Reaching and Engaging Depressed Senior Center Clients Phase II
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Depression in Old Age
- Sponsor
- Weill Medical College of Cornell University
- Enrollment
- 26
- Locations
- 1
- Primary Endpoint
- Change in Average Satisfaction Score of Virtual ENGAGE-A Participants as Measured by the CSQ
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The purpose of this study is to test the feasibility of one type of therapy session, Virtual Augmented Engage (Engage-A). The research is being done because the researchers are trying to learn if these approaches could be used by therapists in the community social service agencies to treat older adults with depression. The research will also measure clinician satisfaction after training and supervision of utilization of Engage-A.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age ≥ 55 years' old
- •PHQ-9 Score of ≥ 10
- •English or Spanish speaking
- •MOCA ≥ 24 or mini-telephone MOCA ≥ 11
- •Member of/attends one of the REDS Senior Centers
- •Capacity to provide written consent for both research assessment and the Engage-A intervention.
Exclusion Criteria
- •Current active suicidal ideation defined by MADRS Suicide Item ≥ 4 (probably better off dead. Suicidal thoughts are common, and suicide is considered as a possible solution, but without specific plans or intention).
- •Presence of psychiatric diagnoses other than unipolar, non-psychotic major depression or generalized anxiety disorder by SCID-IV.
- •Severe or life-threatening medical illness (e.g., end stage organ failure).
- •Currently seeing an individual psychotherapist \*(if individuals are willing to go on a hiatus from their individual psychotherapist for the 15 weeks of the study, and meet all inclusion criteria, they will be considered eligible).
Outcomes
Primary Outcomes
Change in Average Satisfaction Score of Virtual ENGAGE-A Participants as Measured by the CSQ
Time Frame: 6 weeks, 9 weeks, 12 weeks
The Client Satisfaction Questionnaire (CSQ) assesses the clients' satisfaction with the services they are receiving. The CSQ ranges from 1-4, with higher scores indicating higher satisfaction. Domain 1 scores range from 1-4, with higher scores indicating higher satisfaction with the program. Domain 2 scores range from 1-4, with higher scores indicating higher satisfaction with the services received. Domain 3 scores range from 1-4, with higher scores indicating higher likelihood of wanting to receive similar services in the future. Higher scores for all three domains indicate a better outcome.
Number of Virtual ENGAGE-A Participants Who Attend Every Scheduled Therapy Session
Time Frame: 9 Weeks
Number of Virtual ENGAGE-A Participants who Attend Every Scheduled Therapy Session
Average Satisfaction Score of Community Clinicians (LCSW) as Measured by the TSQ
Time Frame: 2 years
The Therapist Satisfaction Questionnaire (TSQ) assesses the therapists' satisfaction with the Alacrity therapy training and intervention. The TSQ ranges from 1-4, with higher scores indicating higher satisfaction. Domain 1 scores range from 1-4, with higher scores indicating higher satisfaction with the skills obtained through training. Domain 2 scores range from 1-4, with higher scores indicating higher satisfaction with the therapy type. Domain 3 scores range from 1-4, with higher scores indicating higher likelihood that the therapist would use this therapy in their own practice. Higher scores for all three domains indicate better outcomes.
Secondary Outcomes
- Change in Depressive Symptoms of Virtual ENGAGE-A Participants as Measured by HAM-D(Baseline, 6 week, 9 week, 12 week)
- Change in Behavioral Activation of Virtual ENGAGE-A Participants as Measured by the BADS(Baseline, 6 week, 9 week, 12 week)