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Treatment of Depression in Nursing Homes

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ClinicalTrials.gov Identifier: NCT00056485
Recruitment Status : Completed
First Posted : March 17, 2003
Last Update Posted : April 13, 2017
Sponsor:
Collaborator:
National Institute of Mental Health (NIMH)
Information provided by (Responsible Party):
Suzanne Meeks, University of Louisville

March 14, 2003
March 17, 2003
April 13, 2017
April 2002
August 2006   (Final data collection date for primary outcome measure)
Not Provided
Not Provided
Complete list of historical versions of study NCT00056485 on ClinicalTrials.gov Archive Site
Not Provided
Not Provided
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Treatment of Depression in Nursing Homes
Behavioral Intervention for Depression in Nursing Homes
This study will implement a treatment for depression in a nursing home setting.

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.

Interventional
Not Applicable
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
Depression
Behavioral: Pleasant Events-Based Behavioral Intervention
Not Provided
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
25
40
August 2006
August 2006   (Final data collection date for primary outcome measure)

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
Sexes Eligible for Study: All
60 Years and older   (Adult, Older Adult)
No
Contact information is only displayed when the study is recruiting subjects
United States
 
 
NCT00056485
R21MH063073( U.S. NIH Grant/Contract )
R21MH063073 ( U.S. NIH Grant/Contract )
No
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Plan to Share IPD: No
Suzanne Meeks, University of Louisville
University of Louisville
National Institute of Mental Health (NIMH)
Principal Investigator: Suzanne Meeks, PhD University of Louisville
University of Louisville
April 2017

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP