Depression, Depressive Disorder, Loneliness, Mental Disorder, Mood Disorders, Social Isolation
Conditions
Brief summary
This single-group trial will evaluate the feasibility and preliminary effect of a novel group-based cognitive behavioral therapy program for older adults with elevated depressive symptoms. Participants will complete the program remotely in small groups.
Detailed description
Depression affects up to 40% of homebound seniors, but most do not receive psychotherapy due to various access barriers. This study focuses on developing community-based solutions to reduce access barriers. In a previously approved project HUM00207612, the investigators tested the feasibility of a novel internet-based cognitive behavioral therapy (iCBT) program called Empower@Home. This study will test an adapted version of Empower@Home called Empower@Home: Connected that is delivered in a group format and also addresses social isolation and loneliness. Recruitment methods include 1) referrals from social service agencies, 2) advertisements on social media, local news outlets, and the program website, and 3) research participant registries. The intervention involves attending 9 group sessions. The sessions are facilitated by a mental health professional and involve psychoeducational material, cognitive-behavioral therapy exercises, and socialization. Sessions will occur on 9 consecutive weeks and will last approximately 90 minutes. Participants will complete a comprehensive baseline assessment and post-test. Each assessment will take between 40-60 minutes to complete over the phone. Recruitment will occur between January and April 2023, 20-25 participants will be recruited. All participants will receive the intervention.
Interventions
BEHAVIORALEmpower@Home:Connected
Cognitive behavioral therapy
Sponsors
University of Michigan
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
The purpose of this research project is to assess the preliminary effect of a novel internet-based cognitive behavioral therapy (iCBT) program called Empower@Home:Connected. The program is delivered in small groups remotely. It is intended to decrease depression, social isolation, and loneliness in participants by encouraging participants to take part in meaningful and enjoyable activities while challenging problematic thinking patterns.
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* \>=60 years * have at least mild depressive symptoms, based on PHQ-9 \>=8 * are willing to participate
Exclusion criteria
* Probable cognitive impairment based on the Blessed Orientation, Memory, and Concentration scale (score \>9). * They do not speak English * have active suicidal ideation, defined as moderate to high risk based on the 6-item Columbia-Suicide Severity Rating Scale (C-SSRS) * Have a terminal illness or unstable physical health with a high risk of hospitalization within the next 3 months * Have severe vision impairment that can not be corrected * Have probable substance use disorders as assessed by the 4-item CAGE screener (\>=2 on the CAGE AND have not been sober for at least one year) * Have a self-reported psychotic disorder or bipolar disorder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Patient Health Questionnaire-9 | Change from baseline PHQ9 to post-test at 9 weeks | Changes in 9-item standardized measure of depression symptom severity. PHQ-9 scores range from 0 to 27, with higher scores indicating more depressive symptoms. |
| Changes in De Jong Gierveld Scale | Change from baseline De Jong Gierveld Scale to post-test at 9 weeks | Change in 6-item De Jong Gierveld Short Scale for Emotional and Social Loneliness. Scores range from 0 to 6, with higher scores indicating more loneliness. |
| Changes in Patient-Reported Outcomes Measurment Information Systems - Social Isolation. | Change from baseline PROMIS-Social Isolation to post-test at 9 weeks | Changes in 8-item Patient-Reported Outcomes Measurment Information Systems - Social Isolation. PROMIS - SI scores range from 0 to 32, with higher scores indicating higher social isolation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Generalized Anxiety Disorder Assessment-7 | Change inGeneralized Anxiety Disorder Assessment-7 baseline to post-test at 9 weeks | Changes in 7-item standardized measure for severity of anxiety symptoms. GAD-7 Scores range from 0 to 21, with higher values indicating higher anxiety. |
| Changes in Health Related Quality of Life | Change from baseline Health-Related Quality of Life to post-test at 9 weeks | Change in 5-item Health-Related Quality of Life. EQ5D-5L Scores range from 0 to 20 with higher scores indicating lower health related quality of life. |
| Changes in Patient-Reported Outcomes Measurment Information Systems- Global Health | Change from baseline PROMIS-Global Health to post-test at 9 weeks | Change in 9-item Patient-Reported Outcomes Measurment Information Systems - Global Health. PROMIS-GH scores range from 9 to 45, with higher scores meaning poorer global health.. |
Countries
United States
Outcome results
None listed