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Cited by 107Digital Mental Health InterventionsTechnology Use by Older AdultsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Harnessing Peer Support in an Online Intervention for Older Adults with Depression

Open access
Tomasino, Kathryn N., Lattie, Emily G., Ho, Joyce, Palac, Hannah L., Kaiser, Susan M., Mohr, David C.·2017·The American Journal of Geriatric Psychiatry
DOI 10.1016/j.jagp.2017.04.015PMC PMC5600661
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Abstract

Objective This pilot study evaluated the feasibility and efficacy of two methods of delivering a cognitive behaviorally informed Internet intervention for depression for adults 65 years and older. Methods Forty-seven participants were enrolled and assigned to receive one of two versions of the Internet intervention, either delivered individually (III) or with peer support (II+PS), or to a wait list control group (WLC). Primary outcomes included change in depressive symptoms from baseline to post-intervention (week 8), site use, self-reported usability, and coach time. Secondary outcomes included measures of social support and isolation and anxiety. Results Follow-up data were provided by 85.1% (40 of 47) of enrolled participants. There were significant differences in depression change across groups (F(2,37) = 3.81, p = 0.03). Greater reductions in depressive symptoms were found for the III (p = 0.02) and II+PS (p = 0.03) compared with WLC, and significantly less coach time was required in the II+PS (p = 0.003). Conclusions These results highlight the potential of cognitive-behaviorally informed Internet interventions for older adults with depression, and indicate that peer-supported programs are both acceptable and equivalent to individually delivered Internet interventions. Including peer support may be a viable and potentially more cost-effective option for disseminating online treatments for depression for older adults. © 2017 American Association for Geriatric Psychiatry

Integrity signals

Registry

Crossref · 10.1016/j.jagp.2017.04.015

Cites

46 of 46 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

15 of 31 cited sources checked · 9 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    Most studies show that supported internet interventions yield better outcomes than unsupported ones.

    “most studies demonstrate that internet interventions provided with support produce better outcomes (19).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [19] source
      Experimental — accuracy not yet measured
  • Premisecitation

    Internet-based depression treatment could substantially improve older adults' access to care.

    “The internet offers opportunities for depression treatment that could dramatically impact older adults’ access to care (9).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [9] source

      The Discussion’s recommendations for future research describe computerized and telehealth-supported therapies as ways to deliver late-life depression care and say technology is likely to assist treatment delivery. They do not specifically establish that internet-based treatment could dramatically improve older adults’ access to care; they also note a possible digital divide and call for further research. No page number is available in our copy. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
  • Premisecitation

    A large trial found that peer support decreased adherence to internet training compared with internet training alone.

    “a large trial found that peer support reduced adherence to internet training relative to internet training alone (23).”
    Quote in the paperSubstantial claim1 of 1 sources checked
  • Findingown data

    Eighty-five point one percent of enrolled participants, 40 of 47, completed both baseline and week 8 assessments.

    “85.1% (40/47) met this criterion.”
    Quote in the paperSubstantial claim
  • Findingown data

    III showed a greater reduction in depressive symptoms than WLC (t19=2.5, p=.02).

    “Pairwise comparisons revealed differences in depression change between III and WLC (t19 =2.5, P=.02)”
    Quote in the paperSubstantial claim
  • May combine two claims. 43
  • Classified as probably not a substantial claim. 12
  • The quote only partly states this claim. 1

  • May combine two claims.

    Premisecitation

    Some evidence suggests peer support can increase adherence to internet interventions and lower depression.

    “there has been some evidence that peer support can improve adherence to internet interventions and reduce depression (22)”
    Quote in the paperSubstantial claim1 of 1 sources checked

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    CBT-based internet interventions are well established as effective for depression in younger and middle-aged adults.

    “The efficacy of CBT-based internet interventions for treating depression in younger and middle-aged adults is well established (10) (11).”
    Quote in the paperNot a substantial claim2 of 2 sources checked
    • cites [10] source

      The Discussion (page unavailable) says guided internet CBT and face-to-face CBT were equally effective for depressive symptoms in the aggregated cohort. The Methods specify adult samples, but the paper does not establish efficacy specifically for younger and middle-aged adults; the Results include a study of depressive symptoms in elderly participants. Its comparison also concerns guided internet CBT, rather than CBT-based internet interventions generally. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
    • cites [11] source

      The ‘Mood disorders in adults’ section reports a large pooled effect for internet-delivered CBT versus waiting-list controls and rates the evidence for therapist-guided treatment as moderate. This supports efficacy in adults, but the review’s evidence is chiefly for mild-to-moderate depression and therapist-guided interventions; it does not establish efficacy for CBT-based internet interventions generally or report a separate finding for younger and middle-aged adults. (LLM, conf=0.84)

      Experimental — accuracy not yet measured

  • May combine two claims.

