TY - JOUR
AU - I. Mindlis
AU - T. L. Rodebaugh
AU - D. Kiosses
AU - M. C. Reid
A1 - 
AB - Among older adults, depression is a common, morbid, and costly disorder. Older adults with depression are overwhelmingly treated by primary care providers with poor rates of remission and treatment response, despite attempts to improve care delivery through behavioral health integration and care management models. Given one in 10 older adults in primary care settings meet criteria for depression, there is a pressing need to improve the efficacy of depression treatment among affected individuals. Measurement-based care (i.e., the incorporation of systematic measurement of patient outcomes into treatment) for depressed older adults in primary care has had poor uptake, which at least partly underlies the limited efficacy of depression treatments. In this perspective, we discuss the proposal that ecological momentary assessment (EMA) may increase uptake of measurement-based care for depression in primary care, enhance the quality of clinical depression data, and lead to improvements in treatment efficacy without adding to providers' burden. We describe key issues related to EMA implementation and application in routine settings for depressed older adults, along with potential pitfalls and future research directions.
AD - Weill Cornell Medicine, New York, NY, USA.; University of North Carolina-Chapel Hill, USA.
AN - 39193007
BT - Gerontol Geriatr Med
C5 - Healthcare Disparities
DA - Jan-Dec
DO - 10.1177/23337214241278538
DP - NLM
ET - 20240827
JF - Gerontol Geriatr Med
LA - eng
N2 - Among older adults, depression is a common, morbid, and costly disorder. Older adults with depression are overwhelmingly treated by primary care providers with poor rates of remission and treatment response, despite attempts to improve care delivery through behavioral health integration and care management models. Given one in 10 older adults in primary care settings meet criteria for depression, there is a pressing need to improve the efficacy of depression treatment among affected individuals. Measurement-based care (i.e., the incorporation of systematic measurement of patient outcomes into treatment) for depressed older adults in primary care has had poor uptake, which at least partly underlies the limited efficacy of depression treatments. In this perspective, we discuss the proposal that ecological momentary assessment (EMA) may increase uptake of measurement-based care for depression in primary care, enhance the quality of clinical depression data, and lead to improvements in treatment efficacy without adding to providers' burden. We describe key issues related to EMA implementation and application in routine settings for depressed older adults, along with potential pitfalls and future research directions.
PY - 2024
SN - 2333-7214 (Print); 2333-7214
SP - 23337214241278538
ST - The Promise of Ecological Momentary Assessment to Improve Depression Management for Older Adults in Primary Care
T1 - The Promise of Ecological Momentary Assessment to Improve Depression Management for Older Adults in Primary Care
T2 - Gerontol Geriatr Med
TI - The Promise of Ecological Momentary Assessment to Improve Depression Management for Older Adults in Primary Care
U1 - Healthcare Disparities
U3 - 10.1177/23337214241278538
VL - 10
VO - 2333-7214 (Print); 2333-7214
Y1 - 2024
ER -