Online Peer Networked Collaborative Learning for Managing Depressive Symptoms

Technology Assisted Intervention for the Treatment and Prevention of Depression

The goal of this field trial is to tailor and test a web-based intervention in adults 65 years of age or older. Two versions of the web-based intervention have been created and will be tested--one with an online social network and one without an online social network. The purpose of this study is to: pilot a novel intervention, examine methods to improve adherence to web-based interventions (e.g., peer network); collect data on feasibility, acceptability, and efficacy of an web-based intervention for late life depression; and ultimately, to overcome the numerous barriers to treating depression in later life.

Inclusion Criteria:

• Has elevated depressive symptoms
• Has a telephone, e-mail account, computer, and broadband access to the Internet.
• Has basic internet skills and is able to access the internet independently
• Is able to speak and read English.
• Is at least 65 years of age.
• Is able to give informed consent.

Exclusion Criteria:

• Has hearing or voice impairment that would prevent participation in psychotherapy
• Has visual impairment that would prevent completion of assessment materials.
• Is diagnosed with a psychotic disorder, bipolar disorder, dissociative disorder, current substance abuse, or other diagnosis for which participation in a clinical trial of psychotherapy may be either inappropriate or dangerous.
• Is currently receiving individual psychotherapy or planning to receive psychotherapy during the 8-week treatment phase of the study
• Is planning to be out of town or unavailable for an extended period of time during the study without access to the Internet
• Exhibits severe suicidality, including ideation, plan, and intent.
• Has initiated treatment with an antidepressant in past 14 days. Once patients have been on a stable dose for 14 days and do not have an appointment with a physician or psychiatrist to change this dose, the patient will be eligible based on this criterion.