Xiaoling Xiang|Shiyou Wu|Ashley Zuverink|Kathryn Noth Tomasino|Ruopeng An|Joseph A. Himle
Internet-delivered cognitive behavioral therapies for late-life depressive symptoms: a systematic review and meta-analysis
University of Michigan–Ann Arbor|Arizona State University|University of Michigan–Ann Arbor|Northwestern University|University of Illinois Urbana-Champaign|University of Michigan–Ann Arbor
background study aimed review synthesize evidence related effectiveness internetbased cognitive behavioral therapy icbt reducing depressive symptoms older adultsmethod authors conducted systematic review intervention studies testing icbt symptoms depression older adults initial search pubmed psychinfo web science undertaken followed manual search reference lists relevant articles cochrane risk bias tool used appraise study quality mean effect size included studies estimated random effects model metaregression used examine potential moderators effect sizesresults nine studies met inclusion criteria including 1272 participants averaging 66 years age study design included randomized controlled trials k 3 controlled trials without randomization k 2 uncontrolled trials k 2 naturalistic evaluation k 2 seven studies tested icbt level therapist involvement 2 examined selfguided icbt six studies tested interventions specifically adapted older adults mean withingroup effect size 127 95 ci 109 145 mean betweengroup effect size 118 95 ci 063 173 participants age negatively associated withingroup effect sizes b 006 p 016conclusions icbt promising approach reducing depressive symptoms among older adults mild moderate depressive symptoms however studies involving older adults icbt trials limited considerable heterogeneity low quality calling studies rigorous designs produce bestpractice guideline