ClinicalTrials.gg
CompletedNCT05384704Updated Jun 4, 2024

A Single Group Study of Empower@Home-an Internet Cognitive Behavioral Therapy Intervention

An interventional study of Empower@Home in Depression, Depressive Disorder and Behavioral Symptoms, sponsored by University of Michigan. Completed at 1 site in United States. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2024-06-04.

Sponsored by University of Michigan · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
240
Allocation
Not applicable
Ages
50 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 71 studies in Depression by University of Michigan — 10 open to participants now, 11 under way, none of them phase 3. Depression · University of Michigan.

Enrollment
18th of 67
240 · median 70
Started
2022
with 3 others
No phase
59 of 71
8 open now
Registered
46th of 71
by date

Among the 71 studies in Depression by University of Michigan, this one is the 18th largest by enrollment of the 67 interventional ones that give a count, is one of 4 that started in 2022, is one of 59 with no phase, and was the 46th registered.

Depression

8,577 studies on the registry are indexed under Depression; 1,720 are open to participants now.

This study's enrollment of 240 is above the median of 81 across 7,063 interventional studies indexed under Depression.

Browse Depression studies →

Open to participants now

10 of the 71 studies in Depression by University of Michigan are open now, in 1 country. Each count lists the studies.

All 10 open studies →

Where they have run

Who these studies take

Of the 1,088 Depression studies recruiting now, 469 (43%) set no upper age limit and 519 (48%) stop at 75 or younger; 203 take children under 18; 310 take healthy volunteers.

This study: 50 Years and older · all sexes · no healthy volunteers.

The full table on the hub →
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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 71 studies in Depression by University of Michigan, or all of them as a file.
02

Study summary

This is a single group study of a novel internet-based cognitive behavioral therapy program for older adults with elevated depressive symptoms. This study will enroll approximately 300 older adults throughout the state of Michigan to test the effectiveness of Empower@Home with older adults. The intervention will take approximately 10 weeks to complete. Participants will have lower levels of depression after completing the intervention than before enrollment. Participants will be able to use the internet-based platform with minimal support.

Read the detailed description

Depression affects up to 40% of homebound seniors but most homebound seniors do not receive psychotherapy due to various access barriers. The study team focuses on developing community-based solutions to reduce these access barriers. In a previously approved project HUM00207612, the study team tested the feasibility of a novel internet-based cognitive behavioral therapy (iCBT) program called Empower@Home. The pilot project allowed refining study procedures and the web platform used to deliver the program. In this new project, the study team will conduct a larger single group study to test the effectiveness of Empower@Home with older adults. Recruitment methods include 1) referrals from social service agencies and 2) advertisements on social media and the program website.

The intervention involves attending up to 9 pre-recorded online therapy sessions and receiving weekly coaching calls from trained research assistants for up to 10 weeks. Participants will engage in therapy in their private homes. Three assessments are scheduled, including a comprehensive baseline, a post-test, and a 10-week follow-up. Each assessment takes about 40 minutes to complete over the phone or via an online survey, depending on the participants' preference.

Subjects will be recruited from agency referrals and advertisements. Between May 2022 and Dec 2023, about 300 subjects will be recruited into a single group study design where all eligible and consented participants will receive the intervention immediately without waiting.

03

Conditions studied

  • Depression
  • Depressive Disorder
  • Behavioral Symptoms
  • Mood Disorders
  • Mental Disorders

Keywords

  • Cognitive Behavioral Therapy
  • Older Adults
  • Internet-Based Intervention
  • Depression
  • Social Isolation
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. ≥50 years
  2. have at least mild depressive symptoms, based on PHQ-9 >=5
  3. are willing to participate

Exclusion criteria

Exclusion Criteria:

  1. Probable cognitive impairment based on the Blessed Orientation, Memory, and Concentration scale (score >9).
  2. They do not speak English
  3. have active suicidal ideation, defined as moderate to high risk based on the 6-item Columbia-Suicide Severity Rating Scale (C-SSRS)
  4. Have a terminal illness or unstable physical health with a high risk of hospitalization within the next 3 months
  5. Have severe vision impairment that can not be corrected and with no in-home help to assist them with using a mobile device
  6. possible substance use disorders as assessed by the 4-item CAGE screener (>=2 on the CAGE AND have not been sober for at least one year)
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
240 participants (actual)

Study arms

  • Experimental
    Internet-based program

    Participants will be provided with access to a 9-session online program and will receive supportive remote assistance throughout regarding technical and programmatic issues.

    Behavioral: Empower@Home

Interventions

  • BehavioralEmpower@Home

    The intervention is a 9-week course of internet-based cognitive behavioral therapy. During the active intervention phase, participants will receive weekly support from a trained research staff.

06

What researchers measure

Primary outcomes

  1. Change in Patient Health Questionnaire-9 (PHQ-9)

    Change in 9 item standardized measures of depressive symptom severity. PHQ-9 score ranges from 0 to 27, with a higher score indicating more severe symptoms.

    Time frame: Change from Baseline PHQ-9 at 10 weeks

  2. Modified Treatment Evaluation Inventory

    11-item Likert scale relating to acceptability of program to participant modified for older adults and the study context. The score ranges from 11 to 55, and a higher score means higher acceptability.

    Time frame: 10 weeks

Secondary outcomes

  1. Change in Generalized Anxiety Disorder Assessment-7 (GAD-7)

    Change in 7-item standardized measure for severity of anxiety symptoms. GAD7 score ranges from 0 to 21, higher score means more severe symptoms.

    Time frame: Change from Baseline at 10 weeks

  2. Change in Duke Social Support Index (DSSI)-10

    Change in 10 item standardized measure for social interaction and satisfaction with social support. Total score ranges from 10 to 30, higher score means higher social support.

    Time frame: Change from Baseline at 10 weeks

  3. Change in PROMISE-SI

    Change in 8 item standardized measure for feelings of loneliness. Total score ranges from 8 to 40, higher score means higher levels of loneliness.

    Time frame: Change from Baseline at 10 weeks

07

Study locations

1 site
  • University of Michigan
    Ann Arbor, Michigan 48109, United States
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from May 2022 to primary completion in Mar 2024, 22 months.

Of 3,468 non-industry interventional studies with no phase under Depression, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 41. This study's 22 months is close to that.

Counting every sponsor, half of 3,566 studies reached it within 21 months; a quarter within 9 and three quarters within 41.

How these figures are worked out, and which studies are left out of them.

Registered
May 17, 2022
First posted
May 20, 2022
StartActual
May 23, 2022
Primary completionActual
Mar 30, 2024
CompletionActual
Mar 30, 2024
Last update
Jun 4, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 4, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05384704
Responsible party
Xiaoling Xiang (Xiaoling Xiang, PhD, MSW, Assistant Professor, University of Michigan) — Principal investigator
First posted
May 20, 2022
Start date
May 23, 2022
Primary completion
Mar 30, 2024
Completion
Mar 30, 2024
Last update
Jun 4, 2024

Study contacts

Xiaoling Xiang, PhD
principal investigator · University of Michigan

Oversight

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

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

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