Supportive-expressive and coping group teletherapies for HIV-infected older adults: A randomized clinical trial

Timothy G. Heckman; Bernadette D. Heckman; Timothy Anderson; Travis I. Lovejoy; David Mohr; Mark Sutton; Joseph A. Bianco; Jen Tzer Gau

doi:10.1007/s10461-013-0441-0

Supportive-expressive and coping group teletherapies for HIV-infected older adults: A randomized clinical trial

Timothy G. Heckman^*, Bernadette D. Heckman, Timothy Anderson, Travis I. Lovejoy, David Mohr, Mark Sutton, Joseph A. Bianco, Jen Tzer Gau

^*Corresponding author for this work

Preventive Medicine

Research output: Contribution to journal › Article › peer-review

34 Scopus citations

Abstract

This clinical trial tested whether telephone-administered supportive-expressive group therapy or coping effectiveness training reduce depressive symptoms in HIV-infected older adults. Participants from 24 states (N = 361) completed the Geriatric Depression Scale at pre-intervention, post-intervention, and 4- and 8-month follow-up and were randomized to one of three study arms: (1) 12 weekly sessions of telephone-administered, supportive-expressive group therapy (tele-SEGT; n = 122); (2) 12 weekly sessions of telephone-administered, coping effectiveness training (tele-CET; n = 118); or (3) a standard of care (SOC) control group (n = 121). Tele-SEGT participants reported fewer depressive symptoms than SOC controls at post-intervention (M_SEGT = 11.9, M_SOC = 14.3) and 4- (M_SEGT = 12.5, M_SOC = 14.4) and 8-month follow-up (M_SEGT = 12.7, M_SOC = 14.5) and fewer depressive symptoms than tele-CET participants at post-intervention (M_SEGT = 12.4, M_CET = 13.6) and 8-month follow-up (M_SEGT = 12.7, M_CET = 14.1). Tele-CET participants reported no statistically significant differences from SOC controls in GDS values at any assessment period. Tele-SEGT constitutes an efficacious treatment to reduce depressive symptoms in HIV-infected older adults.

Original language	English (US)
Pages (from-to)	3034-3044
Number of pages	11
Journal	AIDS and behavior
Volume	17
Issue number	9
DOIs	https://doi.org/10.1007/s10461-013-0441-0
State	Published - Nov 2013

Keywords

AIDS
Coping
HIV
Supportive-expressive group therapy
Teletherapy

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s10461-013-0441-0

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@article{e427cdcaf2c249418db14a88ba30d995,

title = "Supportive-expressive and coping group teletherapies for HIV-infected older adults: A randomized clinical trial",

abstract = "This clinical trial tested whether telephone-administered supportive-expressive group therapy or coping effectiveness training reduce depressive symptoms in HIV-infected older adults. Participants from 24 states (N = 361) completed the Geriatric Depression Scale at pre-intervention, post-intervention, and 4- and 8-month follow-up and were randomized to one of three study arms: (1) 12 weekly sessions of telephone-administered, supportive-expressive group therapy (tele-SEGT; n = 122); (2) 12 weekly sessions of telephone-administered, coping effectiveness training (tele-CET; n = 118); or (3) a standard of care (SOC) control group (n = 121). Tele-SEGT participants reported fewer depressive symptoms than SOC controls at post-intervention (MSEGT = 11.9, MSOC = 14.3) and 4- (MSEGT = 12.5, MSOC = 14.4) and 8-month follow-up (MSEGT = 12.7, MSOC = 14.5) and fewer depressive symptoms than tele-CET participants at post-intervention (MSEGT = 12.4, MCET = 13.6) and 8-month follow-up (MSEGT = 12.7, MCET = 14.1). Tele-CET participants reported no statistically significant differences from SOC controls in GDS values at any assessment period. Tele-SEGT constitutes an efficacious treatment to reduce depressive symptoms in HIV-infected older adults.",

keywords = "AIDS, Coping, HIV, Supportive-expressive group therapy, Teletherapy",

author = "Heckman, {Timothy G.} and Heckman, {Bernadette D.} and Timothy Anderson and Lovejoy, {Travis I.} and David Mohr and Mark Sutton and Bianco, {Joseph A.} and Gau, {Jen Tzer}",

