A Randomized Controlled Trial of In-Home Tele-Behavioral Health Care Utilizing Behavioral Activation for Depression
Depression
About this trial
This is an interventional treatment trial for Depression focused on measuring Depression, Behavioral Activation, Tele-medicine
Eligibility Criteria
Inclusion Criteria:
- Current Major Depressive or Minor Depressive Disorder
- High-speed internet/network access at home (384kbs minimum)
- Informed consent
- Fluent in the English language
Exclusion Criteria:
- Currently undergoing psychotherapy for depression
- less than 18 or greater than 65 year of age
- Active psychotic symptoms/disorders as determined by the SCID for DSM-IV
- Dysthymic Disorder
- Current suicidal ideation with intent or recent (within six months) history of a suicide attempt
- History of Organic Mental Disorder
- Current substance dependence as determined by the SCID (lifetime substance dependence or substance abuse will not be excluded)
- History of violence or poor impulse control causing potential risk to staff or others
- Significant ongoing stressors that require urgent crisis intervention
- Having a living arrangement that will not permit the use of a private space to participate in the study
Sites / Locations
- Portland VA Medical Center
- National Center for Telehealth and Technology
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
In Home
In-Person
Participants in this condition will receive 8 sessions of BA treatment over the course of approximately 8 weeks (one session per week). The sessions will be conducted in their homes using an Army approved secure web-based video conferencing system. BA has been successfully delivered in this time frame, and it has been delivered via in-home video conferencing technology.
Participants in this condition will receive 8 sessions of BA treatment over the course of approximately 8 weeks (one session per week with allowance for rescheduled sessions). The sessions will be conducted in a clinic setting at The National Center for Telehealth & Technology.