Depression
Conditions
Keywords
Depression, Internet-based cognitive behaviour therapy, Elderly, eHealth
Brief summary
This study aims to evaluate the effectiveness of internet-based cognitive behavioral therapy (CBT) for depressed elderly.
Detailed description
Individuals of age 60+ with symptoms of depression will be assessed before the study. At week 0, participants who meet eligibility requirements will be randomized either to intervention group which will participate in an 8-week internet-based modular CBT or to a delayed treatment control group.
Interventions
BEHAVIORALDepresijos terapija
Intervention is based on the principles of cognitive behavioral therapy and culturally adapted to elderly Lithuanian population. The main purpose of the intervention is to reduce the symptoms of depression and increase psychological well-being. Intervention contains psychoeducation, examples, exercises and consultation with a psychologist.
Sponsors
Linkoeping University
Vilnius University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Participants will be randomized to either control or intervention group. Participants in the control group will receive the same treatment after the intervention group is finished with the treatment.
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* depressive symptoms * have access to a computer/tablet/smartphone and to the internet * have good knowledge of the Lithuanian language
Exclusion criteria
* alcohol addiction * presently in any other psychological treatment * severe depression * suicidal ideation * significant change in psychiatric medication (during last 6 weeks)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient Health Questionnaire (PHQ-9) | Pre-treatment, week 8, 3, 12 and 24 months post-treatment | Change from baseline in depression symptoms post-treatment (week 8), at three months, at 12 months and at 24 months post-treatment. Measure contains 9 questions that have to be responded to by choosing an answer from a 4-item Likert scale, where number 0 indicates 'Not at all' and 3 - 'Nearly every day'. Higher score indicates more severe symptoms. |
| Geriatric Depression Scale (GDS) | Pre-treatment, week 8, 3, 12 and 24 months post-treatment | Change from baseline in depression symptoms post-treatment (week 8), at three months, at 12 months and at 24 months post-treatment. Measure contains 15 questions that have to be responded 'Yes' or 'No'. Higher score indicates more severe symptoms. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Generalized Anxiety Disorder-7 (GAD-7) | Pre-treatment, week 8, 3, 12 and 24 months post-treatment | Change from baseline in anxiety symptoms post-treatment (week 8), at three months, at 12 months and at 24 months post-treatment. Measure contains 7 questions that have to be responded to by choosing an answer from a 4-item Likert scale, where number 0 indicates 'Not at all' and 3 - 'Nearly every day'. Higher score indicates more severe symptoms. |
| The World Health Organisation- Five Well-Being Index (WHO-5) | Pre-treatment, week 8, 3, 12 and 24 months post-treatment | Change from baseline in well-being post-treatment (week 8), at three months, at 12 months and at 24 months post-treatment. WHO-5 contains 5 statements about individuals well-being in the past two weeks. Respondents have to choose the best corresponding answer using a 6-item Likert scale where a score of 0 indicates 'At no time' and a score of 5 - 'All the time'. Higher score indicates higher well-being. |
Other
| Measure | Time frame | Description |
|---|---|---|
| The Alcohol Use Disorders Identification Test (AUDIT) | Pre-treatment | AUDIT will be used for alcohol consumption and related risks assessment. |
Countries
Lithuania
Outcome results
None listed