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Completed

NCT Number: NCT04289298

Reaching and Engaging Depressed Senior Center Clients

The purpose of this study is to test the feasibility of one type of therapy session, Virtual Augmented Engage (Engage-A). The research is being done because the researchers are trying to learn if these approaches could be used by therapists in the community social service agencies to treat older adults with depression. The research will also measure clinician satisfaction after training and supervision of utilization of Engage-A.

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Key information

Conditions

Depression in Old Age Behavior Behavioral Symptoms Depression

Age range

55 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Weill Cornell Medicine

White Plains, New York, 10605, United States

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Age ≥ 55 years' old
  • PHQ-9 Score of ≥ 10
  • English or Spanish speaking
  • MOCA ≥ 24 or mini-telephone MOCA ≥ 11
  • Member of/attends one of the REDS Senior Centers
  • Capacity to provide written consent for both research assessment and the Engage-A intervention.

Exclusion criteria

  • Current active suicidal ideation defined by MADRS Suicide Item ≥ 4 (probably better off dead. Suicidal thoughts are common, and suicide is considered as a possible solution, but without specific plans or intention).
  • Presence of psychiatric diagnoses other than unipolar, non-psychotic major depression or generalized anxiety disorder by SCID-IV.
  • Severe or life-threatening medical illness (e.g., end stage organ failure).
  • Currently seeing an individual psychotherapist *(if individuals are willing to go on a hiatus from their individual psychotherapist for the 15 weeks of the study, and meet all inclusion criteria, they will be considered eligible).

Treatment and study plan

Engage-A

Behavioral

Therapist will encourage participants to engage in physical and social activities that are pleasurable or rewarding. Engage is a stepped care psychotherapy based on what is known about how older adults respond to depression interventions. Stepped care is a model of treatment that starts with the minimum effective therapeutic techniques first, and then based on how well people respond to treatment, additional therapeutic techniques are added until people are recovered from their depression.

Other names: Augmented Engage

Training and utilizing Engage-A therapy

Other

Therapist will be trained in Engage-A therapy and given supervision while utilizing this therapy.

Primary outcomes

  1. Number of Virtual ENGAGE-A Participants Who Attend Every Scheduled Therapy Session

    Time frame: 9 Weeks

    Number of Virtual ENGAGE-A Participants who Attend Every Scheduled Therapy Session

  2. Change in Average Satisfaction Score of Virtual ENGAGE-A Participants as Measured by the CSQ

    Time frame: 6 weeks, 9 weeks, 12 weeks

    The Client Satisfaction Questionnaire (CSQ) assesses the clients' satisfaction with the services they are receiving. The CSQ ranges from 1-4, with higher scores indicating higher satisfaction. Domain 1 scores range from 1-4, with higher scores indicating higher satisfaction with the program. Domain 2 scores range from 1-4, with higher scores indicating higher satisfaction with the services received. Domain 3 scores range from 1-4, with higher scores indicating higher likelihood of wanting to receive similar services in the future. Higher scores for all three domains indicate a better outcome.

  3. Average Satisfaction Score of Community Clinicians (LCSW) as Measured by the TSQ

    Time frame: 2 years

    The Therapist Satisfaction Questionnaire (TSQ) assesses the therapists' satisfaction with the Alacrity therapy training and intervention. The TSQ ranges from 1-4, with higher scores indicating higher satisfaction. Domain 1 scores range from 1-4, with higher scores indicating higher satisfaction with the skills obtained through training. Domain 2 scores range from 1-4, with higher scores indicating higher satisfaction with the therapy type. Domain 3 scores range from 1-4, with higher scores indicating higher likelihood that the therapist would use this therapy in their own practice. Higher scores for all three domains indicate better outcomes.

Secondary outcomes

  1. Change in Depressive Symptoms of Virtual ENGAGE-A Participants as Measured by HAM-D

    Time frame: Baseline, 6 week, 9 week, 12 week

    Hamilton Depression Rating Score (HAM-D) assesses the severity of depression in patients. The HAM-D ranges from 0 to 52, with higher scores indicating higher severity of depression.

  2. Change in Behavioral Activation of Virtual ENGAGE-A Participants as Measured by the BADS

    Time frame: Baseline, 6 week, 9 week, 12 week

    The Behavioral Activation for Depression Scale (BADS) measures levels of behavioral activation.

    The BADS ranges from 0 to 150, with higher scores indicating lower levels of behavioral activation. Domain 1 scores range from 0-42. Higher scores (better outcome) indicate greater activation. Domain 2 scores range from 0-48. Higher scores (worse outcome) indicate greater Avoidance and Rumination. Domain 3 scores range from 0-30. Higher scores (worse outcome) indicate greater Work/School impairment. Domain 4 scores range from 0-30. Higher scores (worse outcome) indicate greater social impairment.

Sponsors and collaborators

Lead sponsor

Weill Medical College of Cornell University

Other

Collaborators

  • National Institute of Mental Health (NIMH)

Registry information

Official study title

Reaching and Engaging Depressed Senior Center Clients Phase II

Acronym: REDS II

Important dates

Study start
2020
Primary completion
2022
Study completion
2022
First posted
Feb 28, 2020
Registry last updated
Aug 23, 2023

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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