Department of Epidemiology & Biostatistics, School of Public Health, University at Albany (SUNY), Rensselaer, NY, USA.
Disparities Research Unit, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
J Aging Health. 2021 Aug-Sep;33(7-8):557-564. doi: 10.1177/0898264321999897. Epub 2021 Mar 17.
This study evaluates the role of emotional and instrumental social support on treatment participation and completion using the Positive Minds-Strong Bodies (PMSB) disability prevention program. Data from a multisite randomized controlled trial of the PMSB program for older adults (≥60 years) with physical impairment and mild to severe depression and/or anxiety were used. Participants were randomly assigned to receive 10 sessions of cognitive behavior therapy (CBT) plus 36 sessions of group exercise or usual care. Adjusting for covariates, higher levels of emotional social support at baseline were associated with increased odds of completing the recommended number of CBT sessions (6 or more, OR = 2.58, = .030), attending 5.56 more exercise sessions ( = .006), and increased odds of completing the recommended exercise sessions (25 or more, OR = 2.37, = .047). Emotional social support appears to increase dosage in a disability prevention program.
本研究评估了情感和工具性社会支持在参与和完成治疗中的作用，使用的是积极思维-强健体魄（PMSB）预防残疾计划。该研究的数据来自于一项针对身体功能障碍、轻度至重度抑郁和/或焦虑的老年人（≥60 岁）的 PMSB 多地点随机对照试验。参与者被随机分配接受 10 次认知行为疗法（CBT）加 36 次团体运动或常规护理。在调整了协变量后，基线时较高的情感社会支持水平与完成推荐的 CBT 疗程数（6 次或更多，OR = 2.58，p =.030）、增加 5.56 次运动疗程（p =.006）以及完成推荐运动疗程数（25 次或更多，OR = 2.37，p =.047）的几率增加有关。情感社会支持似乎增加了残疾预防计划中的治疗剂量。
