{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:12:29Z","timestamp":1787019149105,"version":"build-2736575974"},"reference-count":65,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2023,2,16]],"date-time":"2023-02-16T00:00:00Z","timestamp":1676505600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Telemed Telecare"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>In-person cognitive behavioral therapy (CBT) can reduce self-reported anxiety in older adults. However, studies are limited for remote CBT. We assessed the effectiveness of remote CBT in mitigating self-reported anxiety in older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a systematic review and meta-analysis based on a literature search of PubMed, Embase, PsycInfo, and Cochrane databases up to March 31, 2021, for randomized controlled clinical trials comparing the effectiveness of remote CBT versus non-CBT controls on mitigating self-reported anxiety in older adults. We calculated within-group pre-to-post-treatment standardized mean difference using Cohen's d, obtained the difference between a remote CBT group and a non-CBT control group as our effect size for cross-study comparison, and conducted a random-effects meta-analysis. Changes in scores on self-reported anxiety symptoms (Generalized Anxiety Disorder-7 item Scale, Penn State Worry Questionnaire, or Penn State Worry Questionnaire \u2013 Abbreviated), and self-reported depressive symptoms (Patient Health Questionnaire-9 item Scale or Beck Depression Inventory) were primary and secondary outcomes, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Six eligible studies, containing 633 participants with a pooled mean age of 66.6 years, were included in the systematic review and meta-analysis. There was a significant mitigating effect of intervention on self-reported anxiety, favoring remote CBT over non-CBT controls (between-group effect size: \u22120.63; 95% CI: \u22120.99 to \u22120.28). We also found a significant mitigating effect of intervention on self-reported depressive symptoms (between-group effect size: \u22120.74; 95% CI: \u22121.24 to \u22120.25).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Remote CBT is more effective in reducing self-reported anxiety and depressive symptoms than non-CBT control in older adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1357633x231151788","type":"journal-article","created":{"date-parts":[[2023,2,16]],"date-time":"2023-02-16T04:27:40Z","timestamp":1676521660000},"page":"1376-1385","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Remote cognitive behavioral therapy for older adults with anxiety symptoms: A systematic review and meta-analysis"],"prefix":"10.1177","volume":"30","author":[{"given":"Mariko","family":"Ando","sequence":"first","affiliation":[{"name":"Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5028-043X","authenticated-orcid":false,"given":"Ying-Chia","family":"Kao","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, Kaohsiung Medical University, Kaohsiung, Taiwan"},{"name":"Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1821-9567","authenticated-orcid":false,"given":"Yu-Chien","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan"},{"name":"Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung-An","family":"Tai","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Taichung Veterans General Hospital, Taichung, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel R","family":"Mendez","sequence":"additional","affiliation":[{"name":"Department of Social and Behavioral Sciences, Harvard T.H. 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