Study for Depression and Neglect in Older Adults
This study is looking at ways to help older adults experiencing depression and neglect or self-neglect. It compares the usual support from Adult Protective Services (APS) with a new approach called Behavioral Activation (BA). BA involves 8 weekly sessions, delivered through a device like an iPad, computer, or smartphone, to help you learn self-management techniques for depression. The study wants to see if reducing depression and apathy (lack of interest or emotion) can also reduce neglect or self-neglect behaviors. You might be able to join if you are 65 or older, have an open APS case, and a PHQ-9 score of 9 or more, which indicates depression. The study is currently unclear on its recruitment status.
- Study design
- This interventional study plans to enroll 50 participants. It compares two approaches: APS Treatment as Usual and Intervention-Behavioral Activation (BA).
- What's involved
- If you participate, you would receive 8 one-hour Behavioral Activation sessions weekly via home telehealth. Your depression, apathy, and neglect/self-neglect will be measured at the start, after 8 weeks, and again at 3 months.
- Compensation
- Not stated in the trial record.
- Follow-up
- Participants will be followed for 3 months after the treatment period to assess changes in depression, apathy, and neglect/self-neglect.
AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.
Leveraging Adult Protective Service Interaction to Offer Evidence-Based Treatment for Depression in Elder Neglect/Self Neglect
At a glance
Conditions
NCT06910267
Where you'd take part
This study runs at 1 site. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.
The University of Texas Health Science Center at Houston
Houston, Texasstudy coordinator listed
Recruiting
Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.
Study leadership
- Leila Wood, PhD, MSSW · PRINCIPAL_INVESTIGATOR · The University of Texas Health Science Center, Houston
Who to contact
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Inclusion
Exclusion
What this trial measures
- Change in depression as assessed by the Patient Depression Questionnaire (PHQ-9)baseline, post-treatment ( 8 weeks after baseline), and 3 months
This is 9 item questionnaire and each is scored from 0 (not at all) to 3 (nearly every day), for a maximum score of 27, higher score indicating more depression
- Change in apathy as assessed by the Apathy Motivations Index (AMI)baseline, post-treatment ( 8 weeks after baseline), and 3 months
This is an 18 item questionnaire and each item is scored on a scale from 0(completely true) to 4(completely untrue), for a maximum score of 72, with higher scores indicating greater apathy
- Change in Elder Neglect/Self Neglect (EN/SN) as evidenced by study developed goal attainment scalebaseline, post-treatment ( 8 weeks after baseline), and 3 months
Participants will be given a list of 19 common daily activities and will be asked to pick one or more activities form the list that they would like to start doing or do more regularly each day or week.Each activity will be then scored based on the following scoring criteria, higher score indicating better outcome : (Much less than expected)-2 (Somewhat less than expected)-1 (Expected client outcome)0 (Somewhat better than expected)+1 (Much better than expected)+2