- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05356611
Engage for Late-Life Depression and Comorbid Executive Dysfunction
May 8, 2023 updated by: Brenna Renn, University of Nevada, Las Vegas
Engage: A Treatment for Late-Life Depression and Comorbid Executive/Cognitive Dysfunction
Although there are an increasing number of mental health treatment adaptations for older adults, there are still a number of factors to consider when making these adaptations.
Cognitive decline is one such factor that places significant burden on older adults and can interfere with traditional mental health therapies.
Engage is a behavioral treatment approach that has shown to be effective in treating late life depression.
The investigators are testing the feasibility of Engage as a treatment method for late life depression in older adults with cognitive decline.
The objective is to corroborate Engage as an alternative late life depression treatment method for a sub-population of older adults with cognitive decline.
Cognitive decline poses a unique mental health treatment barrier that is often over looked in younger populations.
With a relatively higher prevalence of cognitive decline in older adulthood, it is imperative that a feasible mental health treatment program that can be effective in the presence of cognitive decline.
Study Overview
Status
Recruiting
Intervention / Treatment
Study Type
Interventional
Enrollment (Anticipated)
30
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Brenna R Renn, PhD
- Phone Number: 7028950596
- Email: brenna.renn@unlv.edu
Study Contact Backup
- Name: Matthew S Schurr, MA
- Phone Number: 7026957708
- Email: schurm1@unlv.nevada.edu
Study Locations
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-
Nevada
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Las Vegas, Nevada, United States, 89154
- Recruiting
- University of Nevada
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Contact:
- Brenna R Renn, PhD
- Phone Number: 702-895-0596
- Email: brenna.renn@unlv.edu
-
Sub-Investigator:
- Matthew S Schurr, MA
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-
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.
Eligibility Criteria
Ages Eligible for Study
60 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Age 60 or older
- Ability to read, write, and speak English
- Located in Las Vegas or surrounding area
- Ability to travel to UNLV campus by self or possible caregiver for regular study visits
- Clinically significant symptoms of depression as evidenced by: 1) Scores > 5 on the Geriatric Depression Scale-Short Form (GDS-SF)
- Mild cognitive impairment as evidenced by: 1) Scores > 18 and < 25 on the Montreal Cognitive Assessment (MoCA)
Exclusion Criteria:
- Active suicidal ideation
- History of suicide attempt(s)
- Current symptoms of: 1) Psychosis; 2) Active substance use disorder
- Reported history of: 1) Bipolar disorder ("manic depression"); 2) Intellectual disability
- Currently in or scheduled to initiate individual psychotherapy to avoid treatment interference
- Psychotropic medication permitted if dose was stable over the past 2 weeks
- Currently living in an institutional setting (e.g., assisted living, inpatient, skilled nursing)
- Presence of notable memory-specific cognitive deficits as evidenced by: scores < 9 on the MoCA memory subscale (rendering it difficult to participate in and track/recall events for weekly psychotherapy)
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Engage Treatment
The study is a single-arm study.
The single-arm will be implementation of the 9-week protocol of Engage in an older adult population with late-life depression and comorbid executive dysfunction and mild cognitive impairment.
|
Engage is a 9-week, behavioral-based, psychotherapy treatment protocol for late-life depression.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Hamilton Depression Rating Scale
Time Frame: Assessed at Baseline, Week 6, Week 9, and Week 36 follow-up.
|
Measure of depressive symptoms used to assess changes across treatment from baseline to mid-treatment, to post-treatment, and follow up at 36 weeks post-baseline.
Scores range from 0 - 54 with higher scores indicating worse depression.
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Assessed at Baseline, Week 6, Week 9, and Week 36 follow-up.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0)
Time Frame: Assessed at Baseline, Week 6, Week 9, and Week 36 follow-up.
|
Measure of disability and functioning.
Scores range from 0 to 100, with higher scores indicating worse disability.
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Assessed at Baseline, Week 6, Week 9, and Week 36 follow-up.
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Behavioral Activation for Depression Scale (BADS)
Time Frame: Assessed at Baseline, Week 6, Week 9, and Week 36 follow-up.
|
Measure of behavioral activation (target mechanism).
Scores range from 0 to 54, with higher scores indicating more dysfunction.
|
Assessed at Baseline, Week 6, Week 9, and Week 36 follow-up.
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Social Problem-Solving Inventory Revised-Short Form
Time Frame: Assessed at Baseline, Week 6, Week 9, and Week 36 follow-up.
|
measure of problem solving skills.
Total scores range from 0 to 100.
When all appropriate items are reverse-scored, higher scores indicate better social problem solving functioning.
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Assessed at Baseline, Week 6, Week 9, and Week 36 follow-up.
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Iowa Gambling Task - 2nd Edition
Time Frame: Baseline, Week 9, and Week 36 follow-up.
|
Measure of reward response, decision-making and problem solving.
Assess changes in target executive functioning skills across treatment.
Produces multiple scores, generally with higher scores indicating better decision making.
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Baseline, Week 9, and Week 36 follow-up.
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Hopkins Verbal Learning Memory Test-Revised
Time Frame: Baseline, Week 9, and Week 36 follow-up.
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Measure of memory.
Assess potential changes in memory functioning across treatment.
Consists of multiple trials and multiple ranges, with higher scores on each trial indicating better memory.
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Baseline, Week 9, and Week 36 follow-up.
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Stroop Color-Word Interference Test
Time Frame: Baseline, Week 9, and Week 36 follow-up.
|
Measure of processing speed and response inhibition.
Assess changes in target executive functioning skills across treatment.
Produces multiple scores across multiple trials and ranges, with higher scores indicating better performance.
|
Baseline, Week 9, and Week 36 follow-up.
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Trail Making Test A & B
Time Frame: Baseline, Week 9, and Week 36 follow-up.
|
Measure of processing speed and set-shifting.
Assess changes in target executive functioning skills across treatment.
Time limited task, with higher time indicating worse performance.
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Baseline, Week 9, and Week 36 follow-up.
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Anticipated)
June 5, 2023
Primary Completion (Anticipated)
June 1, 2024
Study Completion (Anticipated)
October 1, 2024
Study Registration Dates
First Submitted
April 26, 2022
First Submitted That Met QC Criteria
April 26, 2022
First Posted (Actual)
May 2, 2022
Study Record Updates
Last Update Posted (Actual)
May 10, 2023
Last Update Submitted That Met QC Criteria
May 8, 2023
Last Verified
May 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- UNLV-2022-74
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
IPD Plan Description
The data will be used for the current study.
Unidentified data will be available for use within Dr. Brenna Renn's TREATment lab for future lab members to use.
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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