Clinical Trial: Treatment of Depression in Nursing Homes

This study is currently recruiting patients.

Sponsored by: National Institute of Mental Health (NIMH)
Information provided by: National Institute of Mental Health (NIMH)

Purpose

The purpose of this study is to implement an effective treatment for depression in the nursing home setting.

Condition Treatment or Intervention Phase
Depression
Major Depressive Disorder
 Behavior: Pleasant Events-Based Behavioral Intervention
Phase I

MedlinePlus related topics:  Depression;   Mental Health

Study Type: Interventional
Study Design: Educational/Counseling/Training, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study

Official Title: Behavioral Intervention for Depression in Nursing Homes

Further Study Details: 

Expected Total Enrollment:  40

Study start: April 2002;  Expected completion: March 2005

Depression in long-term care facilities is a significant public health issue. Up to 50% of nursing home residents are affected by significant depressive symptoms. The decreased health and limited cognitive ability of many nursing home residents makes treatment and research extremely challenging. This study will attempt to identify and implement treatments for depressed nursing home residents.

Participants are randomly assigned to receive either an active intervention or treatment as usual for 6 weeks. The active intervention is followed by 4 weeks of maintenance. The intervention is implemented primarily by existing nursing facility staff and focuses on increasing opportunities for residents to experience pleasant events through increased levels of activity and positive affect. The maintenance treatment involves incorporation of protocol-based activities into patient care plans. Patients have a follow-up visit 12 weeks after the study. Psychiatric evaluations, depression and mood rating scales, observed affect and activity participation, behavior problems, and staff burden are assessed.

Eligibility

Ages Eligible for Study:  60 Years and above,  Genders Eligible for Study:  Both

Criteria

Inclusion Criteria:

  • Nursing home residents
  • DSM-IV criteria for major depressive disorder or dysthymia or Research Diagnostic Criteria for minor depressive disorder with current Geriatric Depression Scale scores > 11 and Mini Mental State scores >= 14

Location and Contact Information

Suzanne Meeks, PhD      502-852-6068    smeeks@louisville.edu

Kentucky
      University of Louisville, Louisville,  Kentucky,  40292,  United States; Recruiting
Suzanne Meeks, PhD  502-852-6068    smeeks@louisville.edu 

Study chairs or principal investigators

Suzanne Meeks, PhD,  Principal Investigator,  University of Louisville   

More Information

Study ID Numbers:  63073-01A1
Record last reviewed:  October 2004
Last Updated:  October 16, 2004
Record first received:  March 14, 2003
ClinicalTrials.gov Identifier:  NCT00056485
Health Authority: United States: Federal Government
ClinicalTrials.gov processed this record on 2005-04-08


Source: ClinicalTrials.gov
Cache Date: April 9, 2005