Phone-Based Behavioral Support and Home Fall Prevention for Homebound Seniors With Depression
Tests phone behavioral activation and home fall prevention in low-income homebound older adults with depression.
Plain-language title generated from the registry record
Registry title: Integrated Tele-Behavioral Activation and Fall Prevention for Low-income Homebound Seniors With Depression
Key facts
- Where
- Austin, United StatesSee the site
Could this be for you?
Answer for yourself. This is not a decision: only the study team can say whether you can take part.
- Are you between 50 and 100 years old?
Source: NCT05011864, who can take part
Where in United States
- University of Texas at AustinAustin, United StatesTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- University of Texas at Austin
- Trial code
- NCT05011864
- Record updated
- 9 January 2024
- Original description
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.Read full original descriptionShow less
Integrated Tele-Behavioral Activation and Fall Prevention for Low-income Homebound Older Adults With Depression
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.
Inclusion: Age 50+; English or Spanish proficiency; 24-item Hamilton Rating Scale for Depression score > 15; 12-item Fall Risk Questionnaire score >4.
Exclusion: Probable dementia; Bipolar disorder; Recently (< 4 weeks) initiated or modified antidepressant pharmacotherapy; High suicide risk; Substance use/misuse; Current participation in any psychotherapy or FP program; Bedbound status.