Leveraging Adult Protective Service Interaction to Offer Evidence-Based Treatment for Depression in Elder Neglect/Self Neglect
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Change in depression as assessed by the Patient Depression Questionnaire (PHQ-9)
Study Overview
Brief Summary
The purpose of this study is to test the feasibility and acceptability of an evidence-based treatment for depression delivered over an ipad, computer, or smartphone can help Adult Protective Services (APS) clients with their activities of daily living to evaluate whether reductions on measures of depression and apathy (a) mediate reduced Elder Neglect/Self Neglect (EN/SN) behaviors; and (b) whether secondary posited mediating mechanisms are also active in impacting depression and apathy
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 65 Years to — (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •APS Case in APS Region VI- Must have open case
- •PHQ 9 score- Must have score of nine (9) or more
Exclusion Criteria
- •Previous mental health diagnosis of bipolar disorder, psychotic disorders, and moderate to severe dementia
- •Assessment of Consent Proxy- Those who need assessment of consent proxy
- •Suicidal Intent (as indexed by PhQ-9 question 9)- Those scoring 2 or 3
- •Current Alcohol and Drug Dependency- As evidenced by Cut down, Annoyed, Guilty, and Eye-opener (CAGE) score of 3 or more
Arms & Interventions
APS Treatment as Usual
Intervention: APS Treatment as Usual (Behavioral)
Intervention-Behavioral Activation (BA)
Intervention: Intervention-Behavioral Activation (BA) (Behavioral)
Outcomes
Primary Outcomes
Change in depression as assessed by the Patient Depression Questionnaire (PHQ-9)
Time Frame: baseline, post-treatment ( 8 weeks after baseline), and 3 months
This is 9 item questionnaire and each is scored from 0 (not at all) to 3 (nearly every day), for a maximum score of 27, higher score indicating more depression
Change in apathy as assessed by the Apathy Motivations Index (AMI)
Time Frame: baseline, post-treatment ( 8 weeks after baseline), and 3 months
This is an 18 item questionnaire and each item is scored on a scale from 0(completely true) to 4(completely untrue), for a maximum score of 72, with higher scores indicating greater apathy
Change in Elder Neglect/Self Neglect (EN/SN) as evidenced by study developed goal attainment scale
Time Frame: baseline, post-treatment ( 8 weeks after baseline), and 3 months
Participants will be given a list of 19 common daily activities and will be asked to pick one or more activities form the list that they would like to start doing or do more regularly each day or week.Each activity will be then scored based on the following scoring criteria, higher score indicating better outcome : (Much less than expected)-2 (Somewhat less than expected)-1 (Expected client outcome)0 (Somewhat better than expected)+1 (Much better than expected)+2
Secondary Outcomes
- Change in social connection as assessed by the Lubben Social Network Scale(baseline, post-treatment ( 8 weeks after baseline), and 3 months)
- Change in social isolation as assessed by Patient-Reported Outcomes Measurement Information System (PROMIS 8)(baseline, post-treatment ( 8 weeks after baseline), and 3 months)
Investigators
Leila Wood
professor
The University of Texas Health Science Center, Houston