Cognitive Behavioral Therapy Group for Older Adults Delivered by Telethealth

NCT04714164 | Terminated

• 1 other identifier: 29243
• Study Type: interventional
• Target: 5
• Locations: 1 country
• Sites: 1

Brief Summary

The present aim of the study is to to adapt an established, manualized enhanced Group CBT (CBT-E) for seniors to a telehealth format, which will allow us to offer the group virtually during the COVID-19 pandemic.

Conditions

Major Depressive Disorder; Generalized Anxiety Disorder; Social Anxiety Disorder; Panic Disorder

Outcome Measures

Primary Outcomes (3)

• Feasibility of Telehealth CBT group for older adults

  This will be assessed by a questionnaire: System Usability Scale.

  This will be completed at the end of the 8 week Telehealth CBT group.

• Acceptability of Telehealth CBT group for older adults

  This will be measured by a questionnaire administered to participants titled Satisfaction Survey.

  This will be completed at the end of the 8 week Telehealth CBT group.

• Attrition to the Telehealth CBT group for older adults

  Attendance will be noted by group facilitators at each group session

  8 weeks

Secondary Outcomes (3)

• Effect size between pre-group and post-group questionnaires (anxiety)

  Scales will be administered at baseline and at the end of the 8 weeks of group therapy.

• Effect size between pre-group and post-group questionnaires (depression)

  Scales will be administered at baseline and at the end of the 8 weeks of group therapy.

• Effect size between pre-group and post-group questionnaires (perceived quality of life)

  Scales will be administered at baseline and at the end of the 8 weeks of group therapy.

Study Arms (1)

Teletherapy Group CBT participants

EXPERIMENTAL

Patients over the age of 65 with either a Major Depressive Disorder or Generalized Anxiety Disorder who will be participating in a Group CBT delivered by Teletherapy

Behavioral: Group Cognitive Behavioral Therapy

Interventions

Group Cognitive Behavioral Therapy BEHAVIORAL

Therapy will be delivered weekly for 8 weeks by Zoom.

Teletherapy Group CBT participants

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• People over the age of 65
• Diagnosis of either or both Major Depressive Disorder (MDD) of mild or moderate severity and an anxiety disorder, including generalized anxiety disorder, social anxiety disorder or panic disorder.

You may not qualify if:

• Patients with psychosis
• Patients with dementia
• Patient with severe Major Depressive Disorder or Anxiety Disorder
• Patients with antisocial or borderline personality disorder
• Patients with acute suicidal ideation.
• Older adults who do not have access to the technology required for group; computer, phone or tablet with a webcam and access to Internet

Sponsors & Collaborators

• Nova Scotia Health Authority: lead

Study Sites (1)

Abbie J Lane Memorial Building - QEII

Halifax, Nova Scotia, B3H 2E2, Canada

Location

Related Publications (13)

• Hendriks GJ, Oude Voshaar RC, Keijsers GP, Hoogduin CA, van Balkom AJ. Cognitive-behavioural therapy for late-life anxiety disorders: a systematic review and meta-analysis. Acta Psychiatr Scand. 2008 Jun;117(6):403-11. doi: 10.1111/j.1600-0447.2008.01190.x.

  PMID: 18479316 BACKGROUND

• Tavares LR, Barbosa MR. Efficacy of group psychotherapy for geriatric depression: A systematic review. Arch Gerontol Geriatr. 2018 Sep-Oct;78:71-80. doi: 10.1016/j.archger.2018.06.001. Epub 2018 Jun 18.

  PMID: 29933137 BACKGROUND

• O'Reilly R, Bishop J, Maddox K, Hutchinson L, Fisman M, Takhar J. Is telepsychiatry equivalent to face-to-face psychiatry? Results from a randomized controlled equivalence trial. Psychiatr Serv. 2007 Jun;58(6):836-43. doi: 10.1176/ps.2007.58.6.836.

  PMID: 17535945 BACKGROUND

• Gentry MT, Lapid MI, Rummans TA. Geriatric Telepsychiatry: Systematic Review and Policy Considerations. Am J Geriatr Psychiatry. 2019 Feb;27(2):109-127. doi: 10.1016/j.jagp.2018.10.009. Epub 2018 Oct 30.

  PMID: 30416025 BACKGROUND

• Wilson KC, Mottram PG, Vassilas CA. Psychotherapeutic treatments for older depressed people. Cochrane Database Syst Rev. 2008 Jan 23;(1):CD004853. doi: 10.1002/14651858.CD004853.pub2.

