N/A N=70 Randomized Single-blind Treatment

A Systems-Level Intervention for Rural Adults With Depression

Depressive Symptoms

Bottom Line

View on ClinicalTrials.gov: NCT04502186 ↗

Enrolled (actual)

Serious AEs

0.0%

Results posted

Feb 2025

Primary outcome: Primary: Change in Self-report Measure of Depressive Symptoms — 13.90; 13.43; 7.00; 7.57 score on PHQ-9

Study Design & Population

Study type: Interventional
Phase: N/A
Interventions: Raising Our Spirits Together (Behavioral); Enhanced Control Condition (Other)
Age: Adult, Older Adult · 18+ yrs
Sex: All
Sponsor: University of Michigan
Primary completion: Jul 2023

Outcome Measures

Outcome	Result	p-value
PRIMARY Change in Self-report Measure of Depressive Symptoms	13.90; 13.43; 7.00; 7.57; 7.72; 8.10	—

Summary

This study aims to test the effectiveness of a computer-assisted cognitive behavioral therapy for depression among rural adults. The intervention, called Raising Our Spirits Together (ROST), was developed via a community-based participatory approach and will be delivered in small groups, facilitated by local pastors. Groups will be held virtually, or in-person at two churches in rural Michigan. Eighty-four individuals will be recruited from Hillsdale, Michigan, to test the effect of ROST on depressive symptoms, compared to an Enhanced Control Condition (ECC).

Eligibility Criteria

Inclusion Criteria

Must live in Hillsdale, Lenawee, Jackson, or Calhoun County, Michigan
Positive screen for at least mild depressive symptoms based on the the Patient Health Questionnaire-9 (PHQ-9>=5)

Exclusion Criteria

Non-English speaking
Currently receiving cognitive behavioral therapy (CBT) for depression
Ever completed a course of cognitive behavioral therapy (CBT; >=8 sessions)
Diagnosis of a psychotic disorder
Current use of opiates or freebase cocaine
Prominent suicidal/homicidal ideation with imminent risk.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04502186). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.