title: Maintenance of quality of life improvements in diverse rural older adults.
abstract: The maintenance of effects from home-delivered cognitive-behavioral therapy (CBT) was examined. One hundred thirty-four participants, predominantly African American and primarily rural, low-resource, and physically frail, were randomly assigned to either immediate or delayed CBT. The six-month follow-up assessments indicated that among those who remained in the study, participants evidenced significantly improved quality of life and reductions in psychological symptoms at follow-up, relative to pretreatment levels. Posttreatment gains were maintained at follow-up. These data suggest that treatment effects can be achieved and perhaps maintained with a disadvantaged sample of older adults and suggest that evidence-based treatments delivered through nontraditional means can have effects beyond posttreatment.
authors.affiliation: Department of Psychology, University of Alabama, Tuscaloosa, AL 35487-0348, USA. fscogin@as.ua.edu
authors.forename: Forrest
authors.initials: F
authors.lastname: Scogin
authors.forename: Martin
authors.initials: M
authors.lastname: Morthland
authors.forename: Allan
authors.initials: A
authors.lastname: Kaufman
authors.forename: William
authors.initials: W
authors.lastname: Chaplin
authors.forename: Grace
authors.initials: G
authors.lastname: Kong
mesh_terms: D000368:Aged / Q000523:psychology*; D015928:Cognitive Behavioral Therapy / Q000379:methods; D005006:Ethnicity / Q000523:psychology; D005260:Female; D006699:Home Care Services; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D011788:Quality of Life / Q000523:psychology*; D012424:Rural Population; D012737:Sex Factors; D012959:Socioeconomic Factors