    Premisecitation

    Self-guided internet interventions often have high dropout and poor adherence.

    “self-guided internet interventions tend to see high rates of dropout and poor adherence (18).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [18] source

      The Introduction says dropout rates are high, particularly in open-access e-therapy trials, and that e-therapy users may be prone to dropout and nonadherence. It does not establish that these rates specifically characterize self-guided interventions; open access and self-guidance are not necessarily the same. (LLM, conf=0.82)

      Experimental — accuracy not yet measured

  • May combine two claims.

    Premisecitation

    Newer evidence supports the effectiveness and acceptability of internet interventions for reducing depression and anxiety symptoms in adults over 60.

    “emerging evidence supports their efficacy and acceptability for reducing symptoms of depression and anxiety in adults over 60 (13–17).”
    Quote in the paperSubstantial claim2 of 5 sources checked
    • cites [13] source
    • cites [14] source
    • cites [15] source
    • cites [16] source
    • cites [17] source

  • May combine two claims.

    Premisecitation

    Even though many evidence-based treatments reduce late-life depression, many older adults face barriers to receiving care.

    “Despite numerous evidence-based interventions shown to effectively reduce late-life depression (6), many older adults experience barriers that limit access to care (7, 8).”
    Quote in the paperSubstantial claim2 of 3 sources checked
    • cites [6]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [7] source
    • cites [8] source

  • May combine two claims.

    Interpretationcitation

    Retention and usage in this study resemble those in other older-adult internet intervention trials and exceed those in trials with younger adults.

    “Retention and usage are similar other trials of internet interventions with older adults (15–17) and higher relative to trials with younger adults (<65 years) (37).”
    Quote in the paperNot a substantial claim2 of 4 sources checked
    • cites [15] source
    • cites [16] source
    • cites [17] source
    • cites [37] source

      The Results table reports retention and usage measures for internet-intervention trials, so the review provides a benchmark for the cited comparison. It does not establish that the citing study’s retention and usage exceed those of trials with adults under 65. Its Results > Predictors of Adherence instead reports mixed age-related findings: younger age predicted greater adherence in depression trials, while one PTSD trial found greater adherence among older participants (page not available in our copy). (LLM, conf=0.78)

      Experimental — accuracy not yet measured

  • May combine two claims.

    Interpretationcitation

    This study shows potential benefits of embedding peer support, including better adherence than a prior trial and less burden on participants.

    “This study demonstrates the potential benefits of embedding peer support, including improved adherence compared to a prior trial (23) and reduced burden on participants.”
    Quote in the paperSubstantial claim1 of 1 sources checked

  • May combine two claims.

    Premisecitation

    Peer support has previously been delivered separately from online interventions, requiring participants to put in extra effort to complete both.

    “Peer support has previously been provided separately from online interventions (23), requiring extra effort from participants to complete both.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [23] source

      The Methods (The Interventions; page unavailable) describe peer support and the online training program as separate websites delivered simultaneously in the combined condition. The Discussion (Strengths and weaknesses; page unavailable) suggests that participation effort may vary and reports lower adherence in the combined group, but does not establish that completing both required extra effort. (LLM, conf=0.84)

      Experimental — accuracy not yet measured

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data

    Forty-seven participants were enrolled and assigned to II+PS (23), WLC (12), or III (12).

    “47 participants were enrolled and assigned to one of 3 groups: II +PS (N=23), WLC (N=12), or III (N=12).”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Findingown data

    Withdrawal occurred for 18% of III initiators (2/11) and 17% of II+PS initiators (4/23).

    “Two of 11 participants who initiated III (18%) and 4 of 23 participants who initiated II+PS (17%) withdrew”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Findingown data

    Mean lessons completed were 11.7 for III and 11.3 for II+PS, with no significant difference.

    “Average number of lessons completed (III: M=11.7, SD=3.8; II+PS: M=11.3, SD=4.5; p>.50) was not significantly different between groups (p>.50).”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Findingown data

    Peer support feature use was generally high but varied widely across participants (M=48.8, SD=85.8, range 0-392).

