A Systems-Level Intervention for Rural Adults With Depression

Not Applicable

Completed

• Conditions: Depressive Symptoms

• Registration Number: NCT04502186
• Lead Sponsor: University of Michigan

Brief Summary

This study aims to test the effectiveness of a computer-assisted cognitive behavioral therapy for depression among rural adults. The intervention, called Raising Our Spirits Together (ROST), was developed via a community-based participatory approach and will be delivered in small groups, facilitated by local pastors. Groups will be held virtually, or in-person at two churches in rural Michigan. Eighty-four individuals will be recruited from Hillsdale, Michigan, to test the effect of ROST on depressive symptoms, compared to an Enhanced Control Condition (ECC).

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2020-08-03
• Study First Submitted QC: 2020-08-05
• Study First Posted: 2020-08-06
• Study Start: 2020-09-20
• Primary Completion: 2023-07-31
• Study Completion: 2023-07-31
• Results First Submitted: 2024-12-06
• Status Verified: 2025-01
• Results First Submitted QC: 2025-01-31
• Last Update Submitted: 2025-01-31
• Results First Posted: 2025-02-04
• Last Update Posted: 2025-02-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 70

Inclusion Criteria

• Must live in Hillsdale, Lenawee, Jackson, or Calhoun County, Michigan
• Positive screen for at least mild depressive symptoms based on the the Patient Health Questionnaire-9 (PHQ-9>=5)

Exclusion Criteria

• Non-English speaking
• Currently receiving cognitive behavioral therapy (CBT) for depression
• Ever completed a course of cognitive behavioral therapy (CBT; >=8 sessions)
• Diagnosis of a psychotic disorder
• Current use of opiates or freebase cocaine
• Prominent suicidal/homicidal ideation with imminent risk.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Change in Self-report Measure of Depressive Symptoms	Outcome will be assessed at baseline, immediately post-treatment (up to 8 weeks), and 12-weeks post-treatment	Participants will self report depressive symptoms utilizing the Patient Health Questionnaire-9 (PHQ-9; range 0-27 with higher scores indicating worse outcome)

Trial Locations

Locations (2)

Trinity Lutheran Church; 🇺🇸 Hillsdale, Michigan, United States

Jonesville First Presbyterian Church; 🇺🇸 Jonesville, Michigan, United States