Anxiety & Depression Association of America

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.	Behavioral: Interventions for Stressful Transitions in Later Life The Interventions for Stressful Transitions in Later Life (InSTILL) intervention is for skilled nursing facility residents and their care partners experiencing elevated levels of psychological distress. The intervention is designed to improve life management skills, emotion regulation skills, and dyadic coping skills with the goal of reducing depression symptoms among both dyad members (i.e., resident and care partner).
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

Study Contact

Makenna E Law, BS
617-643-9406
brisk@mgb.org

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.