利用老龄化服务提供者支持基于互联网的认知行为治疗家庭老年人的抑郁症:一型混合有效性实施随机对照试验的协议
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
概括
这项研究测试了基于互联网的认知行为疗法Empower@Home, 它评估了社区老龄化服务人员在现实世界中的有效性和可行性.
科学领域:
- 老年学
- 心理健康技术
- 实施科学
背景情况:
- 在家庭生活的老年人有很高的抑郁率,
- 现有的干预措施往往无法满足这一群体的独特需求.
- 基于互联网的认知行为疗法 (iCBT) 计划Empower@Home在减少抑郁症方面表现有前途, 但需要在现实世界中得到验证.
研究的目的:
- 评估在社区老龄化服务中整合的Empower@Home iCBT计划的实际有效性.
- 通过Empower@Home评估使用非临床机构人员作为老年人教练的可行性.
- 进行实施的定性过程评估.
主要方法:
- 一种类型1混合有效性实施试验,采用双臂随机控制设计.
- 在3个社区老年服务机构招募了256名老年人.
- 参与者随机分配到即时的Empower@Home或接受常规护理和增强支持的对照组.
主要成果:
- 招聘开始于2024年10月,预计将于2028年4月完成.
- 主要 (抑郁症状) 和次要 (社会隔离,生活质量等) 结果的分析 将在审判后发生.
- 数据收集包括基线,12周,24周和36周的评估.
结论:
- 这项研究将确定Empower@Home在社区老龄化服务中的实际有效性和实施可行性.
- 这些发现可以为技术辅助的精神卫生服务提供一个可扩展的模型.
- 成功整合可以显著改善家庭老年人获得心理健康支持的机会.
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