    “Use of peer support features was generally high, though variability was observed across participants (M=48.8, SD=85.8, range 0–392).”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Findingown data

    Depression reductions were significant within the III and II+PS groups but not within the WLC group.

    “Reductions in depression were significant for III and II+PS groups, but not for WLC (see Table 2).”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data

    Mean sessions over 8 weeks were 45.6 for III and 49.1 for II+PS, with no significant difference.

    “Mean number of sessions across the 8-week intervention was 45.6 (SD=24.9) for III (N=11) and 49.1 (SD=35.8) for II+PS (N=23); differences were not significant (p>.50).”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Findingown data

    USE subscale scores were average to below average for both groups, with no significant group differences on any subscale.

    “Scores on USE subscales ranged from 0 (strongly disagree) to 7 (strongly agree), and fell in the average to below average range for both groups.”
    • Also stated in: § Primary Outcomes · plain
      “No significant differences were found between groups on any subscale (p’s>.10).”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Findingown data

    Several participants were confused about viewing likes and comments, and fewer than half used status or nudge features.

    “several participants expressed confusion about how and where to view “likes” and “comments” and less than half used the “status” or “nudge” features.”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Findingown data

    At week 8, overall SUS usability was average for III (M=68.75) and below average for II+PS (M=60.5), with no significant difference between them.

    “At week 8, III participants’ (N=9) overall usability ratings were average (M=68.75, SD=16.09), while II+PS ratings (N=21) were below average (M=60.5, SD=16.69), but not significantly different from III.”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Findingown data

    Comment and like features were used at least once by 83% of participants, while status and nudge features were used by 44% and 39%, respectively.

    ““Comment” and “like” features were used by most participants (83%) at least once; less than half used “status” or “nudge” features (44% and 39%, respectively).”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Findingcitation

    Coach time in this study was about 89 minutes higher for III and 47 minutes higher for II+PS than in the prior RCT.

    “compared to coach time reported in the previously mentioned RCT (M=45.07, SD=32.51) (17), coach time in the present study was about 89 minutes more for III and 47 minutes more for II+PS.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [17] source

  • May combine two claims.

    Findingown data

    Program usage was high, averaging 45 sessions for III and 49 for II+PS, and retention was about 80% in both groups.

    “Program usage was high, with an average of 45 sessions for III and 49 for II+PS, and retention was good for both groups (approximately 80%).”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data

    Number of calls and call time did not differ significantly between III and II+PS.

    “Differences in number of calls and call time were not significant (p’s>.05).”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Findingown data

    III participants received nearly twice as many messages as II+PS participants, and coaches spent more than twice as much time messaging III participants.

    “Compared to II-PS participants, III participants received nearly twice the messages (t26=4.70, p<.001) and coaches spent more than twice the time on average messaging III participants (t26=3.56, p=.001).”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Findingown data

    Coaches received negative feedback about the activity feed's location and functionality, and some participants were disappointed that it limited their ability to connect with others.

    “Coaches also received negative feedback about the location and functionality of the activity feed, with some participants expressing disappointment regarding the feed functionality and how this limited their ability to connect with others.”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Findingown data

    Social isolation change did not differ significantly between groups or within any group.

    “Change in social isolation was not significantly different between groups (p>.10), and change was not significant within each group (p’s>.10).”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Findingown data

    Compared with WLC, all MoodTech recipients showed depression reductions, with an average PHQ-9 drop of 5 points.

    “Compared to a WLC, reductions in depression were observed for all participants who received MoodTech, with an average drop of 5 points on the PHQ-9.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data

    Coach feedback indicated confusion about the status and nudge features, and participants used nudge to strengthen existing connections rather than to engage disengaged members.

    “coach feedback indicated that there was confusion regarding the location and function of the “status” feature, as well as the function of the “nudge” feature, which participants ultimately used to deepen established connections with other group members (i.e., reinforce bond) rather than to engage disengaged participants (i.e., accountability).”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data

    Groups did not differ significantly on change in total SPS or any SPS subscale.

    “No significant differences were found between groups on change in total SPS (p>.10), or any subscale (p’s >.10).”
    Quote in the paperNot a substantial claim

  • The quote only partly states this claim.

    Findingown data

    III showed a greater reduction in anxiety than WLC (t19=4.58, p<.001).

    “Pairwise comparisons indicated significant differences comparing III and WLC (t19=4.58, p<.001)”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Findingown data

    II+PS showed significant increases in overall social support, guidance, and reliable alliance.

