A Systems-Level Intervention for Rural Adults With Depression

University of Michigan70 enrolled

Overview

This study aims to test the effectiveness of a computer-assisted cognitive behavioral therapy for depression among rural adults. The intervention, called Raising Our Spirits Together (ROST), was developed via a community-based participatory approach and will be delivered in small groups, facilitated by local pastors. Groups will be held virtually, or in-person at two churches in rural Michigan. Eighty-four individuals will be recruited from Hillsdale, Michigan, to test the effect of ROST on depressive symptoms, compared to an Enhanced Control Condition (ECC).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Depressive Symptoms

Interventions

Raising Our Spirits TogetherBEHAVIORAL

Raising Our Spirits Together (ROST) is an 8-session computer-assisted cognitive behavioral therapy for depression. Core CBT content, including behavioral activation, cognitive restructuring, and problem solving, are delivered via the computer-assisted platform using video and text-based elements. The computer-assisted intervention is complemented by a workbook that includes in-session exercises as well as homework/action plans. ROST is delivered weekly, either virtually or in-person at a local church, and facilitated by a local pastor.

Enhanced Control ConditionOTHER

The Enhanced Control Condition intervention consists of providing participants randomized to this condition with a self-help book for depression (The Depression Helpbook; Katon et al, 2008) that is widely used and found to be beneficial, a local resource guide, and referrals.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Must live in Hillsdale, Lenawee, Jackson, or Calhoun County, Michigan * Positive screen for at least mild depressive symptoms based on the the Patient Health Questionnaire-9 (PHQ-9\>=5) Exclusion Criteria: * Non-English speaking * Currently receiving cognitive behavioral therapy (CBT) for depression * Ever completed a course of cognitive behavioral therapy (CBT; \>=8 sessions) * Diagnosis of a psychotic disorder * Current use of opiates or freebase cocaine * Prominent suicidal/homicidal ideation with imminent risk.

Locations (2)

Trinity Lutheran Church

Hillsdale, Michigan, United States

Jonesville First Presbyterian Church

Jonesville, Michigan, United States

Outcomes

Primary Outcomes

Change in Self-report Measure of Depressive Symptoms

Participants will self report depressive symptoms utilizing the Patient Health Questionnaire-9 (PHQ-9; range 0-27 with higher scores indicating worse outcome)

Time frame: Outcome will be assessed at baseline, immediately post-treatment (up to 8 weeks), and 12-weeks post-treatment

Data from ClinicalTrials.gov

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