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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Am+J+Geriatr+Psychiatry
2021 ; 29
(8
): 748-757
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gab.com Text
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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
PMID32586693
show 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.