    “significant increases on overall support and subscales of guidance and reliable alliance were observed for II+PS”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data

    Within II+PS, significant increases occurred on SPS total score, guidance, and reliable alliance.

    “Significant change was observed within II+PS group on SPS total score (t18=−2.26, p=.04), and guidance (t18=−2.36, p=.04) and reliable alliance (t18=−2.15, p=.03) subscales.”
    Quote in the paperSubstantial claim

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Depression in later life is linked to lower quality of life and higher disability, morbidity, and mortality.

    “and is associated with decreased quality of life and increased rates of disability (2), morbidity, and mortality (3).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [2] source
    • cites [3] source

  • Classified as probably not a substantial claim. May combine two claims.

    Study design and conductreasoning

    Because proper randomization was not feasible, group assignment used blocks of 10-12 with a pre-specified order.

    “Therefore, group assignment was performed in blocks of 10–12, and assignment order was pre-specified as follows: II+PS, WLC, II+PS, III.”
    Quote in the paperSubstantial claim

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    The study received Northwestern University IRB approval and was registered as NCT02841787.

    “This study was approved by the Northwestern University institutional review board, registered on the Clinical Trials Registry as NCT02841787.”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Study design and conductnone given

    Coaches could not be blinded to intervention condition, which may have biased coaching time.

    “it was not possible to blind coaches to intervention condition, which could have biased time spent coaching.”
    Quote in the paperNot a substantial claim

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductreasoning

    Group moderation time was not formally recorded and was estimated at two minutes per weekday.

    “Group moderation time was not formally tracked as it was a high frequency/low time activity, and was estimated at 2 minutes/weekdays.”
    Quote in the paperNot a substantial claim

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Untreated depression places a large burden on society by raising healthcare use and costs.

    “Untreated depression is burdensome for society, substantially increasing healthcare utilization and costs (4, 5).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [4] source
    • cites [5]

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Classified as probably not a substantial claim. May combine two claims.

    Study design and conductown data

    Intent-to-treat analyses were not performed because the pilot was small and missing data were very low.

    “Because this was a small pilot study with very low rates of missing data, intent-to-treat analyses were not conducted.”
    Quote in the paperSubstantial claim

  • Classified as probably not a substantial claim. May combine two claims.

    Premisereasoning

    Online programs remove clinic-based constraints such as opening hours, clinician availability, and geography, thereby reducing transportation and mobility barriers.

    “Programs delivered online have several advantages as they remove restrictions imposed by clinics, such as hours, clinician availability, and geographical restrictions, thus resolving transportation and mobility related barriers.”
    Quote in the paperSubstantial claim

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Late-life depression is frequent and insufficiently treated.

    “Depression in later life is common and undertreated (1)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [1] source

  • May combine two claims.

    Interpretationown data

    Usability scores indicate MoodTech is acceptable and generally satisfactory in its current form, without major usability problems.

    “Usability scores indicate that MoodTech is acceptable and generally satisfactory in its current form, without significant usability issues.”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Interpretationreasoning

    The program's feasibility and acceptability are still unknown for more diverse samples and for people without prior internet familiarity who would not volunteer.

    “the feasibility and acceptability of this program remains unknown for more diverse samples, and for those who do not have pre-existing familiarity with the internet and would not volunteer to participate.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Interpretationown data

    This study demonstrated MoodTech's feasibility, acceptability, and preliminary efficacy and highlights potential benefits of including peer support in online depression interventions for older adults.

    “This study demonstrated feasibility, acceptability and preliminary efficacy of MoodTech and highlights the potential benefits of including peer support in online interventions for older adults with depression.”
    Quote in the paperSubstantial claim

  • Classified as probably not a substantial claim.

    Interpretationown data

    User feedback and usability data indicate that more design work is needed to create a platform that better meets older adults' needs.

    “User feedback and usability data suggest that further design work is required to develop a technology platform that more fully meets the needs of older adults.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Interpretationown data

    Adults aged 65 and older will use and can benefit from coached internet depression interventions delivered individually or with peer support.

    “indicates that adults 65 and older will use and can benefit from coached internet interventions for depression delivered individually and with peer support.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Interpretationown data

    Less coaching time was spent when peer support was included, suggesting that embedding peer support could lower coach time and improve cost-effectiveness.

