Feasibility of Telehealth Problem-Solving Therapy for Depressed Homebound Older Adults

NCT00903019 | Completed

• 2 other identifiers: R34MH083872DATR A4-GPS
• Study Type: interventional
• Target: 158
• Locations: 1 country
• Sites: 1

Brief Summary

This study will test the feasibility and effectiveness of therapy given via teleconferencing to depressed homebound older adults.

Conditions

Depression

Keywords

Homebound; Older Adults; Disability; Videoconferencing

Outcome Measures

Primary Outcomes (2)

• 24-item Hamilton Rating Scale for Depression (HAMD)

  Measured at 2, 12, and 24 weeks

• 12-item World Health Organization Disability Assessment Schedule (WHO-DAS-II)

  Measured at 2, 12, and 24 weeks

Study Arms (3)

1

EXPERIMENTAL

Participants will receive problem-solving therapy (PST) delivered via teleconferencing (tele-PST).

Behavioral: Tele-Problem-Solving Therapy

2

ACTIVE COMPARATOR

Participants will receive problem-solving therapy (PST) delivered in-person.

Behavioral: In-Person PST

3

PLACEBO COMPARATOR

Participants will receive monitoring phone calls.

Behavioral: Attention control

Interventions

Tele-Problem-Solving Therapy BEHAVIORAL

Six sessions of tele-PST

1

In-Person PST BEHAVIORAL

Six sessions of in person PST

2

Attention control BEHAVIORAL

Six weekly telephone calls

3

Eligibility Criteria

• Age: 50 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Non-Hispanic white, African American, or Hispanic
• Homebound, as defined by receiving a home-delivered meals service or personal assistance and in-home support services because of disability
• Moderate-to-severe depressive symptom severity, as defined by a score greater than or equal to 15 on the Hamilton Rating Scale for Depression (HAMD)
• Has a home television set that can be used for problem-solving therapy (PST) sessions
• Has a landline telephone

You may not qualify if:

• High suicide risk, as defined by an intent or plan to attempt suicide within a month or indication of persistently moderate or severe suicidal ideation or behavior
• Presence of dementia or executive dysfunction
• Presence of bipolar disorder
• Lifetime or current (within 12 months) psychotic symptoms or disorder
• Presence of co-occurring alcohol or other addictive substance abuse, including benzodiazepines and opioids
• Hearing or vision impairment that would interfere with PST participation
• Inability to actively participate in PST sessions due to acute or severe medical illness or functional impairment, such as a bed-bound state
• Current involvement in psychotherapy
• Inability to speak English

Sponsors & Collaborators

• University of Texas at Austin: lead
• National Institute of Mental Health (NIMH): collaborator

Study Sites (1)

University of Texas at Austin

Austin, Texas, 78712-0358, United States

Location

Related Publications (1)

• Choi NG, Marti CN, Bruce ML, Kunik ME. Relationship between depressive symptom severity and emergency department use among low-income, depressed homebound older adults aged 50 years and older. BMC Psychiatry. 2012 Dec 26;12:233. doi: 10.1186/1471-244X-12-233.

  PMID: 23267529 DERIVED

MeSH Terms

Conditions

Depression

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Study Officials

• Namkee G. Choi, PhD

  University of Texas at Austin

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: May 13, 2009
• First Posted: May 15, 2009
• Study Start: June 1, 2009
• Primary Completion: May 1, 2013
• Study Completion: May 1, 2013
• Last Updated: March 23, 2015

Record last verified: 2015-03

Locations

US (1)