Modifying Behavioral Activation to Reduce Social Isolation and Loneliness Among Older Adults.

Autor:	Pepin R; Geisel School of Medicine at Dartmouth and Dartmouth-Hitchcock Health (RP, CJS, SMF, MLB), Lebanon, NH. Electronic address: renee.l.pepin@dartmouth.edu., Stevens CJ; Geisel School of Medicine at Dartmouth and Dartmouth-Hitchcock Health (RP, CJS, SMF, MLB), Lebanon, NH., Choi NG; The University of Texas, Steve Hicks School of Social Work (NGC), Austin, TX., Feeney SM; Geisel School of Medicine at Dartmouth and Dartmouth-Hitchcock Health (RP, CJS, SMF, MLB), Lebanon, NH., Bruce ML; Geisel School of Medicine at Dartmouth and Dartmouth-Hitchcock Health (RP, CJS, SMF, MLB), Lebanon, NH.
Jazyk:	angličtina
Zdroj:	The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry [Am J Geriatr Psychiatry] 2021 Aug; Vol. 29 (8), pp. 761-770. Date of Electronic Publication: 2020 Sep 05.
DOI:	10.1016/j.jagp.2020.09.004
Abstrakt:	Objective: To describe our modification of Behavioral Activation to address social isolation and loneliness: Brief Behavioral Activation for Improving Social Connectedness. Our recent randomized clinical trial demonstrated the effectiveness of the intervention, compared to friendly visit, in alleviating loneliness, reducing depressive symptoms, and increasing social connectedness with lonely homebound older adults receiving home-delivered meals. Methods: We modified Brief Behavioral Activation Treatment for Depression to address social isolation and loneliness by addressing each of its key elements: Psychoeducation; intervention rationale; exploration of life areas, values and activities; and activity monitoring and planning. The intervention consisted of six weekly sessions, up to 1 hour each. Interventionists were bachelor's-level individuals without formal clinical training who participated in an initial 1-day training as well as ongoing supervision by psychologists and social workers trained in BA throughout the study delivery period. Results: We provide three case examples of participants enrolled in our study and describe how the intervention was applied to each of them. Conclusions: Our preliminary research suggests that Behavioral Activation modified to address social connectedness in homebound older adults improves both social isolation and loneliness. This intervention has potential for scalability in programs that already serve homebound older adults. Further research is needed to solidify the clinical evidence base, replicate training and supervision procedures, and demonstrate the sustainability of Brief Behavioral Activation for Improving Social Connectedness for homebound and other older adults. (Copyright © 2020 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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