Happy@Home: Delivering iCBT With Homecare Workers to At-Home Seniors
Completed · Not applicable
Conditions studied: Depression
In brief
Depression is one of the most common and debilitating conditions among older adults. At-home seniors, also called homebound seniors, are older adults who are confined to a bed or chair and are unable to get about outdoors. Internet-based CBT (iCBT) delivers CBT via websites or dedicated apps on mobile devices or tablets. iCBT can be self-administered or guided by a therapist. Its strengths include low-cost, accessibility, and ability to tailor to individual needs while maintaining fidelity. Despite its potential, iCBT trials have rarely included older adults. Those that included older adults showed that they tended to report more technological challenges but they benefited from the intervention as much as younger adults did. As far as we know, studies have not yet tested the feasibility and preliminary effects of iCBT with a diverse group of at-home seniors receiving non-skilled home care. This study explores the feasibility and acceptability of delivering iCBT to a sample of at-home seniors who receive non-skilled home care. Home care workers who care for these seniors are recruited to provide assistance for completing iCBT. We hypothesize that iCBT is an acceptable and feasible intervention for treating depression among at-home seniors.
Key facts
- Study ID
- NCT04267289
- Run by
- University of Michigan
- People needed
- 28
- Starts
- 2019-05-30
- Expected to finish
- 2020-03-30
- Last updated by the study team
- 2020-05-11
Who can join
Age: 60 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- 60 years of age
- have received home care for ≥ 1 month and anticipate continued care for ≥ 3 months
- have at least mild depressive symptoms (PHQ-9≥5)
- speak English.
You may not qualify if…
- Currently receiving psychotherapy
- Have a psychotic disorder (BPRS)
- Have active suicidal ideation based on endorsement of PHQ-9 item 9 (other than not at all)
- Severe cognitive impairment, assessed as having ≥ 3 errors on the 6-item Mini mental state exam
- Have a planned hospital admission in the next 3 months of enrollment
Where it is running
- University of Michigan — Ann Arbor, Michigan, United States
Full record on ClinicalTrials.gov
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