Cognitive Behavioral Therapy Group for Older Adults Delivered by Telethealth

NCT ID: NCT04714164

Last Updated: 2024-01-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

5 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-02-18

Study Completion Date

2023-09-15

Brief Summary

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The present aim of the study is to to adapt an established, manualized enhanced Group CBT (CBT-E) for seniors to a telehealth format, which will allow us to offer the group virtually during the COVID-19 pandemic.

Detailed Description

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The goal of this project is to adapt an established, manualized enhanced Group CBT (CBT-E) for seniors to a telemedicine format. Currently the Geriatric Psychiatry service associated with the Nova Scotia Health Authority offer two CBT-E groups every year. They are usually facilitated by psychiatry residents, under the supervision of a staff psychiatrist. Due to the risk of COVID-19, we will not be holding in-person groups this year. Instead we will offer the group in a smaller, telemedicine format. For this project, we will change the group structure and activities to allow it's delivery in a virtual format. This study will assess feasibility, tolerability of the telehealth format by using the System Usability Scale and Group Satisfaction Survey. It will also assess response to online therapy buy using pre- and post-group questionnaires including the Beck Depression Inventory, Beck Anxiety Inventory and Perceived Quality of Life Questionnaire. Paired t-tests will be used to analyse the data and determine whether there has been an improvement in participant's symptoms and quality of life.

Conditions

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Major Depressive Disorder Generalized Anxiety Disorder Social Anxiety Disorder Panic Disorder

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Feasibility and acceptability study
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Teletherapy Group CBT participants

Patients over the age of 65 with either a Major Depressive Disorder or Generalized Anxiety Disorder who will be participating in a Group CBT delivered by Teletherapy

Group Type EXPERIMENTAL

Group Cognitive Behavioral Therapy

Intervention Type BEHAVIORAL

Therapy will be delivered weekly for 8 weeks by Zoom.

Interventions

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Group Cognitive Behavioral Therapy

Therapy will be delivered weekly for 8 weeks by Zoom.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* People over the age of 65
* Diagnosis of either or both Major Depressive Disorder (MDD) of mild or moderate severity and an anxiety disorder, including generalized anxiety disorder, social anxiety disorder or panic disorder.

Exclusion Criteria

* Patients with psychosis
* Patients with dementia
* Patient with severe Major Depressive Disorder or Anxiety Disorder
* Patients with antisocial or borderline personality disorder
* Patients with acute suicidal ideation.
* Older adults who do not have access to the technology required for group; computer, phone or tablet with a webcam and access to Internet
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nova Scotia Health Authority

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Christelle Boudreau, MD

Role: PRINCIPAL_INVESTIGATOR

NSHA

Locations

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Abbie J Lane Memorial Building - QEII

Halifax, Nova Scotia, Canada

Site Status

Countries

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Canada

References

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Hendriks GJ, Oude Voshaar RC, Keijsers GP, Hoogduin CA, van Balkom AJ. Cognitive-behavioural therapy for late-life anxiety disorders: a systematic review and meta-analysis. Acta Psychiatr Scand. 2008 Jun;117(6):403-11. doi: 10.1111/j.1600-0447.2008.01190.x.

Reference Type BACKGROUND
PMID: 18479316 (View on PubMed)

Tavares LR, Barbosa MR. Efficacy of group psychotherapy for geriatric depression: A systematic review. Arch Gerontol Geriatr. 2018 Sep-Oct;78:71-80. doi: 10.1016/j.archger.2018.06.001. Epub 2018 Jun 18.

Reference Type BACKGROUND
PMID: 29933137 (View on PubMed)

O'Reilly R, Bishop J, Maddox K, Hutchinson L, Fisman M, Takhar J. Is telepsychiatry equivalent to face-to-face psychiatry? Results from a randomized controlled equivalence trial. Psychiatr Serv. 2007 Jun;58(6):836-43. doi: 10.1176/ps.2007.58.6.836.

Reference Type BACKGROUND
PMID: 17535945 (View on PubMed)

Gentry MT, Lapid MI, Rummans TA. Geriatric Telepsychiatry: Systematic Review and Policy Considerations. Am J Geriatr Psychiatry. 2019 Feb;27(2):109-127. doi: 10.1016/j.jagp.2018.10.009. Epub 2018 Oct 30.

Reference Type BACKGROUND
PMID: 30416025 (View on PubMed)

Wilson KC, Mottram PG, Vassilas CA. Psychotherapeutic treatments for older depressed people. Cochrane Database Syst Rev. 2008 Jan 23;(1):CD004853. doi: 10.1002/14651858.CD004853.pub2.

