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Clinical Trials

MainTitle

Telephone Based Cognitive Behavioral Therapy for HIV Related Depression

This study has been completed
Sponsor
University of Maryland

Collaborator
National Institute of Mental Health (NIMH)

Information provided by (Responsible Party)
University of Maryland
ClinicalTrials.gov Identifier
NCT01055158

First received: January 22, 2010
Last updated: March 29, 2017
Last Verified: March 2017
History of Changes
Purpose

Purpose

The purpose of this study is to evaluate the effectiveness of a telephone-based, cognitive behavioral therapy intervention in the treatment of depression in adults diagnosed with HIV.

Condition Intervention
Depression
HIV Infections

Behavioral : Telephone-based CBT
Behavioral : Enhanced Usual Care

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Connect: A Pilot Study of Telephone Based Cognitive Behavioral Therapy for HIV Related Depression

Further study details as provided by University of Maryland:

Primary Outcome Measures

  • Hamilton Depression Scale (HAM-D) [ Time Frame: Baseline, Week 8, Week 16 ]
  • The Quick Inventory of Depressive Symptomatology (16-Item) (Self-Report) (QIDS-SR16) [ Time Frame: Baseline, Week 8, Week 16 ]
Secondary Outcome Measures:
  • Provision of Social Relationships (PSR) [ Time Frame: Baseline, Week 8, Week 16 ]
  • Brief COPE [ Time Frame: Baseline, Week 8, Week 16 ]
  • SF-12 Health Survey [ Time Frame: Baseline, Week 8, Week 16 ]
  • Therapist Adherence [ Time Frame: Week 1-14 ]
  • Participant Adherence to Treatment [ Time Frame: Week 1-14 ]
  • Working Alliance Inventory [ Time Frame: Week 8, Week 16 ]
  • Satisfaction Index- Mental Health (SIMH-PW) [ Time Frame: Week 8, Week 16 ]
  • Expectancy Scales [ Time Frame: Week 8, Week 16 ]
  • Adherence to Highly Active Antiretroviral Therapy (HAART) [ Time Frame: Baseline, Week 15 ]

Enrollment: 38
Study Start Date: January 2010
Study Completion Date: January 2012
Primary Completion Date: January 2012 (Final data collection date for primary outcome measure)

Arms Assigned Interventions
Experimental: Telephone-based CBT
A form of CBT delivered over the telephone by a trained, licensed, master's or doctoral level clinician. The intervention consists of approximately 10 sessions conducted over approximately 14 weeks. Each session is approximately 30 to 50 minutes.
Behavioral: Telephone-based CBT

A form of CBT delivered over the telephone by a trained, licensed, master's or doctoral level clinician. The intervention consists of approximately 10 sessions conducted over approximately 14 weeks. Each session is approximately 30 to 50 minutes. All sessions begin with a depression rating and agenda setting and end with task assignments and summaries.

Other Name: CONNECT
Active Comparator: Control
Enhanced Usual Care
Behavioral: Enhanced Usual Care

Participants randomized to this condition will be referred to receive in-person psychotherapy. Research study staff will help participants to set up their first appointment with a psychotherapist.

Detailed Description:

Up to 40% of individuals receiving medical care for HIV meet DSM-IV criteria for co-occurring depressive disorder. Individuals with HIV and depressive disorders, compared to those with HIV alone, have been shown to have worse adherence to taking antiretroviral medication, increased HIV related morbidity and among women a higher mortality. Previous research suggests that mental health interventions may lead to improved depressive and HIV related outcomes. However because many HIV infected depressed individuals may have trouble accessing mental health services, there is an urgent need for treatment trials to assess whether treatment of depression targeting patients in urban HIV care settings will result in both improved depressive and HIV related outcomes. The goal of this project is to test the preliminary effectiveness of an adapted telephone-based, cognitive behavioral therapy (CBT) intervention targeting HIV infected depressed individuals receiving care in adult outpatient HIV clinics. A total of 60 HIV infected, depressed individuals receiving care at an urban, outpatient HIV clinic will be randomly assigned to receive either the telephone psychotherapy intervention or enhanced usual care with non-specific telephone contact. The results will provide preliminary data on whether the telephone psychotherapy intervention for HIV infected depressed individuals is effective in reducing depression. The results will also be used to determine feasibility, accessibility, and whether the intervention leads to improved retention and better satisfaction.

Eligibility

Eligibility

Ages Eligible for Study: 18 Years and older  
Sexes Eligible for Study: All  
Accepts Healthy Volunteers: No  

Criteria

Inclusion Criteria:

  • Has a DSM-IV diagnosis of a Depressive Disorder as measured by the mood battery of the MINI
  • Has a diagnosis of HIV and is receiving HIV related outpatient care at the Evelyn Jordan Center in Baltimore, MD
  • Is able to speak English
  • Is able to read English on approximately the 6th grade reading level or higher as measured by the Wide Range Achievement Test 4 (WRAT-4) or by self-report
  • Is at least 18 years old
  • Has access to a telephone


Exclusion Criteria:
  • Meets criteria for dementia by scoring below 10 on the Hopkins HIV Dementia Scale
  • Shows signs of serious psychiatric pathology that might either be due to an organic etiology other than HIV, or would generally not be considered treatable solely with psychotherapy, or for whom participation in this protocol might be considered dangerous or unethical
  • has a history of serious suicide attempts or is severely suicidal (has ideation, plan, and intent) determined by the MINI
  • Patients in psychotherapy are excluded because it is confounded with the study
treatments

contacts and locations

Contacts and Locations

Choosing to participate in a study is an important personal decision.Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below.For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01055158

Locations

United States, Maryland
University of Maryland Medical Center, Evelyn Jordan Center
Baltimore, Maryland, United States, 21201

Sponsors and Collaborators

University of Maryland
National Institute of Mental Health (NIMH)

Investigators

Principal Investigator: Seth S Himelhoch, M.D. , M.P.H University of Maryland
More Information

More Information


Responsible Party: University of Maryland  
ClinicalTrials.gov Identifier: NCT01055158   History of Changes  
Other Study ID Numbers: HP-00043648  
  R34MH080630  
Study First Received: January 22, 2010  
Last Updated: March 29, 2017  

Keywords provided by University of Maryland:

HIV

Additional relevant MeSH terms:
Depression
Depressive Disorder
HIV Infections

ClinicalTrials.gov processed this data on October 18, 2017
This information is provided by ClinicalTrials.gov.