Not Yet RecruitingNot Applicable

Leveraging Adult Protective Service Interaction to Offer Evidence-Based Treatment for Depression in Elder Neglect/Self Neglect

United States50 participantsStarted 2025-07-21

Plain-language summary

The purpose of this study is to test the feasibility and acceptability of an evidence-based treatment for depression delivered over an ipad, computer, or smartphone can help Adult Protective Services (APS) clients with their activities of daily living to evaluate whether reductions on measures of depression and apathy (a) mediate reduced Elder Neglect/Self Neglect (EN/SN) behaviors; and (b) whether secondary posited mediating mechanisms are also active in impacting depression and apathy

Who can participate

Age range65 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * APS Case in APS Region VI- Must have open case * PHQ 9 score- Must have score of nine (9) or more Exclusion Criteria: * Previous mental health diagnosis of bipolar disorder, psychotic disorders, and moderate to severe dementia * Assessment of Consent Proxy- Those who need assessment of consent proxy * Suicidal Intent (as indexed by PhQ-9 question 9)- Those scoring 2 or 3 * Current Alcohol and Drug Dependency- As evidenced by Cut down, Annoyed, Guilty, and Eye-opener (CAGE) score of 3 or more

What they're measuring

Change in depression as assessed by the Patient Depression Questionnaire (PHQ-9)

Timeframe: baseline, post-treatment ( 8 weeks after baseline), and 3 months

Change in apathy as assessed by the Apathy Motivations Index (AMI)

Timeframe: baseline, post-treatment ( 8 weeks after baseline), and 3 months

Change in Elder Neglect/Self Neglect (EN/SN) as evidenced by study developed goal attainment scale

Timeframe: baseline, post-treatment ( 8 weeks after baseline), and 3 months

Trial details

NCT IDNCT06910267

SponsorThe University of Texas Health Science Center, Houston

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2026-03-31

Contact for this trial

Leila Wood, PhD, MSSW

(713) 486-2700 Leila.G.Wood@uth.tmc.edu

View on ClinicalTrials.gov More Depression in Old Age trials

Plain-language summary

Who can participate

Age range65 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

What they're measuring

Change in depression as assessed by the Patient Depression Questionnaire (PHQ-9)

Timeframe: baseline, post-treatment ( 8 weeks after baseline), and 3 months

Change in apathy as assessed by the Apathy Motivations Index (AMI)

Timeframe: baseline, post-treatment ( 8 weeks after baseline), and 3 months

Change in Elder Neglect/Self Neglect (EN/SN) as evidenced by study developed goal attainment scale

Timeframe: baseline, post-treatment ( 8 weeks after baseline), and 3 months