PMSB-E: Positive Minds Strong Bodies Implementation
Study Details
Study Description
Brief Summary
This study aims to address treatment and service disparities and prevent disability among racial/ethnic and linguistic minority elders. It tests the effectiveness and implementation readiness of the Positive Minds-Strong Bodies Enhanced intervention (PMSB-E), a combined mental and physical health intervention designed to be implemented in low-resource community settings. This renewal grant project includes a streamlined intervention with new components designed to improve and maintain participant outcomes.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
The Positive Minds-Strong Bodies Enhanced intervention addresses the dual challenges of mental health and physical disability among minority elders. The core Positive Minds intervention includes 10 sessions offered by Community Health Workers over a maximum of 6 months, designed to identify and correct negative distortions or cognitions, promote behavioral activation and encourage supportive relationships. Strong Bodies is a 36-session physical intervention consisting of a series of exercises conducted while wearing a weighted vest in a group setting over 6 months; both interventions include a group maintenance component to maintain gains. The investigators will evaluate the acceptability, effectiveness and twelve-month sustainability of the Enhanced Positive Minds-Strong Bodies intervention (E-PMSB) offered by Community Health Workers (CHWs) and Exercise Trainers in community-based organizations (CBOs) and community clinics. The intervention is offered in English, Spanish, Mandarin or Cantonese.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Positive Minds Strong Bodies Enhanced The Positive Minds Strong Bodies Enhanced intervention (PMSB-E) consists of 10 sessions focused on mental health (PM) and 36 sessions focused on physical health (SB), along with a group maintenance component. |
Behavioral: Positive Minds Strong Bodies Enhanced
The Positive Minds Strong Bodies Enhanced intervention (PMSB-E) was designed to provide a single, integrated program that could address the dual challenges of mental health and disability among minority elders. PMSB-E seeks to improve mood symptoms, identify and correct negative distortions or cognitions, promote behavioral activation through engaging the participant in pleasant activities, and encourage developing supportive relationships. All sessions are tailored to the participant's needs using a collaborative approach.
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Active Comparator: Enhanced Usual Care The Enhanced Usual Care condition includes written materials on depression and anxiety and 4 calls to participants over the course of 6 months to assess symptoms and safety. |
Behavioral: Enhanced Usual Care
Participants in this arm will receive a booklet about anxiety and depression in Spanish, English, or Mandarin/Cantonese. Research staff will call the participant 4 times over the course of 6 months to administer mental health items, a suicide questionnaire, and a question about medication side effects to mimic the administration schedule in the intervention group.
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Outcome Measures
Primary Outcome Measures
- Acceptability [6 months at end of treatment]
>/= 70% of participants attending >/= 50% of their intervention sessions, reporting satisfaction with treatment.
- Hopkins Symptom Checklist-25 (change) [Baseline and 3, 6, and 12 months after baseline]
Widely used measure of depression and anxiety in clinical monitoring and outcome assessment.
- Short Physical Performance Battery (change) [Baseline and 3, 6, and 12 months after baseline]
Assessment of standing balance, timed 4-m walk, and timed test of five chair-rise repetitions, to assess functional limitations. A virtual option will be used while in person assessment is not possible due to COVID-19.
- Late-Life Function and Disability Instrument (LLFDI) - functional component (change) [Baseline and 3, 6, and 12 months after baseline]
Self-report instrument designed to measure both functional capacity and components of disability.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Latino, Asian, Black, or non-Latino White adults 60+ years of age
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With mild, moderate or severe depressive or anxiety symptoms.
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Participants receiving medications for mental health will have this recorded and used as a covariate.
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Community-dwelling participants who have some mobility limitations but are not home-bound.
Exclusion Criteria:
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Any specialty mental health care (therapy sessions with psychiatrist, psychologist or social worker) in the past 3 months or scheduled in the coming month.
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Evidence that patient lacks capacity to consent or is cognitively impaired
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Current suicidal risk (score of 4 or 5 on Paykel suicide questionnaire), whereby participant will be connected to an emergency services or specialty provider per the study emergency protocol.
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Physically instability, acute or exacerbation of a chronic disease, or a neuro-musculoskeletal impairment
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Severe substance abuse
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Self-reported psychosis or schizophrenia
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Inability to commit to 2 sessions per week
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Massachusetts General Hospital | Boston | Massachusetts | United States | 02114 |
Sponsors and Collaborators
- Massachusetts General Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2019P001292