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

• 批准号: 10645687
• 负责人: JO ANNE SIREY
• 金额: $ 52.18万
• 依托单位: WEILL MEDICAL COLL OF CORNELL UNIV
• 依托单位国家: 美国
• 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: https://reporter.nih.gov/project-details/10645687
• 关键词: Address; Adopted; Adult; Affect; Age; Aging; Agreement; Behavior Therapy; Behavioral; Blinded; Caring; Characteristics; Client; Clinical; Collaborations; Communities; Consent; Consolidated Framework for Implementation Research; Criminal Justice; Data; Depressed mood; Educational Intervention; Effectiveness; Elder Abuse; Elderly; Eligibility Determination; Emotional; Ensure; Ethnic Origin; Feeling suicidal; Gender; Goals; Injury; Intervention; Language; Legal; Manipulative Therapies; Manuals; Mediating; Mediator; Mental Depression; Methods; Modeling; National Institute of Mental Health; New York City; Outcome; Participant; Pilot Projects; Population; Premature Mortality; Process; Race; Randomized; Randomized, Controlled Trials; Research; Research Assistant; Research Training; Resolution; Rewards; Safety; Sampling; Services; Severities; Social isolation; Strategic Planning; Testing; Time; Translations; United States; Victimization; Vulnerable Populations; Woman; Work; World Health Organization; abuse victim; attentional control; clinical practice; clinically significant; depression education; depressive symptoms; design; effectiveness testing; effectiveness trial; empowerment; experience; follow up assessment; future implementation; hybrid type 1 trial; implementation facilitators; implementation outcomes; inclusion criteria; men; mortality; pandemic disease; practice setting; recruit; reduce symptoms; synergism; underserved community; video delivery; virtual; virtual delivery; virtual therapy; women of color; Address; Adopted; Adult; Affect; Age; Aging; Agreement; Behavior Therapy; Behavioral; Blinded; Caring; Characteristics; Client; Clinical; Collaborations; Communities; Consent; Consolidated Framework for Implementation Research; Criminal Justice; Data; Depressed mood; Educational Intervention; Effectiveness; Elder Abuse; Elderly; Eligibility Determination; Emotional; Ensure; Ethnic Origin; Feeling suicidal; Gender; Goals; Injury; Intervention; Language; Legal; Manipulative Therapies; Manuals; Mediating; Mediator; Mental Depression; Methods; Modeling; National Institute of Mental Health; New York City; Outcome; Participant; Pilot Projects; Population; Premature Mortality; Process; Race; Randomized; Randomized, Controlled Trials; Research; Research Assistant; Research Training; Resolution; Rewards; Safety; Sampling; Services; Severities; Social isolation; Strategic Planning; Testing; Time; Translations; United States; Victimization; Vulnerable Populations; Woman; Work; World Health Organization; abuse victim; attentional control; clinical practice; clinically significant; depression education; depressive symptoms; design; effectiveness testing; effectiveness trial; empowerment; experience; follow up assessment; future implementation; hybrid type 1 trial; implementation facilitators; implementation outcomes; inclusion criteria; men; mortality; pandemic disease; practice setting; recruit; reduce symptoms; synergism; underserved community; video delivery; virtual; virtual delivery; virtual therapy; women of color

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6个成年人中有1人是 过去一年的虐待受害者。我们的研究表明，其中近三分之一 受害者患有临床上显着的抑郁症状，有16％具有自杀意念（Sirey et Al。，2015）。远程保护是唯一针对虐待老年人的手动的虚拟疗法 经历抑郁症。它是在接受服务的同时向受害者提供的 来自提供安全计划，支持服务和法律服务的虐待机构。 tele 保护是使用以部署为中心的方法与我们的合作伙伴一起设计的 约克市老化部（DFTA）。远程保护策略专注于增加 令人愉悦而有意义的活动，以减少抑郁症，目标设定和定义 提高与安全相关的授权的行动步骤。在我们随机控制的试点项目中 接受保护的参与者的抑郁症状显着减少 与转介控制条件下的那些相​​比（Sirey等，2021）。我们的初步工作 在大流行期间，证明了虚拟交付的可行性和有效性 通过视频（称为Teletect）保护大量不同的受害者样本。 与视频交付相比，该项目将测试远程保护的有效性 注意控制条件（DEPED）。我们将招募140名英语和西班牙语的老年人 来自纽约五个虐待机构的虐待受害者。我们假设该电视 保护参与者的抑郁症状和更大 与注意力控制（DEPED）相比，与安全有关的授权增加。 虐待机构老年人的工作人员将转介同意研究人员的沮丧受害者。有资格的 同意的虐待老人受害者，有基线评估并符合纳入标准 被随机分配到远程保护或DEPED。后续评估将在 基线后第3、6、9和12周。受过训练的研究助理盲目研究假设 还将评估抑郁症的严重程度（MADR）和与安全有关的授权（Movers） 作为参与活动，社会隔离和刑事司法结果。与 一个国家虐待机构（NAPSA）的国家组织，我们将使用混合方法设计 与多个利益相关者群体一起收集有关障碍和促进者的数据 全国范围内实施Teletrect。远程保护已证明可行性， 可接受性和初步有效性。该项目将测试可扩展的手动治疗 有可能为遭受虐待老人的沮丧受害者提供服务。