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Behavioral Intervention

Online Therapy for Depression

N/A

Recruiting

Led By Xiaoling Xiang, PhD

Research Sponsored by University of Michigan

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

(3) Patients must be at least 60 years old

(1) Patients must be receiving home- and community-based services or case management at the recruitment sites

Must not have

(5) Patients with severe vision impairment based on self-report (i.e., legally blind)

(4) Patients with a diagnosis of a psychotic disorder like schizophrenia or bipolar disorder based on self-report and medical chart review

Timeline

Screening 3 weeks

Treatment Varies

Follow Up change from baseline at 12, 24, and 36 weeks

Awards & highlights

No Placebo-Only Group

Summary

"This trial aims to test the effectiveness of an online therapy program called Empower@Home for older adults with depressive symptoms who are unable to leave their homes. Participants will be randomly assigned to either receive the

Who is the study for?

This trial is for homebound older adults experiencing depressive symptoms. Participants should be willing to engage with an online cognitive-behavioral therapy program or receive enhanced usual care through telephone visits. Specific eligibility criteria are not provided, but typically these would include age thresholds and a clinical diagnosis of depression.

What is being tested?

The study compares the Empower@Home online CBT program against enhanced usual care to see which is more effective at improving depressive symptoms in elderly patients over time. The effectiveness, cost-effectiveness, and implementation process will also be evaluated.

What are the potential side effects?

Since this trial involves non-pharmacological interventions (online therapy and phone calls), side effects may include discomfort from discussing personal issues or potential frustration with technology use rather than physical side effects.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below

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I am at least 60 years old.

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I am getting home or community services from the place I was recruited.

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I can read and speak English.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:

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I am legally blind.

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I have been diagnosed with a psychotic disorder such as schizophrenia or bipolar disorder.

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ change from baseline to follow-up assessments at 12, 24, and 36 weeks

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~change from baseline to follow-up assessments at 12, 24, and 36 weeks

This trial's timeline: 3 weeks for screening, Varies for treatment, and change from baseline to follow-up assessments at 12, 24, and 36 weeks for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.

Primary study objectives

Change in Patient Health Questionnaire-9 (PHQ-9)

Secondary study objectives

Change in Duke Social Support Index (DSSI)-10

Change in EuroQol 5-Dimension 5-level (EQ-5D-5L)

Change in Generalized Anxiety Disorder Assessment-7 (GAD-7)

+3 more

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

Group I: Empower@Home supported by aging service providersExperimental Treatment1 Intervention

Participants will be provided with access to a 9-session online program called Empower@Home, a self-help intervention based on cognitive behavioral therapy principles. The intervention has three components: 9 interactive self-paced online sessions, printed workbook that goes along the online sessions for exercises and homework, and telephone coaching by a trained staff from a social service agency serving older adults. Participants will have up to 12 weeks to try to complete the program with the support of a trained coach.

Group II: Attention call with friendly visitorsExperimental Treatment1 Intervention

Participants will receive enhanced care as usual, including care as usual from their social service provider and a psycho-educational handout. In addition, they will receive telephone friendly calls from a research staff every other week to mimic the human interactions provided by coaches in the experimental group.

0 / 5Eligibility criteria met