Implementation of Cognitive-behavioral Therapy for Older Adults With Generalized Anxiety Disorder
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 主要终点
- Feasibility-Number of participants who complete at least 75% of sessions
研究概览
简要总结
The purpose of this research study is to assess the acceptability and feasibility of the implementation strategy and fidelity of cognitive-behavioral therapy (CBT) for older adults with Generalized Anxiety Disorder.
详细描述
All participants will receive CBT. Each subject will be given a workbook and each chapter in the workbook provides information about a different coping strategy for managing worry and anxiety. There will be a daily assignment in the workbook to complete before a call with the personal study coach. For 10 weeks, participants will have a 45-50 minute session (telephone or video) each week with their study coach. These calls will be confidential. The participant and the personal study coach will review the assigned chapter and completed homework during the weekly telephone sessions. Participants will also fill out questionnaires before starting sessions, when completing all 10 sessions, and 6 months after completing sessions.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •participants who have had an outpatient visit to an Atrium provider
- •at least one of the following: any diagnosis of an anxiety or depressive disorder; anxiety, depression, or sleep disturbance as a symptom in the problem list or in the note; and use of anxiolytic, anti-depressant, and sleep aide medications.
排除标准
- •diagnosis of dementia or cognitive impairment in the problem list
结局指标
主要结局
Feasibility-Number of participants who complete at least 75% of sessions
时间窗: Week 11
Penn State Worry Questionnaire-Abbreviated (PSWQ-A)
时间窗: week 11
8-item measure of frequency/intensity of worry; most commonly used worry measure. Scores can range from 8 to 40; higher scores indicate higher levels of worry.
Feasibility-Expectancy Rating Scale
时间窗: Week 1
Assesses beliefs in how logical the treatment received seems, confidence in undergoing treatment/recommending to others, and expectations for success. Used in anxiety treatment studies with older adults. Scores can range from 4 to 40; higher scores indicate more positive expectations.
Generalized Anxiety Disorder scale (GAD-7)
时间窗: Week 11
Self-report measure of GAD symptoms. Total scores can range from 0 to 21; higher scores indicate more GAD symptoms.
Feasibility-Intervention adherence
时间窗: Week 11
The percentage of completed sessions
次要结局
- Patient-Reported Outcomes Measurement Information System (PROMIS)(baseline, week 6, week 11)
- Generalized Anxiety Disorder scale (GAD-7)(Week 6)
- Insomnia Sleep Index(baseline, week 6, week 11)
- Feasibility-Client Satisfaction Questionnaire(Week 11)
- Feasibility-Working Alliance Inventory, Client(Week 11)
- Feasibility-Working Alliance Inventory, Therapist(Week 11)
- Penn State Worry Questionnaire-Abbreviated (PSWQ-A)(week 6)