Senior Peer Alliance for Rural Research On Wellness

NCT01913366 | Completed DMC

• 1 other identifier: R01AG043584-01A1
• Study Type: interventional
• Target: 105
• Locations: 1 country
• Sites: 1

Brief Summary

Dr. Brooke Hollister, Ph.D. from the department of Social and Behavioral Sciences at the University of California, San Francisco is conducting a study comparing two types of interventions for treating depression in rural older adults.

Conditions

MDD

Outcome Measures

Primary Outcomes (8)

• Hamilton Rating Scale for Depression (HRSD)

  A multiple item questionnaire used to provide an indication of depression, and as a guide to evaluate recovery.

  Baseline

• Hamilton Rating Scale for Depression (HRSD)

  A multiple item questionnaire used to provide an indication of depression, and as a guide to evaluate recovery.

  Week 3

• Hamilton Rating Scale for Depression (HRSD)

  A multiple item questionnaire used to provide an indication of depression, and as a guide to evaluate recovery.

  Week 6

• Hamilton Rating Scale for Depression (HRSD)

  A multiple item questionnaire used to provide an indication of depression, and as a guide to evaluate recovery.

  Week 12

• WHO Disability Assessment Schedule 2.0 (WHODAS-II)

  Generic assessment instrument for health and disability

  Week 0

• WHO Disability Assessment Schedule 2.0 (WHODAS-II)

  Generic assessment instrument for health and disability

  Week 3

• WHO Disability Assessment Schedule 2.0 (WHODAS-II)

  Generic assessment instrument for health and disability

  Week 6

• WHO Disability Assessment Schedule 2.0 (WHODAS-II)

  Generic assessment instrument for health and disability

  Week 12

Study Arms (2)

CM-PST

EXPERIMENTAL

If you are assigned to CM-PST, you will be working with the same care manager from your introductory session. The care manager will continue to work with you on your problem-solving plan. Additionally, you will receive case management services.

Behavioral: CM-PST

SG-PST

EXPERIMENTAL

If you are assigned to SG-PST, you will continue to work on your problem-solving plan, using the self-guided materials provided to you during the introductory session. Additionally, you will be partnered with a senior peer counselor who will support you in your SG-PST efforts.

Behavioral: SG-PST

Interventions

CM-PST BEHAVIORAL

CM-PST

SG-PST BEHAVIORAL

SG-PST

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Residence in rural Tuolumne, Calaveras, San Joaquin or Stanislaus Counties;
• Diagnosis: Major depression, unipolar (by SCID ascertained DSM-IV criteria);
• Severity of depression: A PHQ-9\>10 or a 24-Item HDRS\>19;
• Need for social services: CANE score\> 2, i.e. at least one unmet need;

You may not qualify if:

• Psychotic depression by SCID-IV, i.e., presence of delusions;
• High suicide risk, i.e. intent or plan to attempt suicide in near future;
• Presence of any Axis I psychiatric disorder or substance abuse other than unipolar major depression;
• Axis II diagnosis of antisocial personality (by SCID-P and DSM-IV);
• History of psychiatric disorders other than unipolar major depression or generalized anxiety disorder (including bipolar disorder, hypomania, and dysthymia);
• Dementia: MMSE below 24 or clinical diagnosis of dementia by DSM-IV;
• Acute/severe medical illness (delirium, metastatic cancer, de-compensated cardiac, liver or kidney failure, stroke or myocardial infarction) 3 months prior to entry; or use of drugs causing depression, (steroids, reserpine, alphamethyl-dopa, tamoxiphen, vincristine);
• Inability to speak English;
• Aphasia interfering with communication;

Sponsors & Collaborators

• University of California, San Francisco: lead

Study Sites (1)

Catholic Charities Motherlode Office- Sonora

Sonora, California, 95370, United States

Location

Study Officials

• Brooke Hollister, Ph.D.

  University of California, San Francisco

  PRINCIPAL INVESTIGATOR

• Patricia Arean, Ph.D.

  University of California, San Francisco

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 29, 2013
• First Posted: August 1, 2013
• Study Start: August 1, 2013
• Primary Completion: August 1, 2018
• Study Completion: March 31, 2019
• Last Updated: July 31, 2019

Record last verified: 2019-07

Locations

US (1)