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Completed

NCT Number: NCT04781608

In It Together: Using Acceptance and Commitment Therapy to Treat Distress Among Older Adults With Sensory Loss and Their Spouses

Impairments in hearing and/or vision are common in older age. Having lived one's life as a fully sighted and hearing individual, older adults with sensory loss must come to terms with their declining capacity to interact with others and waning independence. There is ample research evidence showing that sensory loss (i.e., loss of hearing, vision or both) can be a distressful experience for older adults and their spouses, yet little has been done to understand what works in alleviating this distress or develop scalable cost-effective interventions to counter this distress or associated outcomes like depression, anxiety, poor quality of life, and lower relationship quality. In this project, the investigators will design and test an easy-to-administer, online intervention aimed at reducing emotional and marital distress in older adults with sensory loss and their spouses. The goal of the intervention will be to develop acceptance of the sensory loss through a series of Acceptance and Commitment Therapy inspired educational, self-compassion, and therapeutic activities. In prior research, acceptance has been flagged as a promising factor on which to intervene to assist older couples' emotional and marital recovery in the context of sensory loss. Thus, the investigators expect that the intervention should show encouraging results regarding the alleviation of distress in this group and contribute significantly to the psychosocial rehabilitation of older adults with sensory loss and their spouses.

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Key information

Age range

60 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Copenhagen

Copenhagen, 1014, Denmark

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Be 60 years of age or older
  • Be able to read and write in Danish
  • Be in a romantic relationship of at least 1 year
  • Live together with the partner (share housing)
  • Feel either one self or one's partner has a sensory loss (hearing and/or sight) that affects day-to-day life. This sensory loss does not need to be confirmed by a health care provider.

Exclusion criteria

  • Less than 60 years of age
  • Cannot read or write in Danish
  • Not in a romantic relationship
  • Relationship length of less than 1 year
  • Not living together with the partner (not share housing)
  • Currently receiving psychological help (therapy/intervention)

Treatment and study plan

English: In It Together (IIT)

Behavioral

Digital intervention program that consists of 4 modules, to be completed 1 week apart. The modules consist of psychoeducation, as well as acceptance and commitment therapy-inspired activities.

Other names: Danish: Sammen on Sansetab (SOS)

Primary outcomes

  1. WHO-5 well-being

    Time frame: Within the last 2 weeks

    5-item measure of general well-being (Bech, 1999, 2012)

  2. Couple Satisfaction Index

    Time frame: Follow-up 1: During the last 6 weeks

    4-item measure of satisfaction with one's romantic relationship (Funk & Rogge, 2007)

  3. Depression

    Time frame: Within the last 2 weeks

    9-item measure of depressive symptoms (PHQ-9; Kroenke, Spitzer, & Williams, 2001; Kroenke

    & Spitzer, 2002)

Secondary outcomes

  1. Psychological flexibility

    Time frame: Follow-up 1: During the last 6 weeks

    7-item measure of psychological flexibility (AAC-II; Bond, Hayes, Baer, Carpenter, Guenole, Orcutt, Waltz, & Zettle, 2011).

  2. Communication

    Time frame: Follow-up 1: During the last 6 weeks

    12-item measure of satisfaction with communication with partner (Jones, Jones, & Morris, .018)

Sponsors and collaborators

Lead sponsor

University of Copenhagen

Other

Collaborators

  • Velux Fonden

Registry information

Acronym: SoS

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Mar 4, 2021
Registry last updated
Nov 4, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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