Leveraging Adult Protective Service Interaction to Offer Evidence-Based Treatment for Depression in Elder Neglect/Self Neglect
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Change in depression as assessed by the Patient Depression Questionnaire (PHQ-9)
研究概览
简要总结
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
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 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
- •APS Case in APS Region VI- Must have open case
- •PHQ 9 score- Must have score of nine (9) or more
排除标准
- •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
研究组 & 干预措施
APS Treatment as Usual
干预措施: APS Treatment as Usual (Behavioral)
Intervention-Behavioral Activation (BA)
干预措施: Intervention-Behavioral Activation (BA) (Behavioral)
结局指标
主要结局
Change in depression as assessed by the Patient Depression Questionnaire (PHQ-9)
时间窗: 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)
时间窗: 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
时间窗: 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
次要结局
- 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)
研究者
Leila Wood
professor
The University of Texas Health Science Center, Houston