TY - JOUR
KW - African American
KW - Depression
KW - Hispanic
KW - Older adult
KW - primary care
AU - E. E. Emery-Tiburcio
AU - L. Mack
AU - E. G. Lattie
AU - M. Lusarreta
AU - M. Marquine
AU - M. Vail
AU - R. Golden
A1 - 
AB - OBJECTIVES: A variety of specific cultural adaptations have been proposed for older adult and minority mental health interventions. The objective of this study was to determine whether the BRIGHTEN Program, an individually tailored, interdisciplinary "virtual" team intervention, would equally meet the needs of a highly diverse sample of older adults with depression. METHODS: 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/ethnicity, income and education) on treatment outcome. RESULTS: 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. CONCLUSIONS: 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. CLINICAL IMPLICATIONS: Implications for behavioral health integration in primary care are discussed.
BT - Clinical gerontologist
C5 - Healthcare Disparities
CP - 2
CY - United States
DO - 10.1080/07317115.2016.1224785
IS - 2
JF - Clinical gerontologist
N2 - OBJECTIVES: A variety of specific cultural adaptations have been proposed for older adult and minority mental health interventions. The objective of this study was to determine whether the BRIGHTEN Program, an individually tailored, interdisciplinary "virtual" team intervention, would equally meet the needs of a highly diverse sample of older adults with depression. METHODS: 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/ethnicity, income and education) on treatment outcome. RESULTS: 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. CONCLUSIONS: 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. CLINICAL IMPLICATIONS: Implications for behavioral health integration in primary care are discussed.
PP - United States
PY - 2017
SN - 1545-2301; 0731-7115
SP - 88
EP - 96
EP - 
T1 - Managing Depression among Diverse Older Adults in Primary Care: The BRIGHTEN Program
T2 - Clinical gerontologist
TI - Managing Depression among Diverse Older Adults in Primary Care: The BRIGHTEN Program
U1 - Healthcare Disparities
U2 - 28452672
U3 - 10.1080/07317115.2016.1224785
VL - 40
VO - 1545-2301; 0731-7115
Y1 - 2017
ER -