Icahn School of Medicine at Mount Sinai
Depressive disorders are highly prevalent among older adults with asthma and are associated with poor asthma outcomes. The overall objective of this study is to integrate an asthma self-management support program that the research team previously developed with cognitive behavioral therapy (CBT) for adherence and depression for older adults with uncontrolled asthma and a comorbid depressive disorder. The research team will conduct a pilot randomized controlled trial to assess the feasibility and preliminary impact of the intervention on asthma and depression outcomes.
Inclusion Criteria: * English and Spanish speaking adults * Ages greater than or equal to 60 years * Have physician diagnosis of asthma for a year or more * Prescribed at least one asthma controller medication * Current diagnosis of major depressive disorder (MDD) or persistent depressive disorder (PDD) Exclusion Criteria: * Diagnosis of COPD or other chronic respiratory illness * History of smoking for greater than or equal to 15 years or packs throughout lifetime * Use of CBT in the past 12 months * Initiation or recent dose change of SSRI/SNRI within past 6 weeks
SAMBA will be utilized to support participants in establishing personalized goals, assessing symptoms, skills, and self-care activities, and identifying barriers to effective asthma self-management. The data collected through SAMBA will be used to inform and tailor CBT-AD intervention to each participant's needs. The intervention will take place over 10 - 12 remote sessions, with additional telephone follow-up provided as needed.
CBT-AD (Cognitive Behavioral Therapy-Asthma Depression) will be delivered to identify and restructure thoughts related to depression and maladaptive beliefs surrounding disease management. The intervention will take place over 10 - 12 remote sessions, with additional telephone follow-up provided as needed.
Participants in the control arm will receive the original SAMBA intervention only for asthma self-management support, without the adaptations for participants with depression and without the CBT-AD component.
Arctuva estimate
Actual pay is set by the research site.
Verify or correct the compensation shown for this listing.