
JMIR research protocols
|September 5, 2025
まとめ
この研究は,インターネットベースの認知行動療法であるEmpower@Homeを 家庭に閉じ込められた高齢者向けにテストしています. 地域社会における高齢者サービスの実用性と実現可能性を評価します
科学分野:
- ゲロントロジー
- メンタルヘルスの技術
- 実施科学
背景:
- 自宅に閉じこもった高齢者は 高いうつ病率を患い 精神保健医療へのアクセスに 大きな障害に直面しています
- 現存する介入は しばしばこの集団の独特のニーズを満たすのに失敗します
- インターネットベースの認知行動療法 (iCBT) プログラムであるEmpower@Homeは,うつ病の軽減に有望であることが示されていますが,現実の世界での検証が必要です.
研究 の 目的:
- コミュニティの高齢化サービスに統合されたEmpower@Home iCBTプログラムの実用的な効果を評価する.
- エムパワー@ホームを利用して 高齢者のコーチとして非臨床的機関スタッフを使用する可能性を評価する.
- 実施の質的プロセス評価を実施する.
主な方法:
- タイプ1のハイブリッド有効性実施試験で,2つのアームのランダム化制御設計を行いました.
- 3つのコミュニティの高齢者サービス機関から 256人の高齢者が採用されました.
- 参加者は即座にEMPOWER@HOMEまたは通常のケアと強化されたサポートを受ける対照グループにランダムに割り当てられました.
主要な成果:
- 募集は2024年10月に開始され,2028年4月に完了する予定です.
- 主要 (うつ病症状) と次要 (社会的孤立,生活の質など) の分析 裁判後に行われる
- データ収集には,ベースライン,12週,24週,36週間の評価が含まれています.
結論:
- この研究は,コミュニティの高齢化サービスにおけるEmpower@Homeの実用的な効果と実施可能性を決定します.
- 発見は技術支援による 精神保健医療の提供のための 拡張可能なモデルを確立できるでしょう
- 統合が成功すれば 精神保健支援へのアクセスを 大きく改善できるでしょう
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