Is computerized cognitive-behavioural therapy a treatment option for depression in late-life? A systematic review.
OBJECTIVE
Computerized cognitive-behavioural therapy (CCBT) may enhance older adults' access to evidence-based depression treatment. Our objective was to determine the extent to which adults aged 65 years and older are represented in existing studies of CCBT for depression and describe available data on recruitment, retention, and outcomes.


METHODS
We retrieved all controlled and uncontrolled trials of CCBT for depression published between 2000 and 2010. We obtained data on older adults via the article text or correspondence with authors.


RESULTS
Older adults comprised approximately 3% of study participants in reviewed studies. Authors reported that older participants may be less likely than younger adults to drop out, but more likely to experience technical challenges.


CONCLUSIONS
Older adults are under-represented in studies of CCBT for depression.
Geriatric Research Education and Clinical Center, Veterans Administration Palo Alto Health Care System, Palo Alto, California, USA.
Rebecca M
RM
Crabb
Kate
K
Cavanagh
Judy
J
Proudfoot
Despina
D
Learmonth
Samantha
S
Rafie
Kenneth R
KR
Weingardt
D000368:Aged; D000369:Aged, 80 and over; D015928:Cognitive Behavioral Therapy; D003866:Depressive Disorder / Q000628:therapy*; D006801:Humans; D010352:Patient Dropouts; D018579:Patient Selection; D013813:Therapy, Computer-Assisted