Generalized Anxiety Disorder, Major Depressive Disorder, Panic Disorder, Social Anxiety Disorder
Conditions
Brief summary
The present aim of the study is to to adapt an established, manualized enhanced Group CBT (CBT-E) for seniors to a telehealth format, which will allow us to offer the group virtually during the COVID-19 pandemic.
Detailed description
The goal of this project is to adapt an established, manualized enhanced Group CBT (CBT-E) for seniors to a telemedicine format. Currently the Geriatric Psychiatry service associated with the Nova Scotia Health Authority offer two CBT-E groups every year. They are usually facilitated by psychiatry residents, under the supervision of a staff psychiatrist. Due to the risk of COVID-19, we will not be holding in-person groups this year. Instead we will offer the group in a smaller, telemedicine format. For this project, we will change the group structure and activities to allow it's delivery in a virtual format. This study will assess feasibility, tolerability of the telehealth format by using the System Usability Scale and Group Satisfaction Survey. It will also assess response to online therapy buy using pre- and post-group questionnaires including the Beck Depression Inventory, Beck Anxiety Inventory and Perceived Quality of Life Questionnaire. Paired t-tests will be used to analyse the data and determine whether there has been an improvement in participant's symptoms and quality of life.
Interventions
BEHAVIORALGroup Cognitive Behavioral Therapy
Therapy will be delivered weekly for 8 weeks by Zoom.
Sponsors
Nova Scotia Health Authority
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Feasibility and acceptability study
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* People over the age of 65 * Diagnosis of either or both Major Depressive Disorder (MDD) of mild or moderate severity and an anxiety disorder, including generalized anxiety disorder, social anxiety disorder or panic disorder.
Exclusion criteria
* Patients with psychosis * Patients with dementia * Patient with severe Major Depressive Disorder or Anxiety Disorder * Patients with antisocial or borderline personality disorder * Patients with acute suicidal ideation. * Older adults who do not have access to the technology required for group; computer, phone or tablet with a webcam and access to Internet These are also
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of Telehealth CBT group for older adults | This will be completed at the end of the 8 week Telehealth CBT group. | This will be assessed by a questionnaire: System Usability Scale. |
| Acceptability of Telehealth CBT group for older adults | This will be completed at the end of the 8 week Telehealth CBT group. | This will be measured by a questionnaire administered to participants titled Satisfaction Survey. |
| Attrition to the Telehealth CBT group for older adults | 8 weeks | Attendance will be noted by group facilitators at each group session |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Effect size between pre-group and post-group questionnaires (anxiety) | Scales will be administered at baseline and at the end of the 8 weeks of group therapy. | The following scale will be administered before and after completing the group to determine if there is any change in the result: Beck Anxiety Inventory. |
| Effect size between pre-group and post-group questionnaires (depression) | Scales will be administered at baseline and at the end of the 8 weeks of group therapy. | The following scale will be administered before and after completing the group to determine if there is any change in the result: Beck Depression Inventory. |
| Effect size between pre-group and post-group questionnaires (perceived quality of life) | Scales will be administered at baseline and at the end of the 8 weeks of group therapy. | The following scale will be administered before and after completing the group to determine if there is any change in the result: Perceived Quality of Life questionnaire. |
Countries
Canada
Outcome results
None listed