Maintenance of quality of life improvements in diverse rural older adults |
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Authors: | Scogin Forrest Morthland Martin Kaufman Allan Chaplin William Kong Grace |
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Affiliation: | Department of Psychology, University of Alabama, Tuscaloosa, AL 35487-0348, USA. fscogin@as.ua.edu |
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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. |
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