Behavioral Health Program for Short-Stay Nursing Facility Residents & Care Partners
Purpose
The goal of this clinical trial is to test a behavioral health program (Interventions for Stressful Transitions in Later Life, InSTILL) for skilled nursing facility residents and their primary support person. The main questions it aims to answer is whether the program is program is feasible, satisfactory, and helpful. The researchers will compare the InSTILL program to minimally enhanced usual care. Participants will be randomly assigned to receive either the InSTILL program or minimally enhanced usual care. Participants will complete assessments at three timepoints (all) and a brief-exit interview.
Conditions
- Nursing Home Resident
- Skilled Nursing Facility
- Depression
- Feasibility Studies
- Caregiver
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Patient and care partner both aged ≥ 18 years - Patient with care partner (known person providing regular health-related, socioemotional, or practical support) willing to participate - Patient reporting depression symptoms on a screening tool (Patient Health Questionnaire)
Exclusion Criteria
- Patient intended length of nursing facility stay < 7 days - Patient evidencing more than mild impairment on a cognitive screen (Brief Interview for Mental Status) - Patient's roommate in skilled nursing facility already enrolled in study/intervention - Either patient or care partner reporting high risk of suicidality, based on a standardized safety assessment tool - Either patient or care partner participating in newly initiated psychotherapy
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Treatment
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental InSTILL |
Participants in this arm will participate in the Interventions for Stressful Transitions in Later Life (InSTILL), a behavioral health intervention tailored to the needs of short stay nursing facility residents and their primary care partner. InSTILL includes 8 sessions (2x per week for about 4 weeks) delivered in person or remotely. Both participants (e.g., resident and care partner) attend all sessions together, facilitated by a trained clinician. |
|
|
No Intervention Minimally Enhanced Usual Care |
Participants in this group will receive a psychoeducational pamphlet with enhanced referrals for community support resources. |
|
Recruiting Locations
More Details
- Status
- Recruiting
- Sponsor
- Massachusetts General Hospital
