ABSTRACT

Objectives

To conduct a pilot randomized controlled trial to assess the feasibility, acceptability, and preliminary efficacy of the Homebound Elderly People Psychotherapeutic Intervention (HEPPI) among homebound older adults with mild cognitive impairment and depressive or anxious symptomatology.

Methods

Fifty-one participants were randomly assigned to the intervention group or to the wait-list control group and completed baseline and post-intervention assessments. Feasibility and acceptability were the primary outcomes. Secondary outcomes included changes in cognitive function, depressive and anxiety symptoms, subjective memory complaints, functional status, and quality of life. Intervention effects were assessed both at a group level (two-way mixed ANOVA) and at an individual level (Reliable Change Index).

Results

The HEPPI was a feasible and acceptable non-pharmacological intervention. Compared to the wait-list control group, the intervention group showed significant improvement in cognitive, emotional, and functional domains at post-intervention. Differences between groups in the distributions by clinical change categories were observed.

Conclusions

Results provide evidence of the HEPPI’s feasibility, acceptability, and preliminary efficacy in increasing the cognitive and functional performance of homebound older adults and reducing their psychological symptomatology.

Clinical Implications

Home-delivered cognitive-emotional interventions may be a promising and acceptable mental health approach for homebound older adults, improving their cognitive and emotional functioning.

中文翻译：

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居家老年人认知情绪干预计划的可行性、可接受性和初步疗效：试点随机对照试验

摘要

目标

进行一项随机对照试验，以评估居家老年人心理治疗干预 (HEPPI) 在具有轻度认知障碍和抑郁或焦虑症状的居家老年人中的可行性、可接受性和初步疗效。

方法

51 名参与者被随机分配到干预组或候补名单对照组，并完成了基线和干预后评估。可行性和可接受性是主要结果。次要结果包括认知功能的变化、抑郁和焦虑症状、主观记忆抱怨、功能状态和生活质量。干预效果在组水平（双向混合方差分析）和个人水平（可靠变化指数）上进行评估。

结果

HEPPI 是一种可行且可接受的非药物干预措施。与等候名单对照组相比，干预组在干预后的认知、情感和功能领域均有显着改善。观察了按临床变化类别分布的组间差异。

结论

结果提供了 HEPPI 在提高居家老年人的认知和功能表现并减少他们的心理症状方面的可行性、可接受性和初步疗效的证据。

临床意义

家庭提供的认知-情绪干预对于居家的老年人来说可能是一种有前途且可接受的心理健康方法，可以改善他们的认知和情绪功能。