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Eligibility
for people ages 60 years and up
Healthy Volunteers
healthy people welcome
Location
at Sonora, California
Dates
study started
estimated completion:
Principal Investigator

Description

Summary

Dr. Brooke Hollister, Ph.D. from the department of Social and Behavioral Sciences at the University of California, San Francisco is conducting a study comparing two types of interventions for treating depression in rural older adults.

Official Title

Case Management and Problem Solving Therapy for Depressed Older Adults

Details

If you are eligible to participate in the study after completing the screening assessment, and if you choose to continue on, we will randomize you (like a flip of a coin) to receive either 12 weeks of case management combined with problem solving therapy (CM-PST) with a social worker or 12 weeks of self-guided problem solving therapy (SG-PST) with support from a senior peer counselor.

As part of your participation in the study you will participate in three 1.5 hour assessment interviews of psychological and neuropsychological functioning (similar to your screening assessment) prior to your first week of treatment (baseline), two weeks after your final session (week 14), and three months after your final session (week 24). Additionally, you will participate in three shorter assessment interviews of psychological functioning, which will be conducted at weeks 3 and 6. These assessments will take approximately 30-45 minutes.

Keywords

MDD

Eligibility

You can join if…

Open to people ages 60 years and up

  • Residence in rural Tuolumne, Calaveras, San Joaquin or Stanislaus Counties;
  • Diagnosis: Major depression, unipolar (by SCID ascertained DSM-IV criteria);
  • Severity of depression: A PHQ-9>10 or a 24-Item HDRS>19;
  • Need for social services: CANE score> 2, i.e. at least one unmet need;

You CAN'T join if...

  • Psychotic depression by SCID-IV, i.e., presence of delusions;
  • High suicide risk, i.e. intent or plan to attempt suicide in near future;
  • Presence of any Axis I psychiatric disorder or substance abuse other than unipolar major depression;
  • Axis II diagnosis of antisocial personality (by SCID-P and DSM-IV);
  • History of psychiatric disorders other than unipolar major depression or generalized anxiety disorder (including bipolar disorder, hypomania, and dysthymia);
  • Dementia: MMSE below 24 or clinical diagnosis of dementia by DSM-IV;
  • Acute/severe medical illness (delirium, metastatic cancer, de-compensated cardiac,liver or kidney failure, stroke or myocardial infarction) 3 months prior to entry; or use of drugs causing depression, (steroids, reserpine, alphamethyl-dopa, tamoxiphen,vincristine);
  • Inability to perform any of the ADLs (MAI: ADL subscale) even with assistance(walking with a cane is not an exclusion criterion)
  • Inability to speak English;
  • Aphasia interfering with communication;

Location

  • Catholic Charities Motherlode Office- Sonora accepting new patients
    Sonora, California, 95370, USA

Details

Status
accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
University of California, San Francisco
ID
NCT01913366
Lead Scientists
Brooke Hollister
Patricia Arean
Study Type
Interventional
Last Updated
June 2015
I'm interested in this study!