Actively Recruiting
Empower@Home: Community Implementation for Older Adults With Ambulatory Disabilities
Led by University of Michigan · Updated on 2025-11-21
64
Participants Needed
1
Research Sites
98 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
This study is a randomized Type I hybrid effectiveness-implementation trial aimed at evaluating the effectiveness of Empower@Home, an internet-delivered cognitive-behavioral therapy (CBT) program supported by social service providers, in comparison to enhanced usual care for depression in older adults with ambulatory disabilities. A total of 64 participants with ambulatory disabilities will be randomly assigned to either the treatment group (Empower@Home) or the control group (enhanced usual care) in a 1:1 allocation ratio. This project addresses the following research questions: 1. Does the intervention affect individuals' lives in the following expected areas? 1. Does participation in the intervention lead to greater improvement in depressive symptoms than enhanced care as usual? 2. Does participation in the intervention lead to greater improvement in social engagement and activities than enhanced care as usual? 3. Is the intervention's primary effect mediated by CBT-related (e.g., CBT skills acquisition, cognitive distortions, and behavioral activation), engagement-related (e.g., character or storyline relatedness), and coach-related factors (e.g., therapeutic alliance)? 2. How is the intervention being adopted? What are the barriers and facilitators encountered during the implementation process?
CONDITIONS
Official Title
Empower@Home: Community Implementation for Older Adults With Ambulatory Disabilities
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Be receiving or eligible to receive services at the recruitment sites
- Read and speak English
- Be at least 50 years old
- Have at least mild depressive symptoms at screening (5 or higher on the Patient Health Questionnaire-9)
- Agree not to start outside therapy during the study if not currently receiving it, or not to increase therapy frequency if currently receiving it
- Have mobility limitations based on self-reported difficulties with activities such as climbing stairs or walking
You will not qualify if you...
- Probable dementia based on the Blessed Orientation and Memory Scale
- Moderate or high risk of suicide based on the Columbia-Suicide Severity Rating Scale
- Terminal illness with less than six months to live or unstable physical health
- Diagnosis of a psychotic disorder like schizophrenia or bipolar disorder
- Severe vision impairment (legally blind)
- Current substance use disorders or receiving substance use treatment
- Receiving outside therapy more frequently than once a month or started new therapy less than 3 months ago
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Trial Site Locations
Total: 1 location
1
University of Michigan
Ann Arbor, Michigan, United States, 48109
Actively Recruiting
Research Team
X
Xiaoling Xiang, PHD
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
Not the Right Trial for You?
Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.
Already have an account? Log in here