Gum Amber M, Schonfeld Lawrence, Tyler Susan, Fishleder Sarah, Guerra Lucy
From the Department of Mental Health Law and Policy, Louis de la Parte Florida Mental Health Institute, and the Department of Internal Medicine, Morsani College of Medicine, University of South Florida, Tampa.
South Med J. 2016 Aug;109(8):442-7. doi: 10.14423/SMJ.0000000000000497.
We pilot tested a one-visit behavioral intervention with telephone follow-up for older primary care patients with mild to moderate depressive symptoms.
A total of 16 English-speaking primary care patients aged 60 years and older who scored 5 to 14 on the Patient Health Questionnaire-9 (PHQ-9) engaged in the intervention visit. Outcomes were assessed at baseline and 4 weeks: activity goals, readiness to change (University of Rhode Island Change Assessment), PHQ-9, Generalized Anxiety Disorder-7, World Health Organization Disability Assessment Schedule 2.0, and satisfaction.
The 14 participants who completed the study met or exceeded 73% of activity goals on average. They also improved on all outcomes (P < 0.05) with medium (University of Rhode Island Change Assessment, GAD-7) to large effect sizes (PHQ-9, World Health Organization Disability Assessment Schedule 2.0), and they were satisfied.
This pilot study provided preliminary evidence that a one-visit behavioral activation intervention is acceptable and feasible and improves outcomes. If findings are confirmed, then this intervention could be integrated into existing collaborative care programs.
我们对患有轻度至中度抑郁症状的老年初级保健患者进行了一次就诊的行为干预，并通过电话随访进行了试点测试。
共有16名60岁及以上的英语初级保健患者，他们在患者健康问卷-9（PHQ-9）上的得分在5至14分之间，参与了干预就诊。在基线和4周时评估结果：活动目标、改变意愿（罗德岛大学改变评估量表）、PHQ-9、广泛性焦虑障碍-7、世界卫生组织残疾评定量表2.0和满意度。
完成研究的14名参与者平均达到或超过了73%的活动目标。他们在所有结果方面也有改善（P<0.05），效应大小为中等（罗德岛大学改变评估量表、广泛性焦虑障碍-7）至较大（PHQ-9、世界卫生组织残疾评定量表2.0），并且他们感到满意。
这项试点研究提供了初步证据，表明一次就诊的行为激活干预是可接受且可行的，并能改善结果。如果研究结果得到证实，那么这种干预可以纳入现有的协作护理项目中。
