Status:

COMPLETED

The Feasibility of Engage Therapy With Video Support for Homebound Older Adults

Lead Sponsor:

Weill Medical College of Cornell University

Collaborating Sponsors:

National Institute of Mental Health (NIMH)

Conditions:

Depression

Eligibility:

All Genders

60+ years

Phase:

NA

Brief Summary

The primary aim in this pilot project is to test the feasibility, acceptability and impact (decreased depressive symptoms) of a brief behavioral treatment for depression (Engage) combined with video s...

Detailed Description

Engage is a brief therapy designed to offer a structured, stepped approach and interventions to reduce barriers to increased engagement with rewarding activities to improve depression (Alexopoulos et ...

Eligibility Criteria

Inclusion

  • Age at least 60 years
  • English speaking
  • Currently enrolled in case management at in 2 included agencies
  • Major depression on the SCID
  • 24-item Hamilton Depression Rating Scale (HAM-D) ≥ 19

Exclusion

  • Psychotic depression by SCID-V, i.e. presence of delusions
  • High suicide risk, i.e. intent or plan to attempt suicide in the near future
  • Presence of any Axis I psychiatric disorder
  • Presence of substance abuse other than unipolar major depression
  • History of psychiatric disorders, hypomania, are excluded
  • Acute or severe medical illness, i.e. delirium, metastatic cancer, decompensated cardiac, liver, or kidney failure, major surgery, stroke, or myocardial infarction during the three months prior to entry; or drugs often causing depression, e.g. steroids, reserpine, alpha- methyl-dopa, tamoxiphen, vincristine
  • Current involvement in psychotherapy
  • Cognitive impairment (i.e. telephone administered MoCA \< 11)
  • Currently dwelling in non-community dwelling (e.g. prison, nursing home)
  • Hearing that would not allow participants to complete sessions with the RA/therapist
  • Vision impairment that would not allow the participant to use the study provided tablet
  • Inability to speak English
  • Aphasia interfering with communication
  • Literacy -assessed by reading a paragraph designed for those at 6th grade reading level

Key Trial Info

Start Date :

May 12 2022

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 30 2022

Estimated Enrollment :

8 Patients enrolled

Trial Details

Trial ID

NCT05346055

Start Date

May 12 2022

End Date

September 30 2022

Last Update

June 28 2023

Active Locations (1)

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1

Weill Cornell Medicine

New York, New York, United States, 10065