    “Significantly less time was spent coaching participants when peer support was included, suggesting that embedding peer support in internet interventions could reduce coach time, thus increasing cost-effectiveness.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Study design and conductown data

    The sample was relatively small and mostly non-Hispanic White and highly educated.

    “The sample size was relatively small, and was primarily non-Hispanic White and highly educated.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Interpretationcitation

    These findings match depression reductions from the only prior RCT of a guided internet intervention for depressed adults 60 and older and extend them to a slightly older sample.

    “The present findings are consistent with reductions in depression observed in the only prior RCT (17) to evaluate the efficacy of a guided internet intervention for depressed adults 60 years and older, and extends these findings to a slightly older sample (M=69.6 years, SD=4.1, range 65–83).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [17] source

  • May combine two claims.

    Interpretationown data

    MoodTech showed feasibility and preliminary efficacy in this pilot study.

    “This pilot study demonstrates the feasibility and preliminary efficacy of MoodTech”
    Quote in the paperSubstantial claim

  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Interpretationnone given

    To the authors' knowledge, this was the first internet intervention for depressed older adults to embed peer support.

    “To our knowledge, this was the first internet intervention for depressed older adults to embed peer support.”
    Quote in the paperNot a substantial claim
49 of 49

  • The paper relies on this without support.

    Only a small number of researchers have tried to use peer support within online depression interventions.

    “To date, few researchers have attempted to harness peer support in online interventions for depression.”

  • The paper relies on this without support.

    Peer support has the potential to increase engagement, lower costs, and extend reach by lessening reliance on professional support.

    “Peer support could potentially promote engagement, while decreasing costs and increasing reach by reducing the need for professional support.”
2 of 2

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • While older adults are using technology in greater numbers and benefitting from technology use, they continue to be the least likely age cohort to have access to a computer and the internet due to physical barriers and/or psychological factors.

    “While older adults are using technology in greater numbers (Anderson et al., 2017) and benefitting from technology use (Anguera et al., 2017; Cotten et al., 2011; Czaja et al., 2018; Decker et al., 2019; Harerimana et al., 2019; Hurling et al., 2007; Irvine et al., 2013; Tomasino et al., 2017; White et al., 2002), they continue to be the least likely age cohort to have access to a computer and the”

    From Digital ageism: challenges and opportunities in artificial intelligence for older adults (2022) · cites this paper as Tomasino et al., 2017

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Acceptability claim conflicts with the paper's usability threshold

    Minor

    The paper defines SUS scores above 70 as acceptable, but the reported mean scores for both intervention groups are below that threshold. Its later conclusion that the usability scores indicate acceptability is therefore inconsistent with its own criterion.

1 of 1

Cites

Flagged first, then by citations

8 of the 54 references couldn’t be matched to a known paper.

Research works printed but not linked: 1

  1. Lund, 2001, Measuring usability with the use questionnaire, Usability Interface, 8, 3

Cited by

Sorted by citations

Related

Authors
Tomasino, K. N., Lattie, E. G., Ho, J., Palac, H. L., Kaiser, S. M., & Mohr, D. C.
Affiliations
Northwestern University (US)
Corresponding author
Tomasino, Kathryn N.
ORCID
Venue
The American Journal of Geriatric Psychiatry
Publisher
Elsevier BV
Published
2017-10
Volume
25
Issue
10
Pages
1109-1119
ISSN
1064-7481 (ISSN-L)
DOI
10.1016/j.jagp.2017.04.015
PMC
PMC5600661
OpenAlex
W2610403891
Cited by
107
References
54
Citations by year
2026: 12 · 2025: 12 · 2024: 16 · 2023: 14 · 2022: 16 · 2021: 16 · 2020: 10 · 2019: 4 · 2018: 5 · 2017: 2
FWCI
6.57
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • American Journal of Geriatric Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health (P20 MH090318, R01MH095753)
  • National Institutes of Health National Center for Advancing Translational Sciences (UL1TR001422)
Topics
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Social Sciences › Demography › Technology Use by Older Adults
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
older adults, depression, peer support, online intervention, cognitive behavioral therapy, feasibility, depressive symptoms, social support, social isolation, anxiety, usability
MeSH terms
Aged, Aged, 80 and over, Depressive Disorder, Feasibility Studies, Female, Humans, Male, Outcome and Process Assessment, Health Care, Patient Acceptance of Health Care, Peer Group, Pilot Projects, Social Support, Cognitive Behavioral Therapy, Internet

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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

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Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-09-28.

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