Purpose: This pilot study assesses the association of Raising Our Spirits Together (ROST), a technology-assisted, group-based cognitive behavioral therapy for depression, with rural adults’ depressive symptoms and anxiety. Method: Nine adults from rural Michigan participated in an open pilot of ROST. Clergy facilitated pilot groups. The pilot began in February 2020 in-person. Due to COVID-19, the pilot was completed virtually. Results: Mean depressive symptom scores, based on the PHQ-9, significantly decreased from pre-treatment (M = 14.4) to post-treatment (M = 6.33; t (8) = 6.79; P < .001). Symptom reduction was maintained at 3-month follow-up (M = 8.00), with a significant pattern of difference in depressive symptoms over time (F(2) = 17.7; P < .001; eta-squared = .689). Similar patterns occurred for anxiety based on the GAD-7. Participants attended an average of 7.33 of 8 sessions. Fidelity ratings were excellent. Discussion: ROST is a potentially feasible intervention for rural adults’ depressive symptoms. ROST offers a promising model for increasing treatment access and building capacity in rural areas.

目的：这项试点研究评估了“一起提高精神”（ROST），一种技术辅助的、基于团体的抑郁症认知行为疗法，与农村成年人的抑郁症状和焦虑之间的关系。方法：来自密歇根州农村地区的 9 名成年人参加了 ROST 的公开试点。神职人员为试点小组提供了便利。该试点项目于 2020 年 2 月亲自开始。由于新冠肺炎 (COVID-19) 的影响，试点工作以虚拟方式完成。结果：基于 PHQ-9 的平均抑郁症状评分从治疗前 ( M = 14.4) 到治疗后 ( M = 6.33; t (8) = 6.79; P < .001) 显着下降。 3 个月随访后症状持续减轻 ( M = 8.00)，随时间推移抑郁症状存在显着差异 (F(2) = 17.7； P < .001；eta 平方 = .689）。基于 GAD-7 的焦虑也出现了类似的模式。参与者平均出席 8 场会议中的 7.33 人。保真度评级非常好。讨论：ROST 是针对农村成年人抑郁症状的一种潜在可行的干预措施。 ROST 为增加农村地区的治疗机会和能力建设提供了一个有前景的模式。