Treating Late-Life Generalized Anxiety Disorder (GAD) in Primary Care
2 other identifiers
interventional
148
1 country
1
Brief Summary
The purpose of this study is to determine whether cognitive behavior therapy (CBT) is effective in the treatment of generalized anxiety disorder (GAD) in adults age 60 and older in a primary care setting.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2004
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2004
CompletedFirst Submitted
Initial submission to the registry
March 28, 2006
CompletedFirst Posted
Study publicly available on registry
March 30, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2015
CompletedMarch 22, 2024
March 1, 2024
3.8 years
March 28, 2006
March 21, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Anxiety
Baseline and 3, 6, 9, 12 and 15 months
Secondary Outcomes (7)
Functional and health status
Baseline and 3, 6, 9, 12 and 15 months
Quality of life inventory (QOLI)
Baseline and 3, 6, 9, 12 and 15 months
Satisfaction with CBT and general health care
Baseline and 3, 6, 9, 12 and 15 months
Service utilization
Baseline and 3, 6, 9, 12 and 15 months
Depression
Baseline and 3, 6, 9, 12 and 15 months
- +2 more secondary outcomes
Study Arms (2)
1
EXPERIMENTALCognitive Behavior Therapy
2
ACTIVE COMPARATORUsual Care
Interventions
8 to 10 in person CBT sessions up to 60 minutes in duration within a 12 week time period
Biweekly telephone calls to monitor symptom severity, an enhanced Usual Care condition
Eligibility Criteria
You may qualify if:
- Clinical diagnosis of Generalized Anxiety Disorder
You may not qualify if:
- Active suicidal intent
- Current psychosis
- Current bipolar disorder
- Substance abuse within past month
- Cognitive impairment
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Baylor College of Medicinelead
- National Institute of Mental Health (NIMH)collaborator
- National Institutes of Health (NIH)collaborator
- The University of Texas Health Science Center, Houstoncollaborator
- Kelsey Research Foundationcollaborator
- Kelsey-Seybold Cliniccollaborator
- Michael E. DeBakey VA Medical Centercollaborator
Study Sites (1)
Houston Center for Quality of Care and Utilization Studies
Houston, Texas, 77030, United States
Related Publications (5)
Wetherell JL, Lenze EJ, Stanley MA. Evidence-based treatment of geriatric anxiety disorders. Psychiatr Clin North Am. 2005 Dec;28(4):871-96, ix. doi: 10.1016/j.psc.2005.09.006. No abstract available.
PMID: 16325733BACKGROUNDStanley MA, Kunik ME. Anxiety in primary care: a frontier for mental health services research. Med Care. 2005 Dec;43(12):1161-3. doi: 10.1097/01.mlr.0000190923.04095.80. No abstract available.
PMID: 16299425BACKGROUNDStanley MA, Hopko DR, Diefenbach GJ, Bourland SL, Rodriguez H, Wagener P. Cognitive-behavior therapy for late-life generalized anxiety disorder in primary care: preliminary findings. Am J Geriatr Psychiatry. 2003 Jan-Feb;11(1):92-6.
PMID: 12527544BACKGROUNDShrestha S, Stanley MA, Wilson NL, Cully JA, Kunik ME, Novy DM, Rhoades HM, Amspoker AB. Predictors of change in quality of life in older adults with generalized anxiety disorder. Int Psychogeriatr. 2015 Jul;27(7):1207-15. doi: 10.1017/S1041610214002567. Epub 2014 Dec 12.
PMID: 25497362DERIVEDStanley MA, Wilson NL, Novy DM, Rhoades HM, Wagener PD, Greisinger AJ, Cully JA, Kunik ME. Cognitive behavior therapy for generalized anxiety disorder among older adults in primary care: a randomized clinical trial. JAMA. 2009 Apr 8;301(14):1460-7. doi: 10.1001/jama.2009.458.
PMID: 19351943DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Melinda A. Stanley, Ph.D.
Baylor College of Medicine
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
March 28, 2006
First Posted
March 30, 2006
Study Start
March 1, 2004
Primary Completion
January 1, 2008
Study Completion
April 1, 2015
Last Updated
March 22, 2024
Record last verified: 2024-03