Integrated Tele-Behavioral Activation and Fall Prevention for Low-income Homebound Seniors With Depression
Recruiting · NCT05011864 · Interventional (participants receive a specific treatment) · Lead sponsor: University of Texas at Austin
View the official record on ClinicalTrials.gov →Interventions studied
What this trial is about
This study will test clinical and cost effectiveness of an integrated tele- and bachelor's-level counselor/coach delivered behavioral activation (BA) and fall prevention (FP) for low-income homebound older adults. The long-term objective of the proposed study is to improve access to depression treatment and fall prevention for growing numbers of low-income homebound seniors. We plan to recruit 320 low-income, racially diverse homebound seniors who are served by a home-delivered meal (HDM) program and other aging-service agencies in Central Texas. In a 4-arm, pragmatic clinical trial with randomization prior to consent, the participants in the integrated Tele-BA and FP (TBF hereafter) arm will receive 5 Tele-BA sessions and 4 in-home FP sessions. Those in the Tele-BA or FP alone arms will receive the respective intervention and 4 bimonthly telephone check-in (booster) calls, and those in the Attention Control (AC) arm will receive 5 weekly telephone check-in calls followed by 4 bimonthly follow-up calls. Follow-up assessments will be at 12, 24, and 36 weeks after baseline.
Who can take part
Inclusion criteria
- Age 50+
- English or Spanish proficiency
- 24-item Hamilton Rating Scale for Depression score \> 15
- 12-item Fall Risk Questionnaire score \>4
Exclusion criteria
- Recently (\< 4 weeks) initiated or modified antidepressant pharmacotherapy
- High suicide risk
- Probable dementia
- Bipolar disorder
- Substance use/misuse
- Current participation in any psychotherapy or FP program
- Bedbound status
Where it is running
1 location listed across 1 US state.
- University of Texas at Austin - Austin, Texas, United States