Building Resilience in Skilled Nursing Care: A Behavioral Health Intervention for Residents & Care Partners
Massachusetts General Hospital
Summary
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
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * 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) Exclusion Criteria: * 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 pa…
Interventions
- BehavioralInterventions for Stressful Transitions in Later Life
The Interventions for Stressful Transitions in Later Life (InSTILL) intervention is for skilled nursing facility residents and their care partners experiencing elevated levels of psychological distress. The intervention is designed to improve life management skills, emotion regulation skills, and dyadic coping skills with the goal of reducing depression symptoms among both dyad members (i.e., resident and care partner).
Location
- Massachusetts General HospitalBoston, Massachusetts