Ecosystem Focused Therapy in Post Stroke Depression

Completed · Not applicable

Conditions studied: Depression, Stroke

In brief

Older adults who are stroke survivors can experience many challenges, including depression, cognitive dysfunction, and physical disability. Family members and other caregivers may struggle with helping stroke survivors adjust to life after stroke. This research study involves testing a modified form of problem-solving therapy called Ecosystem Focused Therapy (EFT) to help treat depression in older adult stroke survivors. EFT teaches problem-solving skills to patients to help them cope with problems related to stroke and depression, alters their physical environment to accommodate new needs resulting from stroke, and helps the family or caregiver to assist in the patient's adaptation. In addition this study will compare EFT to an education intervention to see which is more effective in treating depressed stroke survivors.

Key facts

Study ID

NCT01624402

Run by

Weill Medical College of Cornell University

People needed

151

Starts

2012-03-01

Expected to finish

2019-01-31

Last updated by the study team

2019-02-06

Who can join

Age: 50 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age 50 years and older;
• Diagnosis of unipolar major depression;
• Montgomery Asberg Depression Rating Scale score ≥ 18;
• Capacity to provide written consent for both research assessment and treatment;
• Command of English sufficient to participate in assessments and talking therapy.

You may not qualify if…

• Moderately severe to severe dementia (MMSE score < 20);
• Greater than mild to moderate aphasia (NIH Stroke Scale: Best Language > 1);
• Expectation to be discharged to a nursing home;
• Psychotic depression;
• Suicidal intent or plan.

Where it is running

• New York Presbyterian Hospital — New York, New York, United States
• Burke Rehabilitation Hospital — White Plains, New York, United States
• Institute of Geriatric Psychiatry — White Plains, New York, United States

Full record on ClinicalTrials.gov

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