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| Name | Class |
|---|---|
| Linkoeping University | OTHER_GOV |
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This study aims to evaluate the effectiveness of internet-based cognitive behavioral therapy (CBT) for depressed elderly.
Individuals of age 60+ with symptoms of depression will be assessed before the study. At week 0, participants who meet eligibility requirements will be randomized either to intervention group which will participate in an 8-week internet-based modular CBT or to a delayed treatment control group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention group | Experimental | 8 module, 8 week long internet-based intervention for reducing burden of depression |
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| Control group | No Intervention | Participants randomized to the control group will be instructed to wait until the intervention group finishes the treatment and that they will be able to use the same intervention afterwards. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Depresijos terapija | Behavioral | Intervention is based on the principles of cognitive behavioral therapy and culturally adapted to elderly Lithuanian population. The main purpose of the intervention is to reduce the symptoms of depression and increase psychological well-being. Intervention contains psychoeducation, examples, exercises and consultation with a psychologist. |
| Measure | Description | Time Frame |
|---|---|---|
| Patient Health Questionnaire (PHQ-9) | Change from baseline in depression symptoms post-treatment (week 8), at three months, at 12 months and at 24 months post-treatment. Measure contains 9 questions that have to be responded to by choosing an answer from a 4-item Likert scale, where number 0 indicates 'Not at all' and 3 - 'Nearly every day'. Higher score indicates more severe symptoms. | Pre-treatment, week 8, 3, 12 and 24 months post-treatment |
| Geriatric Depression Scale (GDS) | Change from baseline in depression symptoms post-treatment (week 8), at three months, at 12 months and at 24 months post-treatment. Measure contains 15 questions that have to be responded 'Yes' or 'No'. Higher score indicates more severe symptoms. | Pre-treatment, week 8, 3, 12 and 24 months post-treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Generalized Anxiety Disorder-7 (GAD-7) | Change from baseline in anxiety symptoms post-treatment (week 8), at three months, at 12 months and at 24 months post-treatment. Measure contains 7 questions that have to be responded to by choosing an answer from a 4-item Likert scale, where number 0 indicates 'Not at all' and 3 - 'Nearly every day'. Higher score indicates more severe symptoms. | Pre-treatment, week 8, 3, 12 and 24 months post-treatment |
| Measure | Description | Time Frame |
|---|---|---|
| The Alcohol Use Disorders Identification Test (AUDIT) | AUDIT will be used for alcohol consumption and related risks assessment. | Pre-treatment |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jonas Eimontas, PhD | Vilnius University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vilnius University | Vilnius | Lithuania | LT-01513 | Lithuania |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34915909 | Derived | Eimontas J, Pakalniskiene V, Biliunaite I, Andersson G. A tailored Internet-delivered modular intervention based on cognitive behavioral therapy for depressed older adults: a study protocol for a randomized controlled trial. Trials. 2021 Dec 16;22(1):925. doi: 10.1186/s13063-021-05903-4. |
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| ID | Term |
|---|---|
| D003863 | Depression |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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Participants will be randomized to either control or intervention group. Participants in the control group will receive the same treatment after the intervention group is finished with the treatment.
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| The World Health Organisation- Five Well-Being Index (WHO-5) | Change from baseline in well-being post-treatment (week 8), at three months, at 12 months and at 24 months post-treatment. WHO-5 contains 5 statements about individuals well-being in the past two weeks. Respondents have to choose the best corresponding answer using a 6-item Likert scale where a score of 0 indicates 'At no time' and a score of 5 - 'All the time'. Higher score indicates higher well-being. | Pre-treatment, week 8, 3, 12 and 24 months post-treatment |