Reaching and Engaging Depressed Senior Center Clients

NCT ID: NCT04289298

Last Updated: 2023-08-23

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 26 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2020-09-03
• Study Completion Date: 2022-08-31

Brief Summary

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.

Conditions

Depression in Old Age

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Engage-A

Participants receive 9 individual in-person or remote therapy sessions. Each session will last approximately 60 minutes. During the sessions, the therapist will encourage the participant to engage in physical and social activities that are pleasurable or rewarding.

Group Type: EXPERIMENTAL

Engage-A

Intervention Type: 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.

Clinician

Clinicians will be trained in Engage-A and supervised while utilizing the therapy.

Group Type: EXPERIMENTAL

Training and utilizing Engage-A therapy

Intervention Type: OTHER

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

Interventions

Engage-A

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.

Intervention Type: BEHAVIORAL

Training and utilizing Engage-A therapy

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

Intervention Type: OTHER

Other Intervention Names

Augmented Engage

Eligibility Criteria

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).

• Minimum Eligible Age: 55 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

National Institute of Mental Health (NIMH)

NIH

Sponsor Role: collaborator

Weill Medical College of Cornell University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Patricia Marino, PhD

Role: PRINCIPAL_INVESTIGATOR

Weill Medical College of Cornell University

Locations

Weill Cornell Medicine

White Plains, New York, United States

Countries

United States

Provided Documents

Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

5P50MH113838-03

Identifier Type: NIH

Identifier Source: secondary_id

View Link

19-09020810-02

Identifier Type: -

Identifier Source: org_study_id