Ignite Creation Date:
2024-05-06 @ 12:39 AM
Last Modification Date:
2024-10-26 @ 10:52 AM
Study NCT ID:
NCT01624402
Status:
COMPLETED
Last Update Posted:
2019-02-06
First Post:
2012-06-18
Brief Title:
Ecosystem Focused Therapy in Post Stroke Depression
Sponsor:
Weill Medical College of Cornell University
Organization:
Weill Medical College of Cornell University
Study Overview
Official Title:
Ecosystem Focused Therapy in Post Stroke Depression
Status:
COMPLETED
Status Verified Date:
2019-02
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Older adults who are stroke survivors can experience many challenges including depression cognitive dysfunction and physical disability Family members and other caregivers may struggle with helping stroke survivors adjust to life after stroke This research study involves testing a modified form of problem-solving therapy called Ecosystem Focused Therapy EFT to help treat depression in older adult stroke survivors EFT teaches problem-solving skills to patients to help them cope with problems related to stroke and depression alters their physical environment to accommodate new needs resulting from stroke and helps the family or caregiver to assist in the patients adaptation In addition this study will compare EFT to an education intervention to see which is more effective in treating depressed stroke survivors
Detailed Description:
We propose to study the efficacy of Ecosystem Focused Therapy EFT in post-stroke depression PSD a disorder that afflicts a large number of stroke victims and increases mortality cognitive impairment and disability for years after stroke EFT is a new home-delivered intervention based on our integrative model of PSD which originated from our clinical biology and treatment studies in late-life depression It postulates two main paths to PSD First stroke and stroke-repair mechanisms contribute to metabolic changes mediating PSD Second a psychosocial storm stemming both from the patients sudden disability and the change in the patients needs and family life add a biological burden to this cascade of depressogenic events EFT targets the psychosocial storm of PSD and focuses on the reciprocal interaction between the patients abilities and the challenges of hisher ecosystem family specialized therapists EFT follows a structured personalization approach based on the model of adaptive functioning in which behavior is a function of the persons competence and the demands of the environment Thus EFT continuously calibrates the environment to the PSD patients competence level and targets the PSD psychosocial storm through five integrated components 1 It offers an action-oriented new perspective about the patients recovery 2 It provides an adherence enhancement structure 3 It offers a problem solving structure to the patient focusing on problems valued by the patient and pertinent to daily function 4 It helps the family reengineer its goals involvement and plans to accommodate the patients disability 5 It coordinates care with specialized therapists with the goal to increase patient participation in rehabilitation and social activities
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| R01MH096685 | NIH | None | httpsreporternihgovquickSearchR01MH096685 |