A preliminary exploration of the feasibility and acceptability of a telephone-based mental health intervention for a clinical sample of adults aged 65+
Bibliographic record
Abstract
Mental health problems (depression, anxiety) and psychosocial challenges (loneliness, social isolation) are commonly experienced by Canadian older adults. Few programs target the combined experiences of these mental health and psychosocial challenges. The CONNECT Program is a novel six-session group-based telephone intervention that utilizes principles of acceptance and commitment therapy (ACT) to help older adults better understand themselves and these challenges. Before offering this program to this clinical population, we must evaluate the acceptability of The CONNECT Program for a clinical sample of older adults. A single group pre-post exploratory study was conducted to (1) evaluate the study design and procedures, (2) understand participant experiences in this program, (3) explore the preliminary effectiveness of this program in this sample. Participants (N = 3) were recruited with the help of geriatric mental health professionals in Manitoba. Participants completed telephone questionnaires before, during, and after the program. The study design and procedures were evaluated through documenting recruitment, dropout, and the administration of study components (e.g., screening, questionnaires). Reflexive thematic analysis was used to analyze participant responses to open-ended questions about their experience of the program. Changes in mental health symptoms were analyzed by comparing responses to self-report measures completed before and after the program. Challenges with recruitment and dropout were observed, but the study procedures were executed as anticipated. Themes derived from the qualitative analysis of participant experiences centered around elements participants appreciated about the program (support and connection, comfort and convenience, relevant material, facilitation), and elements to improve (missing visual information, left wanting more, challenges maintaining consistency). Themes captured changes that participants identified in themselves throughout the program (attention to the present moment, acceptance, self-compassion, goal setting), and perceptions of what led to these changes (group discussion, engagement with the material). Participants provided qualitative and quantitative feedback on what they would change about the program. Overall trends of improvement in mental health symptoms (anxiety, depression, psychological flexibility) were observed; However, research with a larger clinical sample is needed to further explore these trends. Future directions include testing this program using a larger clinical sample and modifying the program to fit their needs.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.013 | 0.022 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.004 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".