title: The role of client choice and target selection in self-management therapy for depression in older adults.
abstract: In a study designed to maximize the effectiveness of treatment by allowing participants to select the target of treatment, 40 depressed older adults were randomly assigned to a waiting-list control condition or to conditions in which the target of treatment was either chosen or assigned. All participants received self-management therapy and the choice was between changing behavior or changing cognition. It was found that individually administered self-management therapy was effective in treating depression for older adults. There were no differences in outcome between versions of self-management therapy that targeted behavioral or cognitive change. Among those who completed treatment, there were no differences in outcome between those who received a choice and those who did not. Individuals who were given a choice of treatment options, however, were less likely to drop out of treatment prematurely.
authors.affiliation: Department of Psychology, North Dakota State University, Fargo 58105-5075, USA. rokke@plains.nodak.edu
authors.forename: P D
authors.initials: PD
authors.lastname: Rokke
authors.forename: J A
authors.initials: JA
authors.lastname: Tomhave
authors.forename: Z
authors.initials: Z
authors.lastname: Jocic
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D001521:Behavior Therapy / Q000379:methods / Q000592:standards; D016009:Chi-Square Distribution; D002755:Choice Behavior; D015928:Cognitive Behavioral Therapy / Q000379:methods / Q000592:standards; D003863:Depression / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D005852:Geriatric Psychiatry / Q000379:methods / Q000592:standards; D006040:Goals; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D010358:Patient Participation / Q000379:methods*; D017060:Patient Satisfaction; D011446:Prospective Studies; D012648:Self Care / Q000379:methods / Q000592:standards; D020377:Self Efficacy; D016896:Treatment Outcome