Table. Elements of External Validitya Presented in Efficacy and Secondary Articles of Home-Based Depression Care Management Interventionsb for Older Adults.
Elements | Banerjee (Efficacy) (9) | Brymer (Efficacy) (10) | Ciechanowski (11) |
Llewellyn-Jones (12) |
Rabins (13) |
Waterreus (14) |
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---|---|---|---|---|---|---|---|---|---|---|
Efficacy | Secondary | Efficacy | Secondary | Efficacy | Secondary | Efficacy | Secondary | |||
Reach | ||||||||||
Method to identify target population | X | X | X | X | X | (18) | X | (15) | ||
Eligibility criteria | X | X | X | X | X | X | (15) | |||
Participation rate | X | X | X | X | X | X | (15) | |||
Participants to nonparticipants comparisons | ||||||||||
Participants to target population comparisons | ||||||||||
Adoption | ||||||||||
Level of expertise (eg, training) of care manager | X | X | (19) | X | (18) | X | (15) | |||
Training procedures for intervention personnel | X | (19) | X | (18) | ||||||
Funding of personnel | (19) | |||||||||
Implementation | ||||||||||
Intervention components | X | X | X | (20) | X | (19) | X | (18) | X | (15,16) |
Intervention intensity (number and duration of sessions delivered to participants) | X | X | X | (18) | X | (15–17) | ||||
Fidelity to intervention (whether the overall intervention or treatment plans were implemented as planned) | X | X | (15–17) | |||||||
Intervention costs per person | X | |||||||||
Maintenance | ||||||||||
Long-term assessment (time) | X (6 months) | X (6 months) | X (12 months) | X (9.5 months) | X (26 months) | (18) (9 years) | (17) (6-23 months) | |||
Program sustained after end of study | Webc | (19) | (18) | |||||||
Intervention modified or adapted to another condition | (21,22) | (19) |
The external validity elements were based on the RE-AIM framework (23). Elements reported in the efficacy article are denoted by an “X,” and elements present in the secondary articles are denoted by the reference number.
Home-based depression care management interventions were identified in the systematic review of depression interventions conducted by Frederick and colleagues (1).
The authors posted information on program sustainability on a study website (www.pearlsprogram.org).