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WithdrawnNCT05380115Updated May 8, 2024

Cognitive Behavioral Therapy (CBT) for Late Life Anxiety

An interventional study of Cognitive Behavioral Therapy (CBT) in Generalized Anxiety Disorder, sponsored by Wake Forest University Health Sciences. Withdrawn. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2024-05-08.

Sponsored by Wake Forest University Health Sciences · Not applicable, Interventional, and Supportive care

Why this study was withdrawn
The investigators were running out of time on a 1 year pilot grant and had to prioritize other parts of the study.
Phase
Not applicable
Study type
Interventional
Enrollment
0
Allocation
Not applicable
Ages
65 Years and older
Sex
All
01

Study summary

The purpose of this research study is to assess the acceptability and feasibility of the implementation strategy and fidelity of cognitive-behavioral therapy (CBT) for older adults with Generalized Anxiety Disorder.

Read the detailed description

All participants will receive CBT. Each subject will be given a workbook and each chapter in the workbook provides information about a different coping strategy for managing worry and anxiety. There will be a daily assignment in the workbook to complete before a call with the personal study coach. For 10 weeks, participants will have a 45-50 minute session (telephone or video) each week with their study coach. These calls will be confidential. The participant and the personal study coach will review the assigned chapter and completed homework during the weekly telephone sessions. Participants will also fill out questionnaires before starting sessions, when completing all 10 sessions, and 6 months after completing sessions.

02

Conditions studied

  • Generalized Anxiety Disorder

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Keywords

  • late-life anxiety
  • aging
  • cognitive-behavioral therapy
03

In context

Anxiety Disorders

4,868 studies on the registry are indexed under Anxiety Disorders; 1,390 are open to participants now.

Browse Anxiety Disorders studies →

Lead sponsor

Wake Forest University Health Sciences is the lead sponsor of 1,320 studies on the registry; 199 are open to participants now.

Of its 323 completed or terminated interventional studies of FDA-regulated products, 243 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
65 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • participants who have had an outpatient visit to an Atrium provider
  • at least one of the following: any diagnosis of an anxiety or depressive disorder; anxiety, depression, or sleep disturbance as a symptom in the problem list or in the note; and use of anxiolytic, anti-depressant, and sleep aide medications.

Exclusion criteria

Exclusion Criteria:

  • diagnosis of dementia or cognitive impairment in the problem list
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    CBT

    All subjects enrolled received CBT for 10 weeks.

    Behavioral: Cognitive Behavioral Therapy (CBT)

Interventions

  • BehavioralCognitive Behavioral Therapy (CBT)

    weekly one on one video or telephone interviews with a study coach

06

What researchers measure

Primary outcomes

  1. Generalized Anxiety Disorder scale (GAD-7)

    Self-report measure of GAD symptoms. Total scores can range from 0 to 21; higher scores indicate more GAD symptoms.

    Time frame: Week 11

  2. Penn State Worry Questionnaire-Abbreviated (PSWQ-A)

    8-item measure of frequency/intensity of worry; most commonly used worry measure. Scores can range from 8 to 40; higher scores indicate higher levels of worry.

    Time frame: week 11

  3. Feasibility-Expectancy Rating Scale

    Assesses beliefs in how logical the treatment received seems, confidence in undergoing treatment/recommending to others, and expectations for success. Used in anxiety treatment studies with older adults. Scores can range from 4 to 40; higher scores indicate more positive expectations.

    Time frame: Week 1

  4. Feasibility-Intervention adherence

    The percentage of completed sessions

    Time frame: Week 11

  5. Feasibility-Number of participants who complete at least 75% of sessions

    Time frame: Week 11

Secondary outcomes

  1. Patient-Reported Outcomes Measurement Information System (PROMIS)

    8-item measure of general anxiety symptoms; each item is rated on a 5-point scale (1=never; 2=rarely; 3=sometimes; 4=often; and 5=always); scores can range from 8 to 40; higher scores indicate greater severity of anxiety.

    Time frame: baseline, week 6, week 11

  2. Insomnia Sleep Index

    7-item self-report measure of type and severity of insomnia symptoms. A 5-point Likert scale is used to rate each item (e.g., 0 = no problem; 4 = very severe problem); scores can range from 0 to 28 with higher scores indicating more severe insomnia.

    Time frame: baseline, week 6, week 11

  3. Feasibility-Client Satisfaction Questionnaire

    Assesses satisfaction with treatment. Scores can range from 8 to 32; higher scores indicate more satisfaction.

    Time frame: Week 11

  4. Feasibility-Working Alliance Inventory, Client

    Assesses therapist-client working alliance. 12 items on a 7-point scale (1=never; 7=always); scores can range from 12 to 84 with higher scores indicating better working relationship.

    Time frame: Week 11

  5. Feasibility-Working Alliance Inventory, Therapist

    Assesses therapist-client working alliance. 12 items on a 7-point scale (1=never; 7=always); scores can range from 12 to 84 with higher scores indicating better working relationship.

    Time frame: Week 11

  6. Generalized Anxiety Disorder scale (GAD-7)

    Self-report measure of GAD symptoms. Total scores can range from 0 to 21; higher scores indicate more GAD symptoms.

    Time frame: Baseline

  7. Generalized Anxiety Disorder scale (GAD-7)

    Self-report measure of GAD symptoms. Total scores can range from 0 to 21; higher scores indicate more GAD symptoms.

    Time frame: Week 6

  8. Penn State Worry Questionnaire-Abbreviated (PSWQ-A)

    8-item measure of frequency/intensity of worry; most commonly used worry measure. Scores can range from 8 to 40; higher scores indicate higher levels of worry.

    Time frame: baseline

  9. Penn State Worry Questionnaire-Abbreviated (PSWQ-A)

    8-item measure of frequency/intensity of worry; most commonly used worry measure. Scores can range from 8 to 40; higher scores indicate higher levels of worry.

    Time frame: week 6

Other outcomes

  1. Healthcare Utilization-Number of Outpatient encounters

    Time frame: Week 37

  2. Healthcare Utilization-Number of ED visits

    Time frame: Week 37

  3. Healthcare Utilization-Number of inpatient stays

    Time frame: Week 37

  4. Healthcare Utilization-Costs for outpatient encounters, ED visits and inpatient stays

    Time frame: Week 37

  5. Qualitative Interviews

    Analyses will be primarily conducted by Q-PRO

    Time frame: Week 11

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 8, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05380115
Lead sponsor
Wake Forest University Health Sciences
Responsible party
Sponsor
First posted
May 18, 2022
Start date
Jul 2024 (estimated)
Primary completion
Dec 2024 (estimated)
Completion
Feb 2025 (estimated)
Last update
May 8, 2024

Study contacts

Gretchen Brenes, PhD
principal investigator · Atrium Health Wake Forest Baptist

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in May 2024. You cannot join it, but the record below documents what was studied.

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