Status:

COMPLETED

Acceptance and Commitment Therapy for Older Adults

Lead Sponsor:

University of Lincoln

Conditions:

Psychological Distress

Anxiety

Eligibility:

All Genders

65+ years

Phase:

NA

Brief Summary

Title: Acceptance and Commitment Therapy for older adults experiencing psychological distress: A hermeneutic single case efficacy design (HSCED) series. Anxiety and depression in older age is associa...

Detailed Description

This study aims to investigate whether Acceptance and Commitment Therapy (ACT) is an effective psychotherapeutic intervention for older adults experiencing psychological distress; what processes contr...

Eligibility Criteria

Inclusion

  • Be at least 65 years of age.
  • Score at least 8 on the Hospital Anxiety and Depression Scale (HADS; ZIgmond \& Snaith, 1983) on either the anxiety or depression sub-scale. The HADS is an outcome measure already used by the MHSOP.
  • Be referred to the MHSOP for psychological support.
  • Have capacity to give informed consent.
  • Be willing to engage in one-to-one psychotherapy.
  • Be able to travel to the service (either independently or with support).

Exclusion

  • A score lower than 22-24 on the MoCA. This is to screen for a level of cognitive deficit, which cannot be accommodated for in the current study, due to the adaptations which will be required (e.g. review sessions, carer enrolment to support memory consolidation). Cut-off limit is dependent on the individual's age and education history. The MoCA is administered by the MHSOP as standard practice.
  • Not rated higher than Cluster 8 (Mental Health Clustering Booklet 2013/14, Department of Health), a categorisation based on the Health of the Nation Outcome Scale (HoNOS; Wing et al., 1998). Clusters higher than 8 are associated with clients presenting with symptoms of psychosis and it is felt that this level of mental health problem would cause serious heterogeneity between client cases. As standard practice, the MHSOP at Ling Bar Hospital will have rated the client prior to consideration for the study.
  • Inability to understand English to a level required to participate fully in the intervention. This is due to a lack of ability to benefit from the intervention without an interpreter, and the impact an interpreter would have on the non-therapeutic processes (e.g. alliance) being measured in this study.
  • Not currently undertaking any other psychological therapy, talking therapy or counselling. This is due to the potential impact the other therapy could have on change and the inability to fully account for this.

Key Trial Info

Start Date :

April 29 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 18 2020

Estimated Enrollment :

3 Patients enrolled

Trial Details

Trial ID

NCT04280445

Start Date

April 29 2020

End Date

December 18 2020

Last Update

January 1 2025

Active Locations (1)

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Mental Health Services for Older People

Nottingham, Nottinghamshire, United Kingdom