Building Community Capacity for Disability Prevention for Minority Elders (Positive Minds - Strong Bodies)
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Anxiety, Anxiety, Depression |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 60 - Any |
| Updated: | 8/18/2018 |
| Start Date: | July 2015 |
| End Date: | April 2019 |
Building Community Capacity for Disability Prevention for Minority Elders
The primary intervention offered through this study is a manualized and culturally adapted
CBT intervention combined with an exercise intervention, administered by trained Community
Health Workers and exercise trainers to ethnic minority elders with moderate to severe mood
symptoms and at risk of disability. In addition to the intervention implementation, the study
examines how to successfully build collaborative research for the provision of evidence-based
mental health and disability prevention treatments for ethnic minority elders in
community-based settings. Thus, the study will evaluate the three components necessary for a
successful intervention: efficacy, since the intervention must work, acceptability among
clients and partnering agencies, and feasibility and sustainability within the organization.
CBT intervention combined with an exercise intervention, administered by trained Community
Health Workers and exercise trainers to ethnic minority elders with moderate to severe mood
symptoms and at risk of disability. In addition to the intervention implementation, the study
examines how to successfully build collaborative research for the provision of evidence-based
mental health and disability prevention treatments for ethnic minority elders in
community-based settings. Thus, the study will evaluate the three components necessary for a
successful intervention: efficacy, since the intervention must work, acceptability among
clients and partnering agencies, and feasibility and sustainability within the organization.
The researchers have partnered with 5 community-based organizations and 2 clinics, each of
whom will recruit 60 elder participants to be randomized into either the intervention
(CBT+exercise) or control (enhanced usual care) groups. Each participant randomized into the
intervention group will receive 10 sessions of individual CBT for depression and anxiety
(Positive Minds), using a translated and culturally adapted manual, and administered by a
trained community health worker. In addition, each participant will engage in three exercise
groups per week for 12 weeks, using the Increased Velocity Specific to Task (Strong Bodies;
InVEST) protocol. Both intervention and control groups will be assessed biweekly for symptoms
of depression, anxiety, and suicidality, and both groups will participate in a thorough
assessment at baseline, and 2, 6, and 12 months after baseline.
whom will recruit 60 elder participants to be randomized into either the intervention
(CBT+exercise) or control (enhanced usual care) groups. Each participant randomized into the
intervention group will receive 10 sessions of individual CBT for depression and anxiety
(Positive Minds), using a translated and culturally adapted manual, and administered by a
trained community health worker. In addition, each participant will engage in three exercise
groups per week for 12 weeks, using the Increased Velocity Specific to Task (Strong Bodies;
InVEST) protocol. Both intervention and control groups will be assessed biweekly for symptoms
of depression, anxiety, and suicidality, and both groups will participate in a thorough
assessment at baseline, and 2, 6, and 12 months after baseline.
Inclusion Criteria:
- Age 60+
- Fluency in English, Spanish, Mandarin or Cantonese
- Score above threshold on PHQ-9, GAD-7, or Geriatric Depression Scale (GDS-Short Form)
- Score within threshold of SPPB
Exclusion Criteria:
- Participants will be excluded if there is evidence of:
- Current substance use disorders
- Current or last 3 months of specialty mental health treatment
- Evidence that patient the participant lacks capacity to consent assessed using the
UCSD Brief Assessment of Capacity to Consent.
- Suicidal risk (score of 4 or 5 on the Paykel suicide questionnaire), whereby
participant will be referred for immediate treatment to specialty care
- If the participant's physician advises against strenuous physical exercise.
- Exclusion from the disability component will also happen if the participant is
home-bound, has an acute or an exacerbated chronic disease, or has
neuro-musculoskeletal impairment that prevents them from participating in the
exercises
We found this trial at
8
sites
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