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Integrated Tele-Behavioral Activation and Fall Prevention for Low-income Homebound Seniors With Depression

Integrated Tele-Behavioral Activation and Fall Prevention for Low-income Homebound Older Adults With Depression

Who can join

As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.

Age
50 Years to 100 Years
Sex
All sexes
Healthy volunteers
Not accepted
Compensation
Not stated

Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.

What to expect

No one can promise a trial will help you personally — that is what the research is trying to find out.

What participation involves

Not stated in the study description — ask the study team about visits and procedures.

Compensation
Not stated
  • Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
  • Participants are monitored closely by the research team throughout the study.
  • Some participants may receive access to an investigational treatment, which is still being studied.
  • Your participation helps researchers learn whether this approach could help future patients.

About this study

In plain language

This study tests a program that combines remote depression care with in-home help to prevent falls. It will look at how well the program works and its cost. It is for low-income adults age 50 and older in Central Texas who have depression and rarely leave home.

This study will test clinical and cost effectiveness of an integrated tele- and bachelor's-level counselor/coach delivered behavioral activation (BA) and fall prevention (FP) for low-income homebound older adults. The long-term objective of the proposed study is to improve access to depression treatment and fall prevention for growing numbers of low-income homebound seniors. We plan to recruit 320 low-income, racially diverse homebound seniors who are served by a home-delivered meal (HDM) program and other aging-service agencies in Central Texas. In a 4-arm, pragmatic clinical trial with randomization prior to consent, the participants in the integrated Tele-BA and FP (TBF hereafter) arm will receive 5 Tele-BA sessions and 4 in-home FP sessions. Those in the Tele-BA or FP alone arms will receive the respective intervention and 4 bimonthly telephone check-in (booster) calls, and those in the Attention Control (AC) arm will receive 5 weekly telephone check-in calls followed by 4 bimonthly follow-up calls. Follow-up assessments will be at 12, 24, and 36 weeks after baseline.

Compensation is read from the study's own description and may be missing — always confirm with the study team.

Eligibility

Who can join

  • Age 50 or older.
  • Able to use English or Spanish.
  • Score above 15 on a 24-question depression rating scale.
  • Score above 4 on a 12-question survey about fall risk.

Who can't join

  • Started or changed depression medicine less than 4 weeks ago.
  • High risk of suicide.
  • Likely dementia, which causes problems with memory and thinking.
  • Bipolar disorder, which causes major shifts in mood.
  • Substance use or misuse.
  • Currently in talk therapy or a fall prevention program.
  • Unable to get out of bed.

Simplified for readability. The official criteria below are what the study team uses.

Official eligibility criteria

Inclusion Criteria: * Age 50+ * English or Spanish proficiency * 24-item Hamilton Rating Scale for Depression score \> 15 * 12-item Fall Risk Questionnaire score \>4 Exclusion Criteria: * Recently (\< 4 weeks) initiated or modified antidepressant pharmacotherapy * High suicide risk * Probable dementia * Bipolar disorder * Substance use/misuse * Current participation in any psychotherapy or FP program * Bedbound status

Study sites (1)

TX