Harnessing Peer Support in an Online Intervention for Older Adults with Depression.
Kathryn N Tomasino, Emily G Lattie, Joyce Ho, Hannah L Palac, Susan M Kaiser, David C Mohr
Author Information
Kathryn N Tomasino: Center for Behavioral Intervention Technologies and the Feinberg School of Medicine, Northwestern University, Chicago, IL. Electronic address: kathryn.tomasino@northwestern.edu.
Emily G Lattie: Center for Behavioral Intervention Technologies and the Feinberg School of Medicine, Northwestern University, Chicago, IL.
Joyce Ho: Center for Behavioral Intervention Technologies and the Feinberg School of Medicine, Northwestern University, Chicago, IL.
Hannah L Palac: Center for Behavioral Intervention Technologies and the Feinberg School of Medicine, Northwestern University, Chicago, IL.
Susan M Kaiser: Center for Behavioral Intervention Technologies and the Feinberg School of Medicine, Northwestern University, Chicago, IL.
David C Mohr: Center for Behavioral Intervention Technologies and the Feinberg School of Medicine, Northwestern University, Chicago, IL.
OBJECTIVE: This pilot study evaluated the feasibility and efficacy of two methods of delivering a cognitive behaviorally informed Internet intervention for depression for adults 65 years and older. METHODS: Forty-seven participants were enrolled and assigned to receive one of two versions of the Internet intervention, either delivered individually (III) or with peer support (II+PS), or to a wait list control group (WLC). Primary outcomes included change in depressive symptoms from baseline to post-intervention (week 8), site use, self-reported usability, and coach time. Secondary outcomes included measures of social support and isolation and anxiety. RESULTS: Follow-up data were provided by 85.1% (40 of 47) of enrolled participants. There were significant differences in depression change across groups (F = 3.81, p = 0.03). Greater reductions in depressive symptoms were found for the III (p = 0.02) and II+PS (p = 0.03) compared with WLC, and significantly less coach time was required in the II+PS (p = 0.003). CONCLUSIONS: These results highlight the potential of cognitive-behaviorally informed Internet interventions for older adults with depression, and indicate that peer-supported programs are both acceptable and equivalent to individually delivered Internet interventions. Including peer support may be a viable and potentially more cost-effective option for disseminating online treatments for depression for older adults.
