Intervention to Reduce Depression Among Elder Abuse Victims: Type 1 Hybrid Trial of Tele-PROTECT
减少老年虐待受害者抑郁症的干预措施:Tele-PROTECT 1 型混合试验
基本信息
- 批准号:10645687
- 负责人:
- 金额:$ 52.18万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2023
- 资助国家:美国
- 起止时间:2023-07-07 至 2028-03-31
- 项目状态:未结题
- 来源:
- 关键词:AddressAdoptedAdultAffectAgeAgingAgreementBehavior TherapyBehavioralBlindedCaringCharacteristicsClientClinicalCollaborationsCommunitiesConsentConsolidated Framework for Implementation ResearchCriminal JusticeDataDepressed moodEducational InterventionEffectivenessElder AbuseElderlyEligibility DeterminationEmotionalEnsureEthnic OriginFeeling suicidalGenderGoalsInjuryInterventionLanguageLegalManipulative TherapiesManualsMediatingMediatorMental DepressionMethodsModelingNational Institute of Mental HealthNew York CityOutcomeParticipantPilot ProjectsPopulationPremature MortalityProcessRaceRandomizedRandomized, Controlled TrialsResearchResearch AssistantResearch TrainingResolutionRewardsSafetySamplingServicesSeveritiesSocial isolationStrategic PlanningTestingTimeTranslationsUnited StatesVictimizationVulnerable PopulationsWomanWorkWorld Health Organizationabuse victimattentional controlclinical practiceclinically significantdepression educationdepressive symptomsdesigneffectiveness testingeffectiveness trialempowermentexperiencefollow up assessmentfuture implementationhybrid type 1 trialimplementation facilitatorsimplementation outcomesinclusion criteriamenmortalitypandemic diseasepractice settingrecruitreduce symptomssynergismunderserved communityvideo deliveryvirtualvirtual deliveryvirtual therapywomen of color
项目摘要
PROJECT ABSTRACT
The World Health Organization estimates that 1 in 6 adults over the age of 60 has been a
victim of abuse in the past year. Our research demonstrated that nearly one-third of these
victims have clinically significant depressive symptoms and 16% have suicidal ideation (Sirey et
al., 2015). Tele-PROTECT, is the only manualized, virtual therapy for elder abuse victims
experiencing depression. It is offered to victims at the same time that they are receiving services
from elder abuse agencies that offer safety planning, support services, and legal services. Tele-
PROTECT was designed using a deployment-focused approach with our partners at the New
York City Department for the Aging (DFTA). Tele-PROTECT strategies focus on increasing
pleasurable and rewarding activities to reduce depression, and goal setting and defining the
action steps to increase safety related empowerment. In our randomized controlled pilot project,
participants receiving PROTECT had significant decreases in symptoms of depression as
compared to those in the referral control condition (Sirey et al., 2021). Our preliminary work
during the pandemic, demonstrated the feasibility and effectiveness of virtual delivery of
PROTECT via video (called Tele-PROTECT) to a large sample of diverse victims.
This project will test the effectiveness of Tele-PROTECT as compared to a video-delivered
attention control condition (DepEd). We will recruit 140 English- and Spanish-speaking elder
abuse victims from five New York City (NYC) elder abuse agencies. We hypothesize that Tele-
PROTECT participants will experience greater decreases in depressive symptoms and greater
increase in safety-related empowerment compared to an attention control (DepEd).
Elder abuse agency staff will refer depressed victims who agree to research staff. Eligible
elder abuse victims who consent, have a baseline assessment and meet inclusion criteria will
be randomized to Tele-PROTECT or DepEd. Follow up assessments will be conducted at
weeks 3, 6, 9, and 12 after baseline. Trained Research Assistants blinded to study hypotheses
will assess depression severity (MADRS) and safety-related empowerment (MOVERS), as well
as participation in activities, social isolation, and criminal justice outcomes. In collaboration with
a national organization of elder abuse agencies (NAPSA), we will use a mixed methods design
with multiple stakeholder groups to collect data on the barriers and facilitators to the
implementation of Tele-PROTECT nationally. Tele-PROTECT has demonstrated feasibility,
acceptability, and preliminary effectiveness. This project will test a scalable manualized therapy
with the potential for national implementation to serve depressed victims of elder abuse.
