Reaching and Engaging Depressed Senior Center Clients

NCT04289298 | Completed Results DMC

• 2 other identifiers: 19-09020810-025P50MH113838-03
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to test the feasibility of one type of therapy session, Virtual Augmented Engage (Engage-A). The research is being done because the researchers are trying to learn if these approaches could be used by therapists in the community social service agencies to treat older adults with depression. The research will also measure clinician satisfaction after training and supervision of utilization of Engage-A.

Conditions

Depression in Old Age

Keywords

depression; geriatric; psychotherapy; group

Outcome Measures

Primary Outcomes (3)

• Number of Virtual ENGAGE-A Participants Who Attend Every Scheduled Therapy Session

  Number of Virtual ENGAGE-A Participants who Attend Every Scheduled Therapy Session

  9 Weeks

• Change in Average Satisfaction Score of Virtual ENGAGE-A Participants as Measured by the CSQ

  The Client Satisfaction Questionnaire (CSQ) assesses the clients' satisfaction with the services they are receiving. The CSQ ranges from 1-4, with higher scores indicating higher satisfaction. Domain 1 scores range from 1-4, with higher scores indicating higher satisfaction with the program. Domain 2 scores range from 1-4, with higher scores indicating higher satisfaction with the services received. Domain 3 scores range from 1-4, with higher scores indicating higher likelihood of wanting to receive similar services in the future. Higher scores for all three domains indicate a better outcome.

  6 weeks, 9 weeks, 12 weeks

• Average Satisfaction Score of Community Clinicians (LCSW) as Measured by the TSQ

  The Therapist Satisfaction Questionnaire (TSQ) assesses the therapists' satisfaction with the Alacrity therapy training and intervention. The TSQ ranges from 1-4, with higher scores indicating higher satisfaction. Domain 1 scores range from 1-4, with higher scores indicating higher satisfaction with the skills obtained through training. Domain 2 scores range from 1-4, with higher scores indicating higher satisfaction with the therapy type. Domain 3 scores range from 1-4, with higher scores indicating higher likelihood that the therapist would use this therapy in their own practice. Higher scores for all three domains indicate better outcomes.

  2 years

Secondary Outcomes (2)

• Change in Depressive Symptoms of Virtual ENGAGE-A Participants as Measured by HAM-D

  Baseline, 6 week, 9 week, 12 week

• Change in Behavioral Activation of Virtual ENGAGE-A Participants as Measured by the BADS

  Baseline, 6 week, 9 week, 12 week

Study Arms (2)

Engage-A

EXPERIMENTAL

Participants receive 9 individual in-person or remote therapy sessions. Each session will last approximately 60 minutes. During the sessions, the therapist will encourage the participant to engage in physical and social activities that are pleasurable or rewarding.

Behavioral: Engage-A

Clinician

EXPERIMENTAL

Clinicians will be trained in Engage-A and supervised while utilizing the therapy.

Other: Training and utilizing Engage-A therapy

Interventions

Engage-A BEHAVIORAL

Therapist will encourage participants to engage in physical and social activities that are pleasurable or rewarding. Engage is a stepped care psychotherapy based on what is known about how older adults respond to depression interventions. Stepped care is a model of treatment that starts with the minimum effective therapeutic techniques first, and then based on how well people respond to treatment, additional therapeutic techniques are added until people are recovered from their depression.

Also known as: Augmented Engage

Engage-A

Training and utilizing Engage-A therapy OTHER

Therapist will be trained in Engage-A therapy and given supervision while utilizing this therapy.

Clinician

Eligibility Criteria

• Age: 55 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age ≥ 55 years' old
• PHQ-9 Score of ≥ 10
• English or Spanish speaking
• MOCA ≥ 24 or mini-telephone MOCA ≥ 11
• Member of/attends one of the REDS Senior Centers
• Capacity to provide written consent for both research assessment and the Engage-A intervention.

You may not qualify if:

• Current active suicidal ideation defined by MADRS Suicide Item ≥ 4 (probably better off dead. Suicidal thoughts are common, and suicide is considered as a possible solution, but without specific plans or intention).
• Presence of psychiatric diagnoses other than unipolar, non-psychotic major depression or generalized anxiety disorder by SCID-IV.
• Severe or life-threatening medical illness (e.g., end stage organ failure).

Sponsors & Collaborators

• Weill Medical College of Cornell University: lead
• National Institute of Mental Health (NIMH): collaborator

Study Sites (1)

Weill Cornell Medicine

White Plains, New York, 10605, United States

Location

MeSH Terms

Conditions

Depression

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Results Point of Contact

• Title: Dr. Patricia Marino, PhD
• Organization: Weill Cornell Medical College

pam2029@med.cornell.edu

914-997-8691

Study Officials

• Patricia Marino, PhD

  Weill Medical College of Cornell University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

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

Study Record Dates

• First Submitted: February 26, 2020
• First Posted: February 28, 2020
• Study Start: September 3, 2020
• Primary Completion: August 31, 2022
• Study Completion: August 31, 2022
• Last Updated: August 23, 2023
• Results First Posted: August 23, 2023

Record last verified: 2023-08

Data Sharing

• IPD Sharing: Will share
• Time Frame: Data will be available as per NIMH's data sharing policy.
• Access Criteria: Access criteria is determined by NIMH and can be requested by applying online.

Locations

US (1)