Cognitive Behavioral Therapy Group for Older Adults Delivered by Telethealth

Not Applicable

Terminated

• Conditions: Social Anxiety Disorder; Panic Disorder; Major Depressive Disorder; Generalized Anxiety Disorder
• Interventions: Behavioral: Group Cognitive Behavioral Therapy

• Registration Number: NCT04714164
• Lead Sponsor: Nova Scotia Health Authority

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.

Detailed Description

The goal of this project is to adapt an established, manualized enhanced Group CBT (CBT-E) for seniors to a telemedicine format. Currently the Geriatric Psychiatry service associated with the Nova Scotia Health Authority offer two CBT-E groups every year. They are usually facilitated by psychiatry residents, under the supervision of a staff psychiatrist. Due to the risk of COVID-19, we will not be holding in-person groups this year. Instead we will offer the group in a smaller, telemedicine format. For this project, we will change the group structure and activities to allow it's delivery in a virtual format. This study will assess feasibility, tolerability of the telehealth format by using the System Usability Scale and Group Satisfaction Survey. It will also assess response to online therapy buy using pre- and post-group questionnaires including the Beck Depression Inventory, Beck Anxiety Inventory and Perceived Quality of Life Questionnaire. Paired t-tests will be used to analyse the data and determine whether there has been an improvement in participant's symptoms and quality of life.

Study Timeline

• Study First Submitted: 2021-01-07
• Study First Submitted QC: 2021-01-15
• Study First Posted: 2021-01-19
• Study Start: 2021-02-18
• Primary Completion: 2022-03-09
• Study Completion: 2023-09-15
• Status Verified: 2024-01
• Last Update Submitted: 2024-01-03
• Last Update Posted: 2024-01-05

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 5

Inclusion Criteria

• 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.

Exclusion Criteria

• 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

These are also exclusion criteria for the CBT group outside of the study. People younger than 65 are also excluded from the group because it is offered to older adults only.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Teletherapy Group CBT participants	Group Cognitive Behavioral Therapy	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

Primary Outcome Measures

Name	Time	Method
Feasibility of Telehealth CBT group for older adults	This will be completed at the end of the 8 week Telehealth CBT group.	This will be assessed by a questionnaire: System Usability Scale.
Attrition to the Telehealth CBT group for older adults	8 weeks	Attendance will be noted by group facilitators at each group session
Acceptability of Telehealth CBT group for older adults	This will be completed at the end of the 8 week Telehealth CBT group.	This will be measured by a questionnaire administered to participants titled Satisfaction Survey.

Secondary Outcome Measures

Name	Time	Method
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.	The following scale will be administered before and after completing the group to determine if there is any change in the result: Beck Depression Inventory.
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.	The following scale will be administered before and after completing the group to determine if there is any change in the result: Beck Anxiety Inventory.
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.	The following scale will be administered before and after completing the group to determine if there is any change in the result: Perceived Quality of Life questionnaire.

Trial Locations

Locations (1)

Abbie J Lane Memorial Building - QEII; 🇨🇦 Halifax, Nova Scotia, Canada