Reference Type BACKGROUND
PMID: 18254062 (View on PubMed)

Hantke N, Lajoy M, Gould CE, Magwene EM, Sordahl J, Hirst R, O'Hara R. Patient Satisfaction With Geriatric Psychiatry Services via Video Teleconference. Am J Geriatr Psychiatry. 2020 Apr;28(4):491-494. doi: 10.1016/j.jagp.2019.08.020. Epub 2019 Aug 24.

Reference Type BACKGROUND
PMID: 31530457 (View on PubMed)

Hubley S, Lynch SB, Schneck C, Thomas M, Shore J. Review of key telepsychiatry outcomes. World J Psychiatry. 2016 Jun 22;6(2):269-82. doi: 10.5498/wjp.v6.i2.269. eCollection 2016 Jun 22.

Reference Type BACKGROUND
PMID: 27354970 (View on PubMed)

Baldwin RC, Anderson D, Black S, Evans S, Jones R, Wilson K, Iliffe S; Faculty of Old Age Psychiatry Working Group, Royal College of Psychiatrists. Guideline for the management of late-life depression in primary care. Int J Geriatr Psychiatry. 2003 Sep;18(9):829-38. doi: 10.1002/gps.940.

Reference Type BACKGROUND
PMID: 12949851 (View on PubMed)

Apostolo J, Bobrowicz-Campos E, Rodrigues M, Castro I, Cardoso D. The effectiveness of non-pharmacological interventions in older adults with depressive disorders: A systematic review. Int J Nurs Stud. 2016 Jun;58:59-70. doi: 10.1016/j.ijnurstu.2016.02.006. Epub 2016 Feb 17.

Reference Type BACKGROUND
PMID: 27087298 (View on PubMed)

Jonsson U, Bertilsson G, Allard P, Gyllensvard H, Soderlund A, Tham A, Andersson G. Psychological Treatment of Depression in People Aged 65 Years and Over: A Systematic Review of Efficacy, Safety, and Cost-Effectiveness. PLoS One. 2016 Aug 18;11(8):e0160859. doi: 10.1371/journal.pone.0160859. eCollection 2016.

Reference Type BACKGROUND
PMID: 27537217 (View on PubMed)

Choi NG, Marti CN, Bruce ML, Hegel MT, Wilson NL, Kunik ME. Six-month postintervention depression and disability outcomes of in-home telehealth problem-solving therapy for depressed, low-income homebound older adults. Depress Anxiety. 2014 Aug;31(8):653-61. doi: 10.1002/da.22242. Epub 2014 Feb 5.

Reference Type BACKGROUND
PMID: 24501015 (View on PubMed)

Egede LE, Acierno R, Knapp RG, Lejuez C, Hernandez-Tejada M, Payne EH, Frueh BC. Psychotherapy for depression in older veterans via telemedicine: a randomised, open-label, non-inferiority trial. Lancet Psychiatry. 2015 Aug;2(8):693-701. doi: 10.1016/S2215-0366(15)00122-4. Epub 2015 Jul 16.

Reference Type BACKGROUND
PMID: 26249300 (View on PubMed)

MacQueen GM, Frey BN, Ismail Z, Jaworska N, Steiner M, Lieshout RJ, Kennedy SH, Lam RW, Milev RV, Parikh SV, Ravindran AV; CANMAT Depression Work Group. Canadian Network for Mood and Anxiety Treatments (CANMAT) 2016 Clinical Guidelines for the Management of Adults with Major Depressive Disorder: Section 6. Special Populations: Youth, Women, and the Elderly. Can J Psychiatry. 2016 Sep;61(9):588-603. doi: 10.1177/0706743716659276. Epub 2016 Aug 2.

Reference Type BACKGROUND
PMID: 27486149 (View on PubMed)

Related Links

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https://www.multiculturalmentalhealth.ca/en/

Center for Multicultural Mental Health Research 2012

https://www.basicbooks.com/titles/irvin-d-yalom/the-theory-and-practice-of-group-psychotherapy/9780465012916/

Yalom, I.D., The Theory and Practice of Group Psychotherapy, 5th edition, Basic Books

https://www.nice.org.uk/

National Institute for Clinical Excellence. Depression: management of depression in primary and secondary care. NICE 2004.

Other Identifiers

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29243

Identifier Type: -

Identifier Source: org_study_id

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