RightFit
RecruitingNot applicable

Pilot Study of a Behavioral Program for Resident Depression in Skilled Nursing Facilities

Building Resilience in Skilled Nursing Care: Open Pilot for a Behavioral Health Intervention

Who can join

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

Age
18 Years and older
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

  • Procedures mentioned: Interviews

Only what the study's summary and detailed description on ClinicalTrials.gov say. Time periods may describe the whole study or a part of it — ask the study team what applies to you.

Show the study's own words
  • "Participants will complete assessments at three timepoints (all) and a brief-exit interview."
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 InSTILL, a program to help skilled nursing facility residents cope with stress and depression. It looks at whether the program is practical, satisfying, and helpful. Participants attend 6 sessions, complete assessments at 3 time points, and have a short interview at the end.

The goal of this clinical trial is to test a behavioral health program (Interventions for Stressful Transitions in Later Life, InSTILL, for Individuals) for skilled nursing facility residents. The main questions it aims to answer is whether the program is program is feasible, satisfactory, and helpful. Participants will join 6 bi-weekly sessions of the InSTILL program. Participants will complete assessments at three timepoints (all) and a brief-exit interview.

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

Eligibility

Who can join

  • Have signs of emotional distress: a score of 2 or higher on the PHQ-2 or 5 or higher on the PHQ-9, which are depression questionnaires.
  • Have at least 5 long-term health conditions, based on the study’s health checklist.
  • Be age 18 or older.
  • Be able and willing to take part.

Who can't join

  • Plan to stay in the skilled nursing facility for less than 7 days.
  • Have more than mild problems with memory or thinking: a score below 13 on the BIMS, a brief mental skills test.
  • Have a roommate who is already taking part in the study or program.
  • Have a high risk of suicide or current, documented thoughts of suicide.
  • Have recently started psychotherapy, also called talk therapy.

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

Official eligibility criteria

Inclusion Criteria: * Psychological distress, as indicated by a score Patient Health Questionnaire- 2 ≥ 2 OR Patient Health Questionnaire-9 ≥ 5 * 5+ chronic conditions based on Elixhauser Comorbidity Index * Aged ≥ 18 years * Able and willing to participate in the study Exclusion Criteria: * Intended length of SNF stay \< 7 days * More than mild cognitive impairment, as indicted by Brief Interview for Mental Status (BIMS) \<13 * Participant's roommate is already enrolled in study/intervention * High risk of suicide/active documented SI per the PHQ-9, item 9 or otherwise * Participation in newly initiated psychotherapy

Study sites (1)

MA