ArticleDigital health
Digital delivery of a 6-month home-based empowerment program improves mental health in rural adults with chronic conditions: A single-arm prospective interventional trial.
Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
4 authors.
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Abstract
Background: Mental health conditions commonly co-occur with chronic diseases, yet few evidence-based interventions are designed for rural populations or scalable within primary care. This study evaluated the mental health impact, clinical significance, and usability of a digitally delivered Personal Empowerment Program (PEP). Methods: This single-arm prospective interventional trial (October 2023-August 2025) enrolled 182 community-dwelling adults with ≥1 physician-diagnosed chronic condition in Pictou County, Nova Scotia. The six-month PEP program delivered daily digital modules via email and YouTube covering physical fitness, nutrition, mindfulness, sleep, and social connection, with weekly self-monitoring and monthly videoconferencing, optimized for low-bandwidth mobile access. The primary outcome was psychological distress (Kessler Psychological Distress Scale (K10); secondary outcomes included anxiety (GAD-7) and depression (CES-D). Generalized estimated equations assessed changes (baseline, 6, and 12 months). Results: A total of 115 participants (63.2%) completed 6- and 12-month K10 follow-up assessments. K10 scores declined by 3.00 points (95% CI:-4.05,-1.95) at 6 months and 3.60 (95% CI:-4.84,-2.36) at 12 months (both Conclusions: PEP demonstrates sustained mental health benefits and high usability within a scalable, low-bandwidth digital model, supporting equitable mental health care for rural adults with chronic conditions.
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