Management of Depression and Social Isolation in Older Adults With Dementia With Home-based Telehealth Delivered Behavioral Activation + Caregiver Facilitation.

The University of Texas Health Science Center, Houston7 enrolled

Overview

The purpose of this study is to evaluate the feasibility of using behavioral activation therapy with caregiver support delivered via telemedicine to older adults with depression and probable mild dementia.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Depression

Interventions

Behavioral Activation for DepressionBEHAVIORAL

Behavioral Activation (BA) is an effective treatment for depression, and its components may increase social connection. Generally, caregivers are with the older adult care recipient on a regular basis and may be able, with the correct training, to help enhance certain features of the Behavioral Activation treatment, even under pandemic restrictions on social contact. Therefore, we propose to (a) integrate \& (b) gather feasibility data for home-based Behavioral Activation + Caregiver

Eligibility

Sex: ALLMin age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: Participant Eligibility Criteria: * able to speak and understand English; * a diagnosis of mild dementia, as determined by a Clinical Dementia Rating interview Sum of Boxes (CDR-SB) score in the mild range as defined by a score of 4.5 - 9.0; * and able to provide informed consent. Caregiver Eligibility Criteria. * Beck Depression Inventory (BDI) score below clinical cutoff for depression and able to provide informed consent. Exclusion Criteria: Participant exclusion criteria: * presence of suicidal ideation with clear intent, * concurrent enrollment in another clinical trial for depression, * substance use disorder. Caregiver exclusion criteria: * Active psychosis or significant dementia at screening; * presence of suicidal ideation with clear intent.

Locations (1)

University of Texas Health Science Center at Houston

Houston, Texas, United States

Outcomes

Primary Outcomes

Feasibility of recruitment as assessed by number of participants enrolled in the study

Time frame: Week 0

Feasibility of retention as assessed by number of participants who complete at least 6 sessions

Time frame: Week 8

Feasibility of data collection as assessed by percent of missing data

Time frame: Week 8

Change in Depression as measured by the Geriatric Depression Scale

15-item self-report for each construct (yes/no) . Score goes from 1 to 15, a higher number indicates presence of depression.

Time frame: Week 0, Week 4, Week 8

Data from ClinicalTrials.gov

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