RECRUITING

Integrated Tele-Behavioral Activation and Fall Prevention for Low-income Homebound Seniors With Depression

Description

This study will test clinical and cost effectiveness of an integrated tele- and bachelor's-level counselor/coach delivered behavioral activation (BA) and fall prevention (FP) for low-income homebound older adults. The long-term objective of the proposed study is to improve access to depression treatment and fall prevention for growing numbers of low-income homebound seniors. We plan to recruit 320 low-income, racially diverse homebound seniors who are served by a home-delivered meal (HDM) program and other aging-service agencies in Central Texas. In a 4-arm, pragmatic clinical trial with randomization prior to consent, the participants in the integrated Tele-BA and FP (TBF hereafter) arm will receive 5 Tele-BA sessions and 4 in-home FP sessions. Those in the Tele-BA or FP alone arms will receive the respective intervention and 4 bimonthly telephone check-in (booster) calls, and those in the Attention Control (AC) arm will receive 5 weekly telephone check-in calls followed by 4 bimonthly follow-up calls. Follow-up assessments will be at 12, 24, and 36 weeks after baseline.

Study Overview

Study Details

Study overview

This study will test clinical and cost effectiveness of an integrated tele- and bachelor's-level counselor/coach delivered behavioral activation (BA) and fall prevention (FP) for low-income homebound older adults. The long-term objective of the proposed study is to improve access to depression treatment and fall prevention for growing numbers of low-income homebound seniors. We plan to recruit 320 low-income, racially diverse homebound seniors who are served by a home-delivered meal (HDM) program and other aging-service agencies in Central Texas. In a 4-arm, pragmatic clinical trial with randomization prior to consent, the participants in the integrated Tele-BA and FP (TBF hereafter) arm will receive 5 Tele-BA sessions and 4 in-home FP sessions. Those in the Tele-BA or FP alone arms will receive the respective intervention and 4 bimonthly telephone check-in (booster) calls, and those in the Attention Control (AC) arm will receive 5 weekly telephone check-in calls followed by 4 bimonthly follow-up calls. Follow-up assessments will be at 12, 24, and 36 weeks after baseline.

Integrated Tele-Behavioral Activation and Fall Prevention for Low-income Homebound Older Adults With Depression

Integrated Tele-Behavioral Activation and Fall Prevention for Low-income Homebound Seniors With Depression

Condition
Depression, Unipolar
Intervention / Treatment

-

Contacts and Locations

Austin

University of Texas at Austin, Austin, Texas, United States, 78712-0358

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Age 50+
  • * English or Spanish proficiency
  • * 24-item Hamilton Rating Scale for Depression score \> 15
  • * 12-item Fall Risk Questionnaire score \>4
  • * Recently (\< 4 weeks) initiated or modified antidepressant pharmacotherapy
  • * High suicide risk
  • * Probable dementia
  • * Bipolar disorder
  • * Substance use/misuse
  • * Current participation in any psychotherapy or FP program
  • * Bedbound status

Ages Eligible for Study

50 Years to 100 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of Texas at Austin,

Namkee G Choi, PRINCIPAL_INVESTIGATOR, University of Texas at Austin

Study Record Dates

2026-12-31