Internet-based Psychotherapy for Depressed Elderly

Vilnius University84 enrolled

Overview

This study aims to evaluate the effectiveness of internet-based cognitive behavioral therapy (CBT) for depressed elderly.

Individuals of age 60+ with symptoms of depression will be assessed before the study. At week 0, participants who meet eligibility requirements will be randomized either to intervention group which will participate in an 8-week internet-based modular CBT or to a delayed treatment control group.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Depression

Interventions

Depresijos terapijaBEHAVIORAL

Intervention is based on the principles of cognitive behavioral therapy and culturally adapted to elderly Lithuanian population. The main purpose of the intervention is to reduce the symptoms of depression and increase psychological well-being. Intervention contains psychoeducation, examples, exercises and consultation with a psychologist.

Eligibility

Sex: ALLMin age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * depressive symptoms * have access to a computer/tablet/smartphone and to the internet * have good knowledge of the Lithuanian language Exclusion Criteria: * alcohol addiction * presently in any other psychological treatment * severe depression * suicidal ideation * significant change in psychiatric medication (during last 6 weeks)

Locations (1)

Vilnius University

Vilnius, Lithuania, Lithuania

Outcomes

Primary Outcomes

Patient Health Questionnaire (PHQ-9)

Change from baseline in depression symptoms post-treatment (week 8), at three months, at 12 months and at 24 months post-treatment. Measure contains 9 questions that have to be responded to by choosing an answer from a 4-item Likert scale, where number 0 indicates 'Not at all' and 3 - 'Nearly every day'. Higher score indicates more severe symptoms.

Time frame: Pre-treatment, week 8, 3, 12 and 24 months post-treatment

Geriatric Depression Scale (GDS)

Change from baseline in depression symptoms post-treatment (week 8), at three months, at 12 months and at 24 months post-treatment. Measure contains 15 questions that have to be responded 'Yes' or 'No'. Higher score indicates more severe symptoms.

Time frame: Pre-treatment, week 8, 3, 12 and 24 months post-treatment

Secondary Outcomes

Generalized Anxiety Disorder-7 (GAD-7)

Change from baseline in anxiety symptoms post-treatment (week 8), at three months, at 12 months and at 24 months post-treatment. Measure contains 7 questions that have to be responded to by choosing an answer from a 4-item Likert scale, where number 0 indicates 'Not at all' and 3 - 'Nearly every day'. Higher score indicates more severe symptoms.

Time frame: Pre-treatment, week 8, 3, 12 and 24 months post-treatment

The World Health Organisation- Five Well-Being Index (WHO-5)

Change from baseline in well-being post-treatment (week 8), at three months, at 12 months and at 24 months post-treatment. WHO-5 contains 5 statements about individuals well-being in the past two weeks. Respondents have to choose the best corresponding answer using a 6-item Likert scale where a score of 0 indicates 'At no time' and a score of 5 - 'All the time'. Higher score indicates higher well-being.

Time frame: Pre-treatment, week 8, 3, 12 and 24 months post-treatment

Data from ClinicalTrials.gov

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