Nursing Home ResidentBRISKNCT07891546
Pilot Study of a Behavioral Program for Depression in Skilled Nursing Facility Residents and Care Partners
A study testing Interventions for Stressful Transitions in Later Life (InSTILL) in people with Nursing Home Resident and Skilled Nursing Facility, run by Massachusetts General Hospital at 1 site in United States.
Trial summary
The goal of this clinical trial is to test a behavioral health program (Interventions for Stressful Transitions in Later Life, InSTILL) for skilled nursing facility residents and care partners. The main questions it aims to answer is whether the program is program is feasible, satisfactory, and helpful. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Nursing Home Resident, Skilled Nursing Facility, Depression
- What is being tested?
- Interventions for Stressful Transitions in Later Life (InSTILL)
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 14 participants
- Where
- 1 siteUnited States
- Study dates
- 5 Feb 2025to 11 Dec 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Psychological distress, as indicated by a score Patient Health Questionnaire- 2 ≥ 1
- For residents, have a care partner who is willing to participate
- For care partner, identifies as care partner of eligible participant, as indicated by providing regular health-related, socioemotional, or practical support
- Aged ≥ 18 years
- Able and willing to participate in the study
Who cannot join
- For residents, intended length of SNF stay < 7 days
- For residents, more than mild cognitive impairment, as indicted by Brief Interview for Mental Status (BIMS) <13
- For residents, participant's roommate is already enrolled in study/intervention
- High risk of suicide
- Participation in a newly initiated psychotherapy
Trial locations and contacts
1 site in 1 country.
United States1 site
Massachusetts General Hospital
Boston, Massachusetts, 02114
About this study
Official title: Building Resilience in Skilled Nursing Care: Open Pilot for a Behavioral Health Intervention
The goal of this clinical trial is to test a behavioral health program (Interventions for Stressful Transitions in Later Life, InSTILL) for skilled nursing facility residents and care partners. The main questions it aims to answer is whether the program is program is feasible, satisfactory, and helpful. Participants will join 8 bi-weekly sessions of the InSTILL program. Participants will complete assessments at three timepoints (all) and a brief-exit interview.
- Conditions
- Nursing Home Resident, Skilled Nursing Facility, Depression, Feasibility Studies, Caregiver
- Being tested
- Interventions for Stressful Transitions in Later Life (InSTILL)
- Medical subject headings
- Depression
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Interventions for Stressful Transitions in Later Life (InSTILL)Behavioural
The Interventions for Stressful Transitions in Later Life (InSTILL) intervention is for skilled nursing facility residents experiencing elevated levels of psychological distress. The intervention is designed to improve life management skills and emotion regulation skill with the goal of reducing depression symptoms.
| Study group | Role | What they receive |
|---|---|---|
| InSTILL | Experimental | Participants in this arm will participate in the Interventions for Stressful Transitions in Later Life (InSTILL), a behavioral health intervention tailored to the needs of short stay nursing facility residents and care partners. InSTILL includes 8 sessions (2x per week for about 4 weeks) delivered in person or remotely. Receives: Behavioral: Interventions for Stressful Transitions in Later Life (InSTILL) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean Total Score Treatment Credibility
2-item self-report measure of participant's belief regarding how helpful the intervention will be for them. Higher scores (min = 0, max = 4) scores indicate greater credibility.
Measured: After session 1 of intervention (one week after baseline)
Mean Total Score Client Satisfaction Questionnaire
3-item self-report measure assessing patient satisfaction with the program. Higher total scores (min = 3, max = 12) indicate greater satisfaction.
Measured: Post-intervention (week 6)
Percentage of Eligible Participants Enrolled
Percentage of eligible approached individuals that are enrolled into the study.
Measured: Post-intervention (week 6)
Percentage of Participants with Missing Data
Percentage of all participants with no measure fully missing at follow-up.
Measured: 1-month follow-up (week 10)
Attendance Rate
Percentage of participants completing 6/8 sessions of the intervention.
Measured: Post-intervention (week 6)
Number of Adverse Events
Number of adverse events related to participation in the study.
Measured: 1-month follow-up (week 10)
Secondary outcomes (9)
Patient Health Questionnaire-9
9-item self-report measure of depression symptoms. Higher scores (min=0, max=27) indicate greater depressive symptoms.
Measured: pre-intervention (week 0); post-intervention (week 6); 1 month follow-up (week 10)
Selection, Optimization, and Compensation (SOC) in Everyday Use
4-item self-report measure of the application of selection, optimization, and compensation strategies in daily life. Items are averaged for a composite score, with higher scores indicate greater SOC strategy use (Range = 1-6).
Measured: pre-intervention (week 0); post-intervention (week 6); 1 month follow-up (week 10)
PROMIS Short Form v1.0 - Self-Efficacy for Managing Emotions 4a
4-item self-report measure of ability to manage difficult emotions. Higher scores indicate greater use and effectiveness of emotional regulation skills; raw scores will be converted to T-scores (normed, M=50, SD=10).
Measured: pre-intervention (week 0); post-intervention (week 6); 1 month follow-up (week 10)
PROMIS Global Mental Health-4
4-item self report of overall emotional wellbeing. Raw scores are converted to T-scores (normed, M=50, SD=10)
Measured: pre-intervention (week 0); post-intervention (week 6); 1 month follow-up (week 10)
Euro QoL-5D 5L
6-item self-report measure of subjective health-related quality of life. Higher scores indicate worse health-related quality of life (Range = 5-25). The scale also includes a separately scored single-item global health indicator, asked on a 0-100 scale with higher scores indicate higher subjective health-related quality of life.
