@article{ref1,
title="Comparative effectiveness of clinician- versus peer-supported problem-solving therapy for rural older adults with depression",
journal="Psychiatric services",
year="2024",
author="Hollister, Brooke and Crabb, Rebecca and Arean, Patricia",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: Self-guided and peer-supported treatments for depression among rural older adults may address some common barriers to treatment. This pilot study compared the effect on depression of peer-supported, self-guided problem-solving therapy (SG-PST) with case management problem-solving therapy (CM-PST) among older adults in rural California. <br><br>METHODS: Older adults with depression (N=105) received an introductory PST session with a clinician, followed by 11 sessions of CM-PST with a clinician (N=85) or SG-PST with a peer counselor (N=20). <br><br>RESULTS: Both interventions resulted in clinically significant improvement in depression by week 12. Depression scores in the CM-PST group dropped by 4.1 points more than in the SG-PST group between baseline and week 12 (95% CI=0.99-7.22, p<0.001, Hedges's g=1.08). <br><br>CONCLUSIONS: The results suggest that peer-supported SG-PST is a viable, acceptable option for rural older adults with depression as a second-line treatment if access to clinicians is limited.<p /> <p>Language: en</p>",
language="en",
issn="1075-2730",
doi="10.1176/appi.ps.20230027",
url="http://dx.doi.org/10.1176/appi.ps.20230027"
}