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

Purpose

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.

Conditions

  • Nursing Home Resident
  • Skilled Nursing Facility
  • Depression
  • Feasibility Studies

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

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 Design

Phase
N/A
Study Type
Interventional
Allocation
N/A
Intervention Model
Single Group Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
InSTILL for Individuals 		Participants in this arm will participate in the Interventions for Stressful Transitions in Later Life (InSTILL), a behavioral health intervention tailored to the needs of short stay nursing facility residents. InSTILL for Individuals includes 6 sessions (2x per week for about 3 weeks) delivered in person or remotely.
  • Behavioral: Interventions for Stressful Transitions in Later Life (InSTILL) for Individuals
    The Interventions for Stressful Transitions in Later Life (InSTILL) intervention is for skilled nursing facility residents experiencing elevated levels of psychological distress. The intervention is designed to improve life management skills and emotion regulation skill with the goal of reducing depression symptoms.

Recruiting Locations

Massachusetts General Hospital
Boston, Massachusetts 02114
Contact:
BRISK Study Coordinator
617-643-9406
brisk@mgb.org

More Details

Status
Recruiting
Sponsor
Massachusetts General Hospital

Study Contact

BRISK Study Coordinator
617-643-9406
brisk@mgb.org