Xiang Xiaoling, Turner Skyla, Ruiz-Sierra Sofia, Zheng Chuxuan, Ash Samson, Kodkany Nicole, Dimoji Asha, Gosdzinski Carly, Kubicek Glory
School of Social Work, University of Michigan, Ann Arbor, Michigan, USA.
Department of Psychology, University of Michigan, Ann Arbor, Michigan, USA.
Clin Gerontol. 2024 Aug 28:1-12. doi: 10.1080/07317115.2024.2395890.
This qualitative study examines the experiences of older adults with Empower@Home, an older adult-centered, layperson-supported internet-based cognitive behavioral therapy (iCBT) program for depression, with a focus on engagement-related factors.
Adults aged 50 or older with at least mild depressive symptoms were recruited from multiple resources. A random subset of participants was invited for a semi-structured qualitative interview during a post-intervention assessment conducted over the phone ( = 148). Interviews were recorded and transcribed verbatim. Transcripts were coded in a multi-phase, team-based approach utilizing inductive coding techniques, followed by thematic analysis to identify key themes.
Six key themes regarding engagement emerged: the importance of a structured, skills-based, and self-paced approach; the essential role of weekly coaching for accountability, web interface's ease of use and accessibility; narrative engagement dynamics; enhanced learning through multimodal instruction; and tailoring challenges in iCBT.
Older adult-centered, layperson-supported, and multimodal iCBT can effectively engage older adults in managing their mental health.
iCBT programs can be integrated into various community aging settings. By leveraging each setting's strengths and involving a range of professionals, these programs can play an important role in enhancing older adults' mental health.
本定性研究考察了“居家赋权”项目中老年人的体验，该项目是以老年人为中心、由非专业人员支持的基于互联网的抑郁症认知行为疗法（iCBT）项目，重点关注与参与度相关的因素。
从多个渠道招募了50岁及以上至少有轻度抑郁症状的成年人。在通过电话进行的干预后评估中，随机抽取一部分参与者进行半结构化定性访谈（n = 148）。访谈进行录音并逐字转录。利用归纳编码技术，采用多阶段、团队协作的方法对转录文本进行编码，随后进行主题分析以确定关键主题。
出现了六个与参与度相关的关键主题：结构化、基于技能且自主进度的方法的重要性；每周辅导对责任追究的关键作用、网络界面的易用性和可及性；叙事参与动态；通过多模态教学增强学习效果；以及iCBT中的量身定制挑战。
以老年人为中心、由非专业人员支持且多模态的iCBT可以有效地促使老年人参与到心理健康管理中。
iCBT项目可以整合到各种社区老龄环境中。通过利用每个环境的优势并让一系列专业人员参与其中，这些项目可以在增强老年人心理健康方面发挥重要作用。
