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10.1016/j.jagp.2020.05.021

http://scihub22266oqcxt.onion/10.1016/j.jagp.2020.05.021
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32586693!7266585!32586693
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suck abstract from ncbi


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pmid32586693      Am+J+Geriatr+Psychiatry 2021 ; 29 (8): 748-757
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  • Peer Companionship for Mental Health of Older Adults in Primary Care: A Pragmatic, Nonblinded, Parallel-Group, Randomized Controlled Trial #MMPMID32586693
  • Conwell Y; Van Orden KA; Stone DM; McIntosh WL; Messing S; Rowe J; Podgorski C; Kaukeinen KA; Tu X
  • Am J Geriatr Psychiatry 2021[Aug]; 29 (8): 748-757 PMID32586693show ga
  • OBJECTIVES: To determine whether peer companionship delivered by an aging services agency to socially-disconnected older adult primary care patients was associated with improvement in suicidal ideation depression, anxiety, and psychological connectedness. DESIGN: Pragmatic, nonblinded, parallel-group, randomized controlled trial comparing peer companionship, The Senior Connection (TSC), to care-as-usual (CAU). SETTING: Lifespan, a nonmedical, community-based aging services agency. PARTICIPANTS: Adult primary care patients ages 60 years or older who endorsed feelings of loneliness or being a burden on others. INTERVENTION: TSC was delivered by Lifespan volunteers who provided supportive visits and phone calls in the subjects' homes. CAU involved no peer companion assignment. MEASUREMENTS: The primary outcome was suicidal ideation assessed by the Geriatric Suicide Ideation Scale; secondary outcomes were depression, anxiety, and feelings of belonging and being a burden on others. Data were collected at baseline, 3-, 6-, and 12-months. RESULTS: Subjects (55% female) had a mean age of 71 years. There was no difference between groups in change in suicidal ideation or belonging. Subjects randomized to TSC had greater reduction in depression (PHQ-9; 2.33 point reduction for TSC versus 1.32 for CAU, p = 0.05), anxiety (GAD-7; TSC 1.52 versus CAU 0.28, p = 0.03), and perceived burden on others (INQ; 0.46 TSC versus 0.09 CAU, p <0.01). CONCLUSIONS: TSC was superior to CAU for improving depression, anxiety, and perceived burden, but not suicidal ideation. Although effect sizes were small, the low-cost and nationwide availability of peer companionship justify further examination of its effectiveness and scalability in improving mental health outcomes of socially disconnected older adults.
  • |*Mental Health[MESH]
  • |*Suicidal Ideation[MESH]
  • |Aged[MESH]
  • |Anxiety/epidemiology/therapy[MESH]
  • |Depression/therapy[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Loneliness[MESH]
  • |Male[MESH]


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