Behavioral Activation for the Prevention and Treatment of Depression in Older Adults in a Municipal Context
NCT ID: NCT06415838
Last Updated: 2024-12-16
Study Results
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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RECRUITING
NA
160 participants
INTERVENTIONAL
2024-06-27
2026-08-31
Brief Summary
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The main questions it aims to answer are if the BA-treatment has an effect on the short and long term on:
* Depressive symptoms
* Anxiety symptoms
* Self-rated activation
* Functional ability
* Loneliness
* Self efficacy
* Mental wellbeing
* Quality of life
* Need for community care services
All participants will continue their care as usual (CAU), and half of the participants will be randomized to receive a five-session BA-treatment spread over two months as an add-on to CAU. All participants will answer a questionnaire in the beginning of the study, after two months, and after 3-, 6- and 12 months.
Detailed Description
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The goal of this randomized clinical trial is to investigate if a brief psychological treatment called Behavioral Activation (BA) works to prevent and treat depression in older adults in a municipal context in Sweden. It will also learn about the patients' and therapists' experiences of the BA-treatment. The therapists in the trial are social workers working in Eskilstuna municipality in Sweden.
All participants will continue their care as usual (CAU), and half of the participants will be randomized to receive a five-session BA-treatment spread over two months as an add-on to CAU. The BA-treatment will be delivered in the participants' home. All participants will answer a questionnaire in the beginning of the study, after two months, and after 3-, 6- and 12 months.
The main questions that the trial aims to answer are if the BA-treatment has an effect on the short and long term on:
* Depressive symptoms
* Anxiety symptoms
* Self-rated activation
* Functional ability
* Loneliness
* Self efficacy
* Mental wellbeing
* Quality of life
* Need for community care services
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Brief Behavioral Activation plus Care as Usual
Five-session Brief Behavioral Activation intervention. Sessions 1 - 4 are completed once a week, and session 5 is a booster-session completed four weeks after session 4.
Brief Behavioral Activation
A five-session brief behavioral activation treatment delivered face-to-face in the participants' home.
Session outline:
Session 1: Psychoeducation about depression; treatment rationale for Behavioral Activation (BA); rationale and instructions for activity log
Session 2: Discussion of life goals and values; planning of activities aligned with life goals and values for coming week
Session 3: Troubleshooting any problems carrying out activities; planning activities aligned with life goals and values for coming week.
Session 4: Troubleshooting any problems carrying out activities; planning activities aligned with life goals and values for the coming week; instructing the participant to independently continue to plan activities for the coming month.
Session 5: Troubleshooting any problems carrying out activities; reviewing treatment; stressing the importance of continuing to engage in activities aligned with life goals and values; creating a maintenance plan.
Care as Usual
Care as Usual provided by primary care and/or municipal care.
Care as Usual
Care as usual as provided by primary care and/or municipal care.
Care as Usual
Care as Usual provided by primary care and/or municipal care.
Interventions
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Brief Behavioral Activation
A five-session brief behavioral activation treatment delivered face-to-face in the participants' home.
Session outline:
Session 1: Psychoeducation about depression; treatment rationale for Behavioral Activation (BA); rationale and instructions for activity log
Session 2: Discussion of life goals and values; planning of activities aligned with life goals and values for coming week
Session 3: Troubleshooting any problems carrying out activities; planning activities aligned with life goals and values for coming week.
Session 4: Troubleshooting any problems carrying out activities; planning activities aligned with life goals and values for the coming week; instructing the participant to independently continue to plan activities for the coming month.
Session 5: Troubleshooting any problems carrying out activities; reviewing treatment; stressing the importance of continuing to engage in activities aligned with life goals and values; creating a maintenance plan.
Care as Usual
Care as Usual provided by primary care and/or municipal care.
Eligibility Criteria
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Inclusion Criteria
* 5 points or above on the Geriatric Depression Scale 15, GDS-15
* Fluent in written and spoken Swedish
* Consents to participate in the trial
Exclusion Criteria
* Not able to communicate with therapist due to hearing impairment
* Diagnosis of major neurocognitive disorder
* Below 25 points on the Mini Mental State Examination, MMSE
* Elevated suicide risk
* Current substance- or alcohol use disorder
* Previous or current psychotic disorder
* Previous or current bipolar disorder
* Ongoing psychological treatment/pscyhotherapy
65 Years
ALL
No
Sponsors
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Eskilstuna municipality
UNKNOWN
Sormland County Council, Sweden
OTHER
Responsible Party
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Principal Investigators
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Johnny Pellas, PhD
Role: PRINCIPAL_INVESTIGATOR
Research and Development Sormland
Locations
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Eskilstuna kommun
Eskilstuna, Sörmland, Sweden
Countries
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Central Contacts
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Facility Contacts
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Johnny Pellas, PhD
Role: primary
Other Identifiers
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DePrevent
Identifier Type: -
Identifier Source: org_study_id