One Year Impact on Social Connectedness for Homebound Older Adults: Randomized Controlled Trial of Tele-delivered Behavioral Activation Versus Tele-delivered Friendly Visits
Open accessAbstract
Objectives Lonely and socially isolated homebound older participants of a randomized trial comparing behavioral activation (BA) versus friendly visiting, both delivered by lay counselors using tele-videoconferencing, were reassessed at 1-year to determine whether benefits at 12 weeks were maintained over time.Methods The study reinterviewed 64/89 (71.9%) participants.Results The positive 12-week impact of tailored BA on 3 indicators of social connectedness (loneliness, social interaction and satisfactions with social support) was maintained, albeit to a lesser degree, over 1 year. The positive impact on depressive symptoms and disability was also maintained.Conclusions The intervention's potential reach and scalability are suggested by several factors: participants were recruited by home delivered meals programs during routine assessments; the intervention was brief and delivered by lay counselors; care delivery by tele-videoconferencing is increasingly common. The 1 year outcomes indicate that brief BA delivered by tele-video conferencing can have an enduring impact on social connectedness.
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Behavioral activation therapy has shown improvement in depressive and anxious symptomatology, an increase in activation and social connectedness, with positive outcomes maintained at 1-year follow-up.
“In addition, behavioral activation therapy (BAT) has shown improvement in depressive and anxious symptomatology, as well as an increase in activation [24] and social connectedness, with positive outcomes maintained at 1-year follow-up [25].”
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References 46 · Cited by 82
- Authors
- Bruce, M. L., Pepin, R., Marti, C. N., Stevens, C. J., & Choi, N. G.
- Affiliations
- Dartmouth–Hitchcock Medical Center (US)
- The University of Texas at Austin (US)
- Corresponding author
- Bruce, Martha L.
- Venue
- The American Journal of Geriatric Psychiatry
- Publisher
- Elsevier BV
- Published
- 2021-08
- Volume
- 29
- Issue
- 8
- Pages
- 771-776
- ISSN
- 1064-7481 (ISSN-L)
- PMC
- PMC8286332
- OpenAlex
- W3010537616
- Cited by
- 82
- References
- 46
- Citations by year
- 2026: 9 · 2025: 2 · 2024: 22 · 2023: 6 · 2022: 12 · 2021: 17 · 2020: 14
- FWCI
- 12.27
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Geriatric Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- NIH
- AARP Foundation (T32 MH073553)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Demography › Technology Use by Older Adults
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Keywords
- behavioral activation, homebound older adults, social connectedness, loneliness, social isolation, lay counselors, social support, depressive symptoms, disability, intervention maintenance, scalability
- MeSH terms
- Aged, Depression, Humans, Loneliness, Social Support, Homebound Persons, Videoconferencing
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