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Treatment of Depression in Nursing Homes

This study has been completed.
National Institute of Mental Health (NIMH)
Information provided by (Responsible Party):
Suzanne Meeks, University of Louisville Identifier:
First received: March 14, 2003
Last updated: April 11, 2017
Last verified: April 2017
This study will implement a treatment for depression in a nursing home setting.

Condition Intervention
Depression Behavioral: Pleasant Events-Based Behavioral Intervention

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description:
This was a pilot feasibility study; the first part was a single group; the second part was a two-group randomized design.
Masking: None (Open Label)
Primary Purpose: Other
Official Title: Behavioral Intervention for Depression in Nursing Homes

Resource links provided by NLM:

Further study details as provided by Suzanne Meeks, University of Louisville:

Enrollment: 25
Study Start Date: April 2002
Study Completion Date: August 2006
Primary Completion Date: August 2006 (Final data collection date for primary outcome measure)
Detailed Description:

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 older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • 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
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00056485

United States, Kentucky
University of Louisville
Louisville, Kentucky, United States, 40292
Sponsors and Collaborators
University of Louisville
National Institute of Mental Health (NIMH)
Principal Investigator: Suzanne Meeks, PhD University of Louisville
  More Information

Responsible Party: Suzanne Meeks, Professor, University of Louisville Identifier: NCT00056485     History of Changes
Other Study ID Numbers: R21MH063073 ( U.S. NIH Grant/Contract )
Study First Received: March 14, 2003
Last Updated: April 11, 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Suzanne Meeks, University of Louisville:
Nursing homes

Additional relevant MeSH terms:
Depressive Disorder
Behavioral Symptoms
Mood Disorders
Mental Disorders processed this record on September 21, 2017