Internet-Based Cognitive Behavioral Therapy for Depression: A Feasibility Study for Home Care Older Adults

Abstract

Purpose: The present study examined the feasibility of internet-based cognitive behavioral therapy (iCBT) for home care older adults. Method: A feasibility open trial was conducted with 26 recipients of nonmedical home care with depressive symptoms. When possible, home care workers (HCWs) of older adults (n = 13) were recruited to provide external support for iCBT usage. Results: The mean therapy sessions completed was 4.7 out of 8, and 86% would recommend the program to others with depressed mood. Participants’ depressive symptoms and anxiety symptoms decreased, whereas their quality of life ratings improved. Discussion: iCBT is a feasible and acceptable treatment modality for home care older adults with depressive symptoms and is potentially effective. Future studies are warranted to refine the existing treatment platform to achieve a better fit between the demands of the program and the needs and capabilities of homebound older adults and to examine treatment effectiveness as a function of HCW support.