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Virtually-Delivered Emotion Focused Mindfulness Therapy (EFMT) Group vs. Wait-List Control for Late-Life Anxiety: A Randomized Controlled Trial.

The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
October 1, 2023
Stacey Hatch et al. (4 authors)
Randomized Controlled TrialJournal ArticleHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine the feasibility and efficacy of video-delivered group Emotion Focused Mindfulness Therapy (EFMT) for older adults with late-life anxiety.

Results Summary

The study found that EFMT significantly improved anxiety symptoms compared to a wait-list control group, with high retention and adherence rates. The intervention was deemed feasible, acceptable, and efficacious for reducing late-life anxiety.

Population

Older adults (≥55 years old) living in community settings.

Effective Dosage

Not specified

Duration

9 weeks (primary endpoint) with follow-up at 17 weeks

Interactions

None mentioned

Extracted Claims (4)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Emotion Focused Mindfulness Therapy (EFMT)
decrease
symptoms of anxiety
community dwelling adults
-
has been demonstrated to reduce
#1
video-delivered group EFMT
neutral
-
older adults living in community settings
-
feasibility of
#2
group EFMT delivered by Zoom
decrease
anxiety
older adults
-3.47 [4.12] vs.-1.22 [3.25] points
had significant improvements in
#3
Virtually-delivered EFMT
decrease
late-life anxiety
-
-
appears to be a feasible, acceptable, and efficacious group treatment to improve
#4
Abstract

BACKGROUND: The worldwide annual prevalence of anxiety in older adults is estimated to be between 6% and 10%. Emotion Focused Mindfulness Therapy (EFMT) is a mindfulness-based group intervention that has been demonstrated to reduce symptoms of anxiety in community dwelling adults. No study has yet assessed EFMT for older adults with late-life anxiety. The aim of this study was to determine the feasibility of video-delivered group EFMT for older adults living in community settings, a novel and potentially scalable intervention. METHODS: This was a feasibility randomized controlled trial (RCT) of 48 older adults (≥55 years old), recruited through primary care, community organizations and snowball methods. Participants were randomized to group EFMT delivered by Zoom vs. a wait-list control. Data were collected at baseline (T1), 9 weeks following baseline (T2, primary study endpoint) and 17 weeks following baseline (T3). Random allocation was conducted immediately after each group of 12 participants had been enrolled into the trial, with groups beginning on a rolling basis each time a block of 12 participants had been enrolled. The main efficacy outcome examined changes over time to anxiety. RESULTS: Recruitment was successfully completed in 32 weeks. Enrollment was calculated at 62.3% (48 of 77 people screened). Retention (80.0%) and adherence (100.0% for intervention group participants) were excellent. The EFMT group had significant improvements in anxiety at T2 compared to the wait-list control group (-3.47 [4.12] vs.-1.22 [3.25] points, p = 0.05). CONCLUSIONS: Virtually-delivered EFMT appears to be a feasible, acceptable, and efficacious group treatment to improve late-life anxiety.

Medical Subject Headings (MeSH)
HumansAgedMindfulnessDepressionAnxietyAnxiety DisordersTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations3
Citations/Year1.5
Relative Citation Ratio1.18
NIH Percentile56.2%
Research Impact Scores
APT Score0.25
Weight Score2.59
Normalized Score0.70
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