Treatment of Depression in Nursing Homes - Article Depression/depressive Disorders
Clinical Trial: Treatment of Depression in Nursing Homes
This study is currently recruiting patients.
The purpose of this study is to implement an effective treatment for depression in the nursing home setting.
|Condition||Treatment or Intervention||Phase|
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
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.
Ages Eligible for Study: 60 Years and above, Genders Eligible for Study: Both
- 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
University of Louisville, Louisville, Kentucky, 40292, United States; Recruiting
Suzanne Meeks, PhD, Principal Investigator, University of Louisville
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
Cache Date: April 9, 2005
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