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Managing depression among diverse older adults in primary care
 — the BRIGHTEN Program
Author(s)Erin E Emery-Tiburcio, Laurin Mack, Emily G Lattie
Journal titleClinical Gerontologist, vol 40, no 2, March-April 2017
PublisherTaylor and Francis, March-April 2017
Pagespp 88-96
Sourcehttp://www.tandfonline.com
KeywordsDepression ; Ethnic groups ; General practice ; Psychiatric treatment ; Information technology ; Multi disciplinary ; Pilot ; United States of America.
AnnotationA variety of specific cultural adaptations have been proposed for older adult and minority ethnic mental health interventions. The BRIGHTEN Program (Bridging Resources of a Geriatric Health Team via Electronic Networking) is based on research demonstrating the importance of individually tailored, multi-compontent treatment. This pilot study aimed to determine whether the BRIGHTEN Program would equally meet the needs of a highly diverse sample of older adults with depression. Older adults who screened positive for depression were recruited from primary and specialty care settings to participate in the BRIGHTEN program. A secondary data analysis of 131 older adults (37.4% African-American, 29.0% Hispanic, 29.8% Non-Hispanic White) was conducted to explore the effects of demographic variables (race or ethnicity, income and education) on treatment outcome. Compared to baseline, participants demonstrated significant improvements on the SF-12 Mental Health Composite and depression (GDS-15) scores at 6-month follow-up. There were no differences on outcome measures based on race/ethnicity, income or education with one exception: a difference between 12th grade and graduate degree education on SF-12 Mental Health Composite scores. The study concludes that, while not explicitly tailored for specific ethnic groups, the BRIGHTEN program may be equally effective in reducing depression symptoms and improving mental health functioning in a highly socioeconomically and ethnically diverse, community-dwelling older adult population. Implications for behavioural health integration in primary care are discussed. (RH)
Accession NumberCPA-171124205 A
ClassmarkENR: TK: L5: LP: UVB: 3DM: 4UC: 7T

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