项目摘要
世界卫生组织估计,60岁以上的成年人中有六分之一是老年人。
在过去的一年里,虐待的受害者。我们的研究表明,近三分之一的
受害者有临床显著的抑郁症状,16%有自杀意念(Sirey et
例如,2015年)的报告。远程治疗是唯一一种针对老年虐待受害者的手动虚拟治疗
经历抑郁症在向受害者提供服务的同时,
来自提供安全规划、支持服务和法律的服务的虐待老人机构。远距离
在新的
约克市老龄部门(DFTA)。电信运营商战略的重点是增加
愉快和有益的活动,以减少抑郁症,目标设定和定义
行动步骤,以增加与安全有关的授权。在我们的随机对照试验项目中,
接受PROTECT的参与者抑郁症状显着减轻,
与转诊对照条件下的那些相比(Sirey等人,2021年)。我们的前期工作
在疫情期间,展示了虚拟交付的可行性和有效性,
通过视频(称为Tele-TMPT)向大量不同的受害者提供援助。
该项目将测试与视频传送相比,远程培训的有效性。
注意力控制条件(DepEd)我们将招募140名讲英语和西班牙语的长者
来自五个纽约市(NYC)虐待老人机构的虐待受害者。我们假设远程-
CET参与者将经历更大的抑郁症状减少,
与注意力控制(DepEd)相比,安全相关授权增加。
虐待老人机构的工作人员将把同意研究人员的抑郁受害者介绍给研究人员。资格
虐待长者受害人如同意、有基线评估并符合纳入标准,
随机分配至Tele-Patient或DepEd。跟进评估将于
基线后第3、6、9和12周。经过培训的研究助理对研究假设设盲
将评估抑郁严重程度(MADRS)和安全相关赋权(MOVERS),以及
参与活动、社会孤立和刑事司法结果。协同
一个全国性的虐待老年人机构组织(NAPSA),我们将使用混合方法设计
与多个利益攸关方团体合作,收集关于
在全国范围内实施远程教育。Tele-PART已经证明了可行性,
可接受性和初步有效性。该项目将测试一个可扩展的手动治疗
有可能在全国范围内实施,为虐待老年人的抑郁受害者提供服务。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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{{ truncateString('JO ANNE SIREY', 18)}}的其他基金
2/3 Lay-delivered Behavioral Activation in Senior Centers
2/3 老年人中心的非专业行为激活
- 批准号:
10524018 - 财政年份:2020
- 资助金额:
$ 52.18万 - 项目类别:
2/3 Lay-delivered Behavioral Activation in Senior Centers - Administrative Supplement
2/3 老年人中心的非专业行为激活 - 行政补充
- 批准号:
10706663 - 财政年份:2020
- 资助金额:
$ 52.18万 - 项目类别:
2/3 Lay-delivered Behavioral Activation in Senior Centers
2/3 老年人中心的非专业行为激活
- 批准号:
10318199 - 财政年份:2020
- 资助金额:
$ 52.18万 - 项目类别:
ALACRITY for Late- and Mid-Life Mood Disorders
ALACRITY 治疗晚年和中年情绪障碍
- 批准号:
10016855 - 财政年份:2017
- 资助金额:
$ 52.18万 - 项目类别:
1/2-Personalized Antidepressant Adherence Strategies for Depressed Elders
1/2-针对抑郁老年人的个性化抗抑郁药物依从策略
- 批准号:
8471196 - 财政年份:2010
- 资助金额:
$ 52.18万 - 项目类别:
1/2-Personalized Antidepressant Adherence Strategies for Depressed Elders
1/2-针对抑郁老年人的个性化抗抑郁药物依从策略
- 批准号:
8677972 - 财政年份:2010
- 资助金额:
$ 52.18万 - 项目类别:
1/2-Personalized Antidepressant Adherence Strategies for Depressed Elders
1/2-针对抑郁老年人的个性化抗抑郁药物依从策略
- 批准号:
7986545 - 财政年份:2010
- 资助金额:
$ 52.18万 - 项目类别:
1/2-Personalized Antidepressant Adherence Strategies for Depressed Elders
1/2-针对抑郁老年人的个性化抗抑郁药物依从策略
- 批准号:
8123109 - 财政年份:2010
- 资助金额:
$ 52.18万 - 项目类别:
1/2-Personalized Antidepressant Adherence Strategies for Depressed Elders
1/2-针对抑郁老年人的个性化抗抑郁药物依从策略
- 批准号:
8300130 - 财政年份:2010
- 资助金额:
$ 52.18万 - 项目类别:
Increasing Use of Mental Health Services by Community Dwelling Older Adults with
社区居住的老年人越来越多地使用心理健康服务
- 批准号:
7851432 - 财政年份:2007
- 资助金额:
$ 52.18万 - 项目类别:
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