note = "Funding Information: Acknowledgments We extend our appreciation to the many AIDS-related organizations that collaborated on this study and to all study participants. We also thank Dr. David Spiegel and Dr. Cheryl Gore-Felton for generously providing our research team with a copy of their SEGT manual that was adapted for use in this study. The project described was supported by Grant RO1 MH078749 from the National Institute of Mental Health (NIMH) and the National Institute of Nursing Research (NINR). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIMH, the NINR, or the NIH. ClinicalTrials.gov Identifier: NCT00365690.",

year = "2013",

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doi = "10.1007/s10461-013-0441-0",

language = "English (US)",

volume = "17",

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T1 - Supportive-expressive and coping group teletherapies for HIV-infected older adults

T2 - A randomized clinical trial

AU - Heckman, Timothy G.

AU - Heckman, Bernadette D.

AU - Anderson, Timothy

AU - Lovejoy, Travis I.

AU - Mohr, David

AU - Sutton, Mark

AU - Bianco, Joseph A.

AU - Gau, Jen Tzer

N1 - Funding Information: Acknowledgments We extend our appreciation to the many AIDS-related organizations that collaborated on this study and to all study participants. We also thank Dr. David Spiegel and Dr. Cheryl Gore-Felton for generously providing our research team with a copy of their SEGT manual that was adapted for use in this study. The project described was supported by Grant RO1 MH078749 from the National Institute of Mental Health (NIMH) and the National Institute of Nursing Research (NINR). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIMH, the NINR, or the NIH. ClinicalTrials.gov Identifier: NCT00365690.

PY - 2013/11

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N2 - This clinical trial tested whether telephone-administered supportive-expressive group therapy or coping effectiveness training reduce depressive symptoms in HIV-infected older adults. Participants from 24 states (N = 361) completed the Geriatric Depression Scale at pre-intervention, post-intervention, and 4- and 8-month follow-up and were randomized to one of three study arms: (1) 12 weekly sessions of telephone-administered, supportive-expressive group therapy (tele-SEGT; n = 122); (2) 12 weekly sessions of telephone-administered, coping effectiveness training (tele-CET; n = 118); or (3) a standard of care (SOC) control group (n = 121). Tele-SEGT participants reported fewer depressive symptoms than SOC controls at post-intervention (MSEGT = 11.9, MSOC = 14.3) and 4- (MSEGT = 12.5, MSOC = 14.4) and 8-month follow-up (MSEGT = 12.7, MSOC = 14.5) and fewer depressive symptoms than tele-CET participants at post-intervention (MSEGT = 12.4, MCET = 13.6) and 8-month follow-up (MSEGT = 12.7, MCET = 14.1). Tele-CET participants reported no statistically significant differences from SOC controls in GDS values at any assessment period. Tele-SEGT constitutes an efficacious treatment to reduce depressive symptoms in HIV-infected older adults.

AB - This clinical trial tested whether telephone-administered supportive-expressive group therapy or coping effectiveness training reduce depressive symptoms in HIV-infected older adults. Participants from 24 states (N = 361) completed the Geriatric Depression Scale at pre-intervention, post-intervention, and 4- and 8-month follow-up and were randomized to one of three study arms: (1) 12 weekly sessions of telephone-administered, supportive-expressive group therapy (tele-SEGT; n = 122); (2) 12 weekly sessions of telephone-administered, coping effectiveness training (tele-CET; n = 118); or (3) a standard of care (SOC) control group (n = 121). Tele-SEGT participants reported fewer depressive symptoms than SOC controls at post-intervention (MSEGT = 11.9, MSOC = 14.3) and 4- (MSEGT = 12.5, MSOC = 14.4) and 8-month follow-up (MSEGT = 12.7, MSOC = 14.5) and fewer depressive symptoms than tele-CET participants at post-intervention (MSEGT = 12.4, MCET = 13.6) and 8-month follow-up (MSEGT = 12.7, MCET = 14.1). Tele-CET participants reported no statistically significant differences from SOC controls in GDS values at any assessment period. Tele-SEGT constitutes an efficacious treatment to reduce depressive symptoms in HIV-infected older adults.

KW - AIDS

KW - Coping

KW - HIV

KW - Supportive-expressive group therapy

KW - Teletherapy

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Supportive-expressive and coping group teletherapies for HIV-infected older adults: A randomized clinical trial

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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