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Guided Self-Help Behavioral Activation Intervention for Geriatric Depression: Protocol for Pilot Randomized

Xiaoxia Wang¹, Xiaoyan Zhou², Hui Yang²

¹Department of Basic Psychology, College of Psychology, Army Medical University, Chongqing, China.

JMIR Research Protocols

|June 11, 2020

Summary

This pilot study investigates guided self-help behavioral activation for depression in older adults. The intervention shows promise for treating depression in this underrepresented population.

Keywords:

behavior activation behavior inhibition behavior treatment clinical geriatric depression guided self-help psychiatry psychology

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Area of Science:

Gerontology
Clinical Psychology
Public Health

Background:

Aging populations present unique social and healthcare challenges.
Depression in older adults, particularly in China, is increasing.
Older adults with depression often experience amotivation, a symptom targeted by behavioral activation.

Purpose of the Study:

To pilot a guided self-help behavioral activation intervention for older adults with depression.
To assess the feasibility and preliminary efficacy of this intervention.

Main Methods:

Pilot randomized controlled trial with 60 inpatients aged 60-70 with major depressive disorder.
Intervention group received 6 telephone-delivered guided self-help behavioral activation sessions.
Control group was on a 6-week waiting list; outcomes measured included symptom severity, recovery, satisfaction, and cost.

Main Results:

Recruitment was planned to commence after study approval in November 2019.
Data collection and analysis were projected for completion by December 2020 and June 2021, respectively.
Results were intended for dissemination through publications and conferences.

Conclusions:

This is the first study in China to explore guided self-help interventions for older adults with depression.
The intervention is adapted from an evidence-based behavioral activation treatment.
Strengths include modular design, generalizability, and broad inclusion criteria.