Leveraging Adult Protective Service Interaction to Offer Evidence-Based Treatment for Depression in Elder Neglect/Self Neglect

The University of Texas System (UT)

Status: Not yet enrolling

Conditions: Depression in Old Age

Treatments: Behavioral: APS Treatment as Usual; Behavioral: Intervention-Behavioral Activation (BA)

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT06910267

1P30AG086563-01 (U.S. NIH Grant/Contract)

HSC-MS-24-1021

Details and patient eligibility

About

The purpose of this study is to test the feasibility and acceptability of an evidence-based treatment for depression delivered over an ipad, computer, or smartphone can help Adult Protective Services (APS) clients with their activities of daily living to evaluate whether reductions on measures of depression and apathy (a) mediate reduced Elder Neglect/Self Neglect (EN/SN) behaviors; and (b) whether secondary posited mediating mechanisms are also active in impacting depression and apathy

Enrollment: 50 estimated patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• APS Case in APS Region VI- Must have open case
• PHQ 9 score- Must have score of nine (9) or more

Exclusion criteria

• Previous mental health diagnosis of bipolar disorder, psychotic disorders, and moderate to severe dementia
• Assessment of Consent Proxy- Those who need assessment of consent proxy
• Suicidal Intent (as indexed by PhQ-9 question 9)- Those scoring 2 or 3
• Current Alcohol and Drug Dependency- As evidenced by Cut down, Annoyed, Guilty, and Eye-opener (CAGE) score of 3 or more

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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50 participants in 2 patient groups

APS Treatment as Usual

Active Comparator group

Treatment:

Behavioral: APS Treatment as Usual

Intervention-Behavioral Activation (BA)

Experimental group

Treatment:

Behavioral: Intervention-Behavioral Activation (BA)