A Randomized Controlled Trial of In-Home Tele-Behavioral Health Care Utilizing Behavioral Activation for Depression
Annual rept. 28 Feb 2013-27 Feb 2014
GENEVA FOUNDATION TACOMA WA
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In-home tele-behavioral health treatments have the potential to address current health needs of Service Members, Veterans, and their families, especially for those that live in rural and underserved areas. The use of in-home, web-based treatment to address the psychological needs of Service Members and Veterans is not yet considered standard of care for the DoD. The safety and clinical efficacy of such treatments must be established before broad dissemination of these treatment programs occurs. This study is a two-group web-based in-home BA vs. in-person BA prospective randomized controlled trial. Both groups will be assessed at baseline, mid-treatment Week 4, post-treatment Week 8, and at a 3-month follow-up visit. The primary outcome variables are safety and hopelessness. Secondary outcome variables include depression, anxiety, PTSD symptoms, attitudes toward seeking mental health services, quality of life, and health care utilization, as well as treatment satisfaction, adherence, and compliance. A total of 120 participants will be recruited with an anticipated completion rate of 108 participants 54 per treatment group. Participants are Regular Service Members, National Guard Members, Reservists, and Veterans recruited at Madigan Army Medical Center and the Portland VA Medical Center.
- Medicine and Medical Research