Date of Graduation

Spring 2026

Document Type

Culminating Project

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

Committee Chairperson

Jackie Owens DNP, CRNP, FNP-BC

Committee Member

Rachael Schmitz, PhD, MSN, APRN, FNP-C

Abstract

Anxiety and depression are common among older adults and are often exacerbated by social isolation, grief, chronic health conditions, and limited access to mental health services (Blazer, 2020; Ong et al., 2016). To address these challenges, this project implemented a structured six‑week group therapy program designed to improve mental health outcomes and strengthen social connectedness among low‑income older adults. The program was delivered within a retirement community managed by a local faith‑based social service organization. Using a manualized cognitive behavioral therapy (CBT) group format, guided discussions, therapeutic activities, and peer support, the intervention aimed to reduce symptoms of anxiety and depression while fostering a sense of community and emotional well‑being among participants.

A within-group pretest–posttest design was used to evaluate program outcomes. Pre- and post-intervention assessments demonstrated clinically meaningful reductions in anxiety and depressive symptoms, along with reported improvements in coping skills, social engagement, and overall well-being. These findings support that group therapy is a practical, effective, and cost-effective intervention that supports the psychological well-being and fosters social connection among marginalized older adults.

Final Version Confirmation

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