Cognitive Behavioral Therapy Group for Older Adults Delivered by Telethealth

Sponsor

Nova Scotia Health Authority (Other)

Overall Status

Not yet recruiting

CT.gov ID

NCT04714164

Collaborator

(none)

Enrollment

Arm

Anticipated Duration (Months)

Study Details

Study Description

Brief Summary

The present aim of the study is to to adapt an established, manualized enhanced Group CBT (CBT-E) for seniors to a telehealth format, which will allow us to offer the group virtually during the COVID-19 pandemic.

Condition or Disease	Intervention/Treatment	Phase
Major Depressive Disorder Generalized Anxiety Disorder Social Anxiety Disorder Panic Disorder	Behavioral: Group Cognitive Behavioral Therapy	N/A

Detailed Description

The goal of this project is to adapt an established, manualized enhanced Group CBT (CBT-E) for seniors to a telemedicine format. Currently the Geriatric Psychiatry service associated with the Nova Scotia Health Authority offer two CBT-E groups every year. They are usually facilitated by psychiatry residents, under the supervision of a staff psychiatrist. Due to the risk of COVID-19, we will not be holding in-person groups this year. Instead we will offer the group in a smaller, telemedicine format. For this project, we will change the group structure and activities to allow it's delivery in a virtual format. This study will assess feasibility, tolerability of the telehealth format by using the System Usability Scale and Group Satisfaction Survey. It will also assess response to online therapy buy using pre- and post-group questionnaires including the Beck Depression Inventory, Beck Anxiety Inventory and Perceived Quality of Life Questionnaire. Paired t-tests will be used to analyse the data and determine whether there has been an improvement in participant's symptoms and quality of life.

Study Design

Study Type:

Interventional

Anticipated Enrollment :

20 participants

Allocation:

N/A

Intervention Model:

Single Group Assignment

Intervention Model Description:

Feasibility and acceptability studyFeasibility and acceptability study

Masking:

None (Open Label)

Primary Purpose:

Treatment

Official Title:

Feasibility of Delivering Group Cognitive Behavioral Therapy for Older Adults With Depression and Anxiety by Telehealth

Anticipated Study Start Date :

Feb 1, 2021

Anticipated Primary Completion Date :

Apr 1, 2021

Anticipated Study Completion Date :

Dec 1, 2021

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Teletherapy Group CBT participants Patients over the age of 65 with either a Major Depressive Disorder or Generalized Anxiety Disorder who will be participating in a Group CBT delivered by Teletherapy	Behavioral: Group Cognitive Behavioral Therapy Therapy will be delivered weekly for 8 weeks by Zoom.

Arm

Intervention/Treatment

Experimental: Teletherapy Group CBT participants

Patients over the age of 65 with either a Major Depressive Disorder or Generalized Anxiety Disorder who will be participating in a Group CBT delivered by Teletherapy

Behavioral: Group Cognitive Behavioral Therapy

Therapy will be delivered weekly for 8 weeks by Zoom.

Outcome Measures

Primary Outcome Measures

Feasibility of Telehealth CBT group for older adults [This will be completed at the end of the 8 week Telehealth CBT group.]
This will be assessed by a questionnaire: System Usability Scale.
Acceptability of Telehealth CBT group for older adults [This will be completed at the end of the 8 week Telehealth CBT group.]
This will be measured by a questionnaire administered to participants titled Satisfaction Survey.
Attrition to the Telehealth CBT group for older adults [8 weeks]
Attendance will be noted by group facilitators at each group session

Secondary Outcome Measures

Effect size between pre-group and post-group questionnaires (anxiety) [Scales will be administered at baseline and at the end of the 8 weeks of group therapy.]
The following scale will be administered before and after completing the group to determine if there is any change in the result: Beck Anxiety Inventory.
Effect size between pre-group and post-group questionnaires (depression) [Scales will be administered at baseline and at the end of the 8 weeks of group therapy.]
The following scale will be administered before and after completing the group to determine if there is any change in the result: Beck Depression Inventory.
Effect size between pre-group and post-group questionnaires (perceived quality of life) [Scales will be administered at baseline and at the end of the 8 weeks of group therapy.]
The following scale will be administered before and after completing the group to determine if there is any change in the result: Perceived Quality of Life questionnaire.

Eligibility Criteria

Criteria

Ages Eligible for Study:

65 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

People over the age of 65
Diagnosis of either or both Major Depressive Disorder (MDD) of mild or moderate severity and an anxiety disorder, including generalized anxiety disorder, social anxiety disorder or panic disorder.

Exclusion Criteria:

Patients with psychosis
Patients with dementia
Patient with severe Major Depressive Disorder or Anxiety Disorder
Patients with antisocial or borderline personality disorder
Patients with acute suicidal ideation.
Older adults who do not have access to the technology required for group; computer, phone or tablet with a webcam and access to Internet

These are also exclusion criteria for the CBT group outside of the study. People younger than 65 are also excluded from the group because it is offered to older adults only.