Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID07220486

Building Resilience in Skilled Nursing Care: A Behavioral Health Intervention for Residents & Care Partners

Led by Massachusetts General Hospital · Updated on 2025-11-10

100

Participants Needed

1

Research Sites

34 weeks

Total Duration

On this page

Sponsors

M

Massachusetts General Hospital

Lead Sponsor

N

National Institute on Aging (NIA)

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating a behavioral health program called Interventions for Stressful Transitions in Later Life (InSTILL) designed for short-stay skilled nursing facility residents and their primary care partners. The study aims to determine if the InSTILL program is feasible, satisfactory, and helpful compared to minimally enhanced usual care. Participants will be randomly assigned to either the InSTILL program or usual care and will complete assessments at three timepoints along with a brief exit interview. The InSTILL program includes eight sessions delivered twice a week over about four weeks, which can be attended in person or remotely. Both the resident and their care partner participate together in all sessions led by a trained clinician. The comparison group receives a psychoeducational pamphlet and enhanced referrals for community support resources. Participants will be involved in assessments before, immediately after, and one month following the intervention. These include questionnaires on treatment credibility, satisfaction, adherence, feasibility of recruitment and data collection, clinician fidelity, adverse events, and acceptability. Secondary measures assess depression symptoms, anxiety, resilience, relationship quality, preparedness for future care, and other psychological and health outcomes. The study will monitor these outcomes to better understand the program’s impact and feasibility over time.

CONDITIONS

Brief Title

Behavioral Health Program for Short-Stay Nursing Facility Residents & Care Partners

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patient and care partner both aged 60 18 years
  • Patient must have a care partner who provides regular health-related, emotional, or practical support and is willing to participate
  • Patient must report depression symptoms on a screening tool (Patient Health Questionnaire)
Not Eligible

You will not qualify if you...

  • Patient's intended nursing facility stay is less than 7 days
  • Patient has more than mild cognitive impairment based on a cognitive screening test
  • Patient's roommate in the skilled nursing facility is already enrolled in the study
  • Either patient or care partner has a high risk of suicidality based on a safety assessment
  • Either patient or care partner is currently participating in newly initiated psychotherapy

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person or remote)

Outpatient Treatment

Duration - About 4 weeks

Participants attend the InSTILL behavioral health intervention consisting of 8 sessions designed to improve life management, emotion regulation, and dyadic coping skills.

2 sessions per week, total 8 sessions, delivered in person or remotely

Follow-up

Duration - 1 month

Participants complete assessments to evaluate treatment effects and safety one month after the intervention.

1 follow-up visit (in-person or remote)

Trial Site Locations

Total: 1 location

1

Massachusetts General Hospital

Boston, Massachusetts, United States, 02114

Actively Recruiting

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Research Team

M

Makenna E Law, BS

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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