  PMID: 18254062 BACKGROUND

• Hantke N, Lajoy M, Gould CE, Magwene EM, Sordahl J, Hirst R, O'Hara R. Patient Satisfaction With Geriatric Psychiatry Services via Video Teleconference. Am J Geriatr Psychiatry. 2020 Apr;28(4):491-494. doi: 10.1016/j.jagp.2019.08.020. Epub 2019 Aug 24.

  PMID: 31530457 BACKGROUND

• Hubley S, Lynch SB, Schneck C, Thomas M, Shore J. Review of key telepsychiatry outcomes. World J Psychiatry. 2016 Jun 22;6(2):269-82. doi: 10.5498/wjp.v6.i2.269. eCollection 2016 Jun 22.

  PMID: 27354970 BACKGROUND

• Baldwin RC, Anderson D, Black S, Evans S, Jones R, Wilson K, Iliffe S; Faculty of Old Age Psychiatry Working Group, Royal College of Psychiatrists. Guideline for the management of late-life depression in primary care. Int J Geriatr Psychiatry. 2003 Sep;18(9):829-38. doi: 10.1002/gps.940.

  PMID: 12949851 BACKGROUND

• Apostolo J, Bobrowicz-Campos E, Rodrigues M, Castro I, Cardoso D. The effectiveness of non-pharmacological interventions in older adults with depressive disorders: A systematic review. Int J Nurs Stud. 2016 Jun;58:59-70. doi: 10.1016/j.ijnurstu.2016.02.006. Epub 2016 Feb 17.

  PMID: 27087298 BACKGROUND

• Jonsson U, Bertilsson G, Allard P, Gyllensvard H, Soderlund A, Tham A, Andersson G. Psychological Treatment of Depression in People Aged 65 Years and Over: A Systematic Review of Efficacy, Safety, and Cost-Effectiveness. PLoS One. 2016 Aug 18;11(8):e0160859. doi: 10.1371/journal.pone.0160859. eCollection 2016.

  PMID: 27537217 BACKGROUND

• Choi NG, Marti CN, Bruce ML, Hegel MT, Wilson NL, Kunik ME. Six-month postintervention depression and disability outcomes of in-home telehealth problem-solving therapy for depressed, low-income homebound older adults. Depress Anxiety. 2014 Aug;31(8):653-61. doi: 10.1002/da.22242. Epub 2014 Feb 5.

  PMID: 24501015 BACKGROUND

• Egede LE, Acierno R, Knapp RG, Lejuez C, Hernandez-Tejada M, Payne EH, Frueh BC. Psychotherapy for depression in older veterans via telemedicine: a randomised, open-label, non-inferiority trial. Lancet Psychiatry. 2015 Aug;2(8):693-701. doi: 10.1016/S2215-0366(15)00122-4. Epub 2015 Jul 16.

  PMID: 26249300 BACKGROUND

• MacQueen GM, Frey BN, Ismail Z, Jaworska N, Steiner M, Lieshout RJ, Kennedy SH, Lam RW, Milev RV, Parikh SV, Ravindran AV; CANMAT Depression Work Group. Canadian Network for Mood and Anxiety Treatments (CANMAT) 2016 Clinical Guidelines for the Management of Adults with Major Depressive Disorder: Section 6. Special Populations: Youth, Women, and the Elderly. Can J Psychiatry. 2016 Sep;61(9):588-603. doi: 10.1177/0706743716659276. Epub 2016 Aug 2.

  PMID: 27486149 BACKGROUND

Related Links

• Center for Multicultural Mental Health Research 2012
• Yalom, I.D., The Theory and Practice of Group Psychotherapy, 5th edition, Basic Books
• National Institute for Clinical Excellence. Depression: management of depression in primary and secondary care. NICE 2004.

MeSH Terms

Conditions

Depressive Disorder, Major; Generalized Anxiety Disorder; Phobia, Social; Panic Disorder

Condition Hierarchy (Ancestors)

Depressive Disorder; Mood Disorders; Mental Disorders; Anxiety Disorders; Phobic Disorders

Study Officials

• Christelle Boudreau, MD

  NSHA

  PRINCIPAL INVESTIGATOR

Study Design

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

Model Details: Feasibility and acceptability study

Study Record Dates

• First Submitted: January 7, 2021
• First Posted: January 19, 2021
• Study Start: February 18, 2021
• Primary Completion: March 9, 2022
• Study Completion: September 15, 2023
• Last Updated: January 5, 2024

Record last verified: 2024-01

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)