Behavioral Activation for the Prevention and Treatment of Depression in Older Adults in a Municipal Context
Behavioral Activation for the Prevention and Treatment of Depression in Older Adults in a Municipal Context: a Randomized Controlled Trial
Sormland County Council, Sweden
160 participants
Jun 27, 2024
INTERVENTIONAL
Conditions
Summary
The goal of this randomized clinical trial is to investigate if a brief psychological treatment called Behavioral Activation (BA) works to prevent and treat depression in older adults in a municipal context in Sweden. It will also learn about the patients' and therapists' experiences of the BA-treatment. The main questions it aims to answer are if the BA-treatment has an effect on the short and long term on: * Depressive symptoms * Anxiety symptoms * Self-rated activation * Functional ability * Loneliness * Self efficacy * Mental wellbeing * Quality of life * Need for community care services All participants will continue their care as usual (CAU), and half of the participants will be randomized to receive a five-session BA-treatment spread over two months as an add-on to CAU. All participants will answer a questionnaire in the beginning of the study, after two months, and after 3-, 6- and 12 months.
Eligibility
Inclusion Criteria4
- years or older
- points or above on the Geriatric Depression Scale 15, GDS-15
- Fluent in written and spoken Swedish
- Consents to participate in the trial
Exclusion Criteria9
- Not able to use the patient materials due to visual impairment
- Not able to communicate with therapist due to hearing impairment
- Diagnosis of major neurocognitive disorder
- Below 25 points on the Mini Mental State Examination, MMSE
- Elevated suicide risk
- Current substance- or alcohol use disorder
- Previous or current psychotic disorder
- Previous or current bipolar disorder
- Ongoing psychological treatment/pscyhotherapy
Interventions
A five-session brief behavioral activation treatment delivered face-to-face in the participants' home. Session outline: Session 1: Psychoeducation about depression; treatment rationale for Behavioral Activation (BA); rationale and instructions for activity log Session 2: Discussion of life goals and values; planning of activities aligned with life goals and values for coming week Session 3: Troubleshooting any problems carrying out activities; planning activities aligned with life goals and values for coming week. Session 4: Troubleshooting any problems carrying out activities; planning activities aligned with life goals and values for the coming week; instructing the participant to independently continue to plan activities for the coming month. Session 5: Troubleshooting any problems carrying out activities; reviewing treatment; stressing the importance of continuing to engage in activities aligned with life goals and values; creating a maintenance plan.
Care as Usual provided by primary care and/or municipal care.
Locations(1)
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NCT06415838