Status:

COMPLETED

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

Lead Sponsor:

University of Texas at Austin

Collaborating Sponsors:

National Institute of Mental Health (NIMH)

Conditions:

Depression

Eligibility:

All Genders

50+ years

Phase:

NA

Brief Summary

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

Detailed Description

Older people with disabilities who cannot leave their homes are at increased risk of depression or depressive symptoms. Short-term psychotherapy, without medications, has been found effective for trea...

Eligibility Criteria

Inclusion

  • 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

Exclusion

  • 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

Key Trial Info

Start Date :

June 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 1 2013

Estimated Enrollment :

158 Patients enrolled

Trial Details

Trial ID

NCT00903019

Start Date

June 1 2009

End Date

May 1 2013

Last Update

March 23 2015

Active Locations (1)

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1

University of Texas at Austin

Austin, Texas, United States, 78712-0358