ICBT for Depression in Older Adults

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

COMPLETED

Clinical Phase

NA

Total Enrollment

101 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-02-01

Study Completion Date

2018-06-30

Brief Summary

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The study was a randomized controlled trial investigating treatment effects against an active control condition. 101 self-recruited participants, aged 65 to 88 years, were included. The intervention was a 10-week internet-based tailored CBT protocol consisting of 6-10 pre-defined modules tailored to patient profile and preferences. Participants in the treatment group benefitted more than participants in the control condition on almost all measures with moderate between-group effect-sizes.

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Detailed Description

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Depression in older adults is associated with poorer functioning, worsened cognitive impairment and disability, as well as medical illnesses. It can also increase the risk of suicide and is associated with a high usage of medical services. It is common that depressive symptoms co-occur with other psychiatric symptoms (i.e. anxiety). In the case of co-morbidity, patients present with greater difficulties and the problems tend to be more persistent. Together this stresses the importance of developing effective treatments. Psychological treatments can be effective but are rarely offered and thus alternative modes of treatment delivery should be considered such as internet interventions. Design: The study was a randomized controlled trial investigating treatment effects against an active control condition. Participants: 101 self-recruited participants, aged 65 to 88 years, were included. Intervention: The intervention was a 10-week internet-based tailored CBT protocol consisting of 6-10 pre-defined modules tailored to patient profile and preferences. Measurements: Depression, anxiety, life quality and cognitive decline were assessed through self-reported measures together with an online test of cognitive flexibility. Results: Participants in the treatment group benefitted more than participants in the control condition on almost all measures with moderate between-group effect-sizes. Cognitive decline improved during treatment and neither cognitive decline, nor cognitive flexibility predicted treatment outcome. Conclusion: The study adds to the evidence of internet-delivered psychological treatment for depression, with or without psychiatric comorbidities, in older adults. It also highlights the possibility of perceived cognitive decline as being part of the clinical picture and reversible, rather than reason for exclusion from for psychological treatment.

Conditions

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Internet Treatment Active Control

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Treatment

Therapist-guided internet treatment.

Group Type EXPERIMENTAL

Internet-delivered tailored cognitive behavior therapy

Intervention Type BEHAVIORAL

Therapists-supported tailored 10-week treatment for depression in older adults.

Attention control

Non-directive supportive contact via email.

Group Type ACTIVE_COMPARATOR

Internet-delivered tailored cognitive behavior therapy

Intervention Type BEHAVIORAL

Therapists-supported tailored 10-week treatment for depression in older adults.

Interventions

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Internet-delivered tailored cognitive behavior therapy

Therapists-supported tailored 10-week treatment for depression in older adults.

Intervention Type BEHAVIORAL

Other Intervention Names

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ICBT

Eligibility Criteria

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Inclusion Criteria

* age 65 years or older
* presence of depressive symptoms
* living in Sweden
* access to the internet and a computer on a regular basis.

Exclusion Criteria

* heightened suicidal ideation
* drug or alcohol abuse or dependency
* other ongoing psychological treatment
* severe psychiatric or cognitive problems
* unstable psychopharmacological medication

Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No