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WELL Program for Depression Prevention in Bereaved Older Adults (WELL Trial)
N/A
Recruiting
Led By sarah t stahl, PhD
Research Sponsored by University of Pittsburgh
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
aged 60 years and older;
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline vs. 3 months
Awards & highlights
No Placebo-Only Group
Summary
This trial will enroll 150 spousally-bereaved adults aged 60 years and older in the first 6 months after spousal death who are at high risk for major depression disorder because of subthreshold symptoms of depression. Participants will be randomly assigned to (a) self-monitor sleep, meals, and physical activity for 12 weeks using digital monitoring plus motivational health coaching (WELL; n=75); or (b) enhanced usual care (EUC, usual care plus study assessments, n=75).
Who is the study for?
This trial is for people aged 60 or older who have recently lost a spouse and are showing signs of depression, but do not yet have major depression. They should not be experiencing severe cognitive issues, taking new mood-stabilizing medications post-bereavement, or have had psychosis in the last year.
What is being tested?
The study tests two approaches to prevent depression: WELL involves self-monitoring sleep, meals, physical activity with health coaching; EUC is usual care plus assessments. Participants will be randomly assigned to one of these groups and followed up for up to 18 months.
What are the potential side effects?
Since this trial focuses on lifestyle interventions like monitoring daily activities and motivational coaching rather than medication, significant side effects are not anticipated. However, participants may experience emotional discomfort discussing their bereavement.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am 60 years old or older.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ baseline vs. 3 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline vs. 3 months
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Change from baseline in depression symptom burden at 3 months
Secondary study objectives
Change from baseline in the rest-activity rhythm at 3 months
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
2Treatment groups
Experimental Treatment
Active Control
Group I: Widowed Elders' Lifestyle after Loss (WELL)Experimental Treatment1 Intervention
digital monitoring of sleep, meals, physical activity; motivational health coaching; personalized feedback
Group II: Enhanced Usual CareActive Control1 Intervention
enhanced usual care
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Who is running the clinical trial?
National Institute of Mental Health (NIMH)NIH
2,918 Previous Clinical Trials
2,739,922 Total Patients Enrolled
701 Trials studying Depression
260,858 Patients Enrolled for Depression
University of PittsburghLead Sponsor
1,789 Previous Clinical Trials
16,359,373 Total Patients Enrolled
122 Trials studying Depression
34,219 Patients Enrolled for Depression
sarah t stahl, PhDPrincipal InvestigatorUniversity of Pittsburgh
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Eligibility Criteria:
This trial includes the following eligibility criteria:- You are currently at high risk of attempting suicide according to a specific protocol used to manage suicide risk.I lost my spouse or partner within the last year, including due to COVID-19.I've been on stable doses of depression medication for over a month after my spouse's death.I am at risk for depression but do not currently have depression, PTSD, or complex bereavement disorder.I am 60 years old or older.You have been diagnosed with a mood or psychotic disorder as defined in the DSM-5 within the past year.
Research Study Groups:
This trial has the following groups:- Group 1: Enhanced Usual Care
- Group 2: Widowed Elders' Lifestyle after Loss (WELL)
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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