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Integrated Tele-Behavioral Activation and Fall Prevention for Low-income Homebound Seniors With Depression
Integrated Tele-Behavioral Activation and Fall Prevention for Low-income Homebound Older Adults With Depression
Who can join
Ages 50 to 100 · All sexes
Full eligibility criteria
Inclusion Criteria: * Age 50+ * English or Spanish proficiency * 24-item Hamilton Rating Scale for Depression score \> 15 * 12-item Fall Risk Questionnaire score \>4 Exclusion Criteria: * 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
About the study
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.
What is being tested
- Behavioral Activation (behavioral)
- Fall Prevention (behavioral)
- Telephone support (other)
Sponsor: University of Texas at Austin · Participants: 320 · Started: Nov 1, 2021
Contact the study team
- Namkee G Choi, PhD · Phone: 5122329590
- Kelly Vences, BSW · Phone: 5122320604
Official record on ClinicalTrials.gov — NCT05011864
Locations in the U.S.
| Texas | University of Texas at Austin, Austin |
Conditions
From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.