A Systems-Level Intervention for Rural Adults With Depression

University of Michigan

Status: Completed

Conditions: Depressive Symptoms

Treatments: Other: Enhanced Control Condition; Behavioral: Raising Our Spirits Together

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT04502186

HUM00176192

K01MH110605 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

This study aims to test the effectiveness of a computer-assisted cognitive behavioral therapy for depression among rural adults. The intervention, called Raising Our Spirits Together (ROST), was developed via a community-based participatory approach and will be delivered in small groups, facilitated by local pastors. Groups will be held virtually, or in-person at two churches in rural Michigan. Eighty-four individuals will be recruited from Hillsdale, Michigan, to test the effect of ROST on depressive symptoms, compared to an Enhanced Control Condition (ECC).

Enrollment: 70 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Must live in Hillsdale, Lenawee, Jackson, or Calhoun County, Michigan
• Positive screen for at least mild depressive symptoms based on the the Patient Health Questionnaire-9 (PHQ-9>=5)

Exclusion criteria

• Non-English speaking
• Currently receiving cognitive behavioral therapy (CBT) for depression
• Ever completed a course of cognitive behavioral therapy (CBT; >=8 sessions)
• Diagnosis of a psychotic disorder
• Current use of opiates or freebase cocaine
• Prominent suicidal/homicidal ideation with imminent risk.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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70 participants in 2 patient groups

Raising Our Spirits Together Intervention

Experimental group

Treatment:

Behavioral: Raising Our Spirits Together

Enhanced Control Condition

Other group

Treatment:

Other: Enhanced Control Condition