兰州大学循证社会科学交叉创新实验室 Innovation Laboratory of Evidence-based Social Sciences,Lanzhou University

Efficacy of virtual interventions for reducing symptoms of depression in community-dwelling older adults: A systematic review

2023-3

BACKGROUND: Older adults experience symptoms of depression, leading to suffering and increased morbidity and mortality. Although we have effective depression therapies, physical distancing and other public health measures have severely limited access to in-person interventions. OBJECTIVE: To describe the efficacy of virtual interventions for reducing symptoms of depression in community-dwelling older adults. DESIGN: Systematic review. SETTING: We searched MEDLINE, EMBASE, Cochrane Libraries, PsycINFO, and gray literature from inception to July 5, 2021. PARTICIPANTS AND INTERVENTIONS: We included randomized trials (RCTs) comparing the efficacy of virtual interventions to any other virtual intervention or usual care in community-dwelling adults ≥60 years old experiencing symptoms of depression or depression as an outcome. MEASUREMENTS: The primary outcome was change in symptoms of depression measured by any depression scale. RESULTS: We screened 12,290 abstracts and 830 full text papers. We included 15 RCTs (3100 participants). Five RCTs examined persons with depression symptoms at baseline and ten examined depression as an outcome only. Included studies demonstrated feasibility of interventions such as internet or telephone cognitive behavioral therapy with some papers showing statistically significant improvement in depressive symptoms. CONCLUSIONS: There is a paucity of studies examining virtual interventions in older adults with depression. Given difficulty in accessing in-person therapies in a pandemic and poor access for people living in rural and remote regions, there is an urgent need to explore efficacy, effectiveness, and implementation of virtual therapies.

研究类型
系统评价
人群
老年人
主题
["卫生服务","心理/精神卫生"]
作者
Zahra Goodarzi; Jayna Holroyd-Leduc; Dallas Seitz; Zahinoor Ismail; Julia Kirkham; Pauline Wu; Loralee Fox; Wayne Hykaway; Linda Grossman; Vivian Ewa; Areti Angeliki Veroniki; Andrea C Tricco; Sharon Straus; Jennifer Watt
国家
Canada
关键词
depression; depressive disorders; older adults; telemedicine; virtual
来源期刊
International Psychogeriatrics
发布日期
2023-3
全文链接
https://pubmed.ncbi.nlm.nih.gov/35603891/
相关网址
https://www.healthsystemsevidence.org/articles/62fe6fcbef088708d8e1212a-efficacy-of-virtual-interventions-for-reducing-symptoms-of-depression-in-community-dwelling-older-adults-a-systematic-review?source=saved_email
DOI
10.1017/S1041610222000412
学科领域
DiseasesOtherMental health and addictionsSectorsHome and community careLong-term care