Behavioral Activation and Falls Prevention for Homebound Older Adults With Depression - Issue 581 - Presentation overview

Sep 29, 2026

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Implementation plan and early results for a four-arm randomized controlled trial evaluating short-term behavioral activation and a multi-component falls prevention program for homebound adults aged 50+ with depression (HAMD > 15). Interventions are delivered by trained lay counselors via video conferencing using loaned iPads and an exercise app. Study arms compare BA only, FP only, combined BA+FP, and telephone support as attention control, with baseline, weekly nine-week sessions, and nine-month follow-ups.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages1

Reading Time3 min

AccessFree to download

Trial design and interventions

Study arms and delivery method

Recruitment and participant assessment

Outcomes and participant feedback

Innovation in Aging, 2025, Vol. 9, No. S2 581 controlled trial of short-term behavioral activation (BA) and multi-component falls prevention (FP) for homebound older adults, age 50 and older, with depression (24-item Hamilton Rating Scale for Depression [HAMD] >15) . Both BA and FP are delivered by trained lay counselors via video-conferencing. iPads with a video-conferencing platform and an exercise app,“Keep on Keep up” are loaned to the participants. The study arms are BA only, FP only, combined BA and FP (TBF), and telephone support call which serves as attention control. BA is designed to increase engagement in value-based activities, and FP uses the CDC’s STEADI tool kits and the exercise app. The expected enrollment goal is 320 by March 1, 2026. We have used a variety of recruitment Methods: referrals from Meals on Wheels caseworkers, distribution of the study fliers with Meals on Wheels, and presentations at local senior apartment complexes. Barriers to recruitment and retention included mental illness self-stigma and related denial of depression, lack of motivation, chronic pain, and physical health crises. Each study participant goes through baseline assessment, weekly sessions over nine weeks, and three follow-up assessments over nine months. The average age of the participants is 68 years; 70% female and 30% male; 55% Black or Hispanic and 45% non-Hispanic White; and the baseline HAMD scores of 23.We will present 12-and 24-week outcomes. Qualitative feedback from participants in BA, FP, and TBF have been highly positive. Abstract citation ID: igaf122.1993 BEHAVIORAL ACTIVATION AND FALLS PREVENTION FOR HOMEBOUND OLDER ADULTS WITH DEPRESSION Namkee Choi1, Kelly Vences2, Angelina Gutierrez1, and Brian Fons1, 1. The University of Texas at Austin, Austin, Texas, United States, 2. The University of Texas School of Social Work, Austin, Texas, United States This presentation focuses on the implementation and preliminary outcomes of an ongoing four-arm randomized

FAQs

该研究的目标人群与入组标准是什么？

研究面向50岁及以上的居家行动受限老年人，且基线抑郁程度需满足HAMD（24-item Hamilton Rating Scale for Depression）>15。平均年龄约为68岁，且包含多种性别与族裔分布。

四个研究臂分别在做什么？

研究臂包括：仅行为激活（BA）、仅跌倒预防（FP）、BA与FP联合（TBF），以及电话支持用于注意力控制。

干预是如何实施、随访周期多久？

BA与FP由受训的普通辅导员通过视频会议提供，配套借用iPad并使用训练/运动相关应用。每位参与者经历基线评估、连续九周的每周课程，并在九个月内完成三次后续评估。

Sep 29, 2026

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