Feasibility of Problem Adaption Therapy in a Diverse, Frail Older Adult Population (PATH-MHS)

Mirnova E. Ceïde, Allison Glasgow, Erica F. Weiss, Allison Stark, Dimitris Kiosses, Jessica L. Zwerling

Research output: Contribution to journalArticlepeer-review

Abstract

The purpose of the Problem Adaptation Therapy - Montefiore Health System (PATH-MHS) pilot program was to demonstrate the feasibility and effectiveness of PATH across a culturally, educationally, and functionally diverse cohort of older adults. Methods: Clinicians referred 145 participants with depression and cognitive impairment to PATH-MHS. We completed analyses of the change in depression, disability and the association between baseline characteristics and remission of depression. Results: Most participants were Hispanic or Non-Hispanic Black and 54.7% (76) were primary Spanish speakers. Overall, there were significant decreases in the mean PHQ-9 and WHODAS 2.0 scores. In logistic regression models, neither age, education, gender, race/ethnicity, language nor long-term care status was significantly associated with remission of depression. Conclusions: This study demonstrates that we were able to engage a diverse, cognitively impaired, and frail cohort of older adults in PATH-MHS with significant reductions in depression and disability.

Original languageEnglish (US)
JournalAmerican Journal of Geriatric Psychiatry
DOIs
StateAccepted/In press - 2022
Externally publishedYes

Keywords

  • Depression
  • cognitive impairment
  • diverse recruitment
  • feasibility
  • inclusive
  • older adults
  • problem solving

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health

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