A Randomized Controlled Trial of In-Home Tele-behavioral Health Care Utilizing Behavioral Activation for Depression
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Depression
- Sponsor
- National Center for Telehealth and Technology
- Enrollment
- 121
- Locations
- 2
- Primary Endpoint
- Beck Hopelessness Scale (BHS)
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
This study will evaluate the effectiveness of a web-based behavioral activation(BA) treatment for depression by comparing it to in-person BA treatment in Soldiers and Veterans with Major and Minor Depressive Disorder. We will test the hypothesis that 8 sessions of in-home BA delivered via a webcam will be as safe and effective in reducing symptoms of hopelessness and depression as in-person BA treatment for depression.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Current Major Depressive or Minor Depressive Disorder
- •High-speed internet/network access at home (384kbs minimum)
- •Informed consent
- •Fluent in the English language
Exclusion Criteria
- •Currently undergoing psychotherapy for depression
- •less than 18 or greater than 65 year of age
- •Active psychotic symptoms/disorders as determined by the SCID for DSM-IV
- •Dysthymic Disorder
- •Current suicidal ideation with intent or recent (within six months) history of a suicide attempt
- •History of Organic Mental Disorder
- •Current substance dependence as determined by the SCID (lifetime substance dependence or substance abuse will not be excluded)
- •History of violence or poor impulse control causing potential risk to staff or others
- •Significant ongoing stressors that require urgent crisis intervention
- •Having a living arrangement that will not permit the use of a private space to participate in the study
Outcomes
Primary Outcomes
Beck Hopelessness Scale (BHS)
Time Frame: Post treatment - Week 8
The BHS is a 20-item scale for measuring negative attitudes about the future. Each item is scored with a true/false response. Total scores range from 0-20 with higher scores indicating a greater degree of hopelessness.
Secondary Outcomes
- Beck Depression Inventory -II (BDI-II)(3 month follow up)
- Beck Hopelessness Scale (BHS)(3 month follow up)
- Adverse Events(3 month follow up)