Guided Self-Help Behavioral Activation Intervention for Geriatric Depression: Protocol for Pilot Randomized Controlled Trial (Preprint)

• DOI: 10.2196/preprints.18259
• Publication Date: 2020-02-18T20:33:56Z
• Authors: Xiaoxia Wang; Xiaoyan Zhou; Hui Yang
• Keywords: Behavioral Activation; Depression; Anhedonia

<sec> <title>BACKGROUND</title> Aging is a social concern. The increased incidence of depression in older populations China poses challenge to the health care system. Older adults who are depressed often suffer from lack motivation. Behavioral activation treatment, an evidence-based guided self-help effective reducing anhedonia and amotivation depression; however, efficacy behavioral with not yet known. </sec> <title>OBJECTIVE</title> aim this study pilot intervention for treatment adults. <title>METHODS</title> This has been designed as randomized controlled trial inpatients (n=60; be randomly allocated 1:1) between ages 60 70 have major depressive disorder. Patients attending clinical psychological clinics at Mental Health Center Chongqing will either receive (intervention) or on 6-week waiting list (control). Participants group 6 sessions delivered over telephone. control after period weeks. Exclusion criteria individuals significant risk harming themselves others, primary mental disorder other than depression, intellectual disability that would hamper their ability participate intervention. Effects observed using outcomes 3 domains: (1) (symptom severity, recovery rate), (2) process variables (patient satisfaction, attendance, dropout), (3) economic (cost resource use). We also examine mediators terms patient (behavioral inhibition motivation). hypothesize beneficial effect. <title>RESULTS</title> was approved by research ethics committee November 2019. As July 2020, recruitment had begun. Data collection expected completed December 2020. analysis June 2021. Results then disseminated patients, public, clinicians, researchers through publications journals presentations conferences. <title>CONCLUSIONS</title> first investigate interventions patients depressed, which currently underrepresented research. modular adapted empirically supported depression. generalizability broad inclusion strengths. <title>CLINICALTRIAL</title> Chinese Clinical Trial Register ChiCTR1900026066; http://www.chictr.org.cn/showprojen.aspx?proj=43548 <title>INTERNATIONAL REGISTERED REPORT</title> PRR1-10.2196/18259