About this trial
The goal of this clinical trial is to test a behavioral health program (Interventions for Stressful Transitions in Later Life, InSTILL) for skilled nursing facility residents and their primary support person. The main questions it aims to answer is whether the program is program is feasible, satisfactory, and helpful. The researchers will compare the InSTILL program to minimally enhanced usual care. Participants will be randomly assigned to receive either the InSTILL program or minimally enhanced usual care. Participants will complete assessments at three timepoints (all) and a brief-exit interview.
Eligibility criteria
Qualifiers
Patient and care partner both aged ≥ 18 years
Patient with care partner (known person providing regular health-related, socioemotional, or practical support) willing to participate
Patient reporting depression symptoms on a screening tool (Patient Health Questionnaire)
Disqualifiers
Patient intended length of nursing facility stay < 7 days
Patient evidencing more than mild impairment on a cognitive screen (Brief Interview for Mental Status)
Patient's roommate in skilled nursing facility already enrolled in study/intervention
Either patient or care partner reporting high risk of suicidality, based on a standardized safety assessment tool
Trial design
Treatments tested in this trial
- Interventions for Stressful Transitions in Later Life
Treatment groups
Sponsors and collaborators
Massachusetts General Hospital
Lead sponsor
National Institute on Aging (NIA)
Collaborator