About this trial
The goal of this randomized clinical trial is to investigate if a brief psychological treatment called Behavioral Activation (BA) works to prevent and treat depression in older adults in a municipal context in Sweden. It will also learn about the patients' and therapists' experiences of the BA-treatment.
The main questions it aims to answer are if the BA-treatment has an effect on the short and long term on:
* Depressive symptoms * Anxiety symptoms * Self-rated activation * Functional ability * Loneliness * Self efficacy * Mental wellbeing * Quality of life * Need for community care services
All participants will continue their care as usual (CAU), and half of the participants will be randomized to receive a five-session BA-treatment spread over two months as an add-on to CAU. All participants will answer a questionnaire in the beginning of the study, after two months, and after 3-, 6- and 12 months.
Eligibility criteria
Qualifiers
65 years or older
5 points or above on the Geriatric Depression Scale 15, GDS-15
Fluent in written and spoken Swedish
Consents to participate in the trial
Disqualifiers
Not able to use the patient materials due to visual impairment
Not able to communicate with therapist due to hearing impairment
Diagnosis of major neurocognitive disorder
Below 25 points on the Mini Mental State Examination, MMSE
Trial design
Treatments tested in this trial
- Brief Behavioral Activation
- Care as Usual
Treatment groups
Sponsors and collaborators
Sormland County Council, Sweden
Lead sponsor
Eskilstuna municipality
Collaborator