Measured: pre-intervention (week 0); post-intervention (week 6); 1 month follow-up (week 10)
CoreQ
4-item self-report of nursing facility satisfaction. Higher averaged scores indicate greater facility satisfaction (Range = 1-5).
Measured: Post-intervention (week 6)
University of Washington Resilience Scale Short Form
4-item self-report of an individual's perceived resilience. Summed scores will be converted to T-scores using a conversion table.
Measured: pre-intervention (week 0); post-intervention (week 6); 1 month follow-up (week 10)
Psychotropic medication use
Chart or self reported psychotropic medication use. Patients will self-report changes to medication, including dosage, at post-intervention and follow-up
Measured: pre-intervention (week 0); post-intervention (week 6); 1 month follow-up (week 10)
Re-hospitalization
Resident re-hospitalization during the study period
Measured: post-intervention (week 6); 1 month follow-up (week 10)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Oct 2026
- Study start5 Feb 2025
- Primary completion11 Dec 2025
- Study completion11 Dec 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Nursing Home ResidentStudies of the same condition, open and under way.
- More trials run by Massachusetts General HospitalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 14 participants (actual)
Sponsor and investigators
- Lead sponsor
- Massachusetts General Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- National Institute on Aging (NIA)
- Responsible party
- Principal investigator, Evan Plys, Massachusetts General Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07891546
- Sponsor's protocol ID
- 2024P001945A
- Acronym
- BRISK
- Status last verified
- Oct 2026
- First submitted
- 5 Oct 2026
- Last updated
- 23 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 23 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Building Resilience in Skilled Nursing Care: Open Pilot for a Behavioral Health Intervention
- ClinicalTrials.gov ID
- NCT07891546
- Acronym / sponsor ID
- BRISK / 2024P001945A
- Conditions
- Nursing Home Resident, Skilled Nursing Facility, Depression, Feasibility Studies, Caregiver
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 14 participants (actual)
- Lead sponsor
- Massachusetts General HospitalUniversity, hospital or other
- Collaborators
- National Institute on Aging (NIA)
- Study start
- 5 Feb 2025 (actual)
- Primary completion
- 11 Dec 2025 (actual)
- Study completion
- 11 Dec 2025 (actual)
- First posted
- 23 Oct 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this clinical trial is to test a behavioral health program (Interventions for Stressful Transitions in Later Life, InSTILL) for skilled nursing facility residents and care partners. The main questions it aims to answer is whether the program is program is feasible, satisfactory, and helpful. Participants will join 8 bi-weekly sessions of the InSTILL program. Participants will complete assessments at three timepoints (all) and a brief-exit interview.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| InSTILL | Experimental | Behavioral: Interventions for Stressful Transitions in Later Life (InSTILL)Participants in this arm will participate in the Interventions for Stressful Transitions in Later Life (InSTILL), a behavioral health intervention tailored to the needs of short stay nursing facility residents and care partners. InSTILL includes 8 sessions (2x per week for about 4 weeks) delivered in person or remotely. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Psychological distress, as indicated by a score Patient Health Questionnaire- 2 ≥ 1
- For residents, have a care partner who is willing to participate
- For care partner, identifies as care partner of eligible participant, as indicated by providing regular health-related, socioemotional, or practical support
- Aged ≥ 18 years
- Able and willing to participate in the study
Key exclusion criteria (5 listed)
- For residents, intended length of SNF stay < 7 days
- For residents, more than mild cognitive impairment, as indicted by Brief Interview for Mental Status (BIMS) <13
- For residents, participant's roommate is already enrolled in study/intervention
- High risk of suicide
- Participation in a newly initiated psychotherapy
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Interventions for Stressful Transitions in Later Life (InSTILL)The Interventions for Stressful Transitions in Later Life (InSTILL) intervention is for skilled nursing facility residents experiencing elevated levels of psychological distress. The intervention is designed to improve life management skills and emotion regulation skill with the goal of reducing depression symptoms. | Behavioural | InSTILL |
Primary outcome
Mean Total Score Treatment Credibility
Time frame: After session 1 of intervention (one week after baseline)
2-item self-report measure of participant's belief regarding how helpful the intervention will be for them. Higher scores (min = 0, max = 4) scores indicate greater credibility.
Mean Total Score Client Satisfaction Questionnaire
Time frame: Post-intervention (week 6)
3-item self-report measure assessing patient satisfaction with the program. Higher total scores (min = 3, max = 12) indicate greater satisfaction.
Percentage of Eligible Participants Enrolled
Time frame: Post-intervention (week 6)
Percentage of eligible approached individuals that are enrolled into the study.
Percentage of Participants with Missing Data
Time frame: 1-month follow-up (week 10)
Percentage of all participants with no measure fully missing at follow-up.
Attendance Rate
Time frame: Post-intervention (week 6)
Percentage of participants completing 6/8 sessions of the intervention.
Number of Adverse Events
Time frame: 1-month follow-up (week 10)
Number of adverse events related to participation in the study.
9 secondary outcomes
Patient Health Questionnaire-9
Time frame: pre-intervention (week 0); post-intervention (week 6); 1 month follow-up (week 10)
Selection, Optimization, and Compensation (SOC) in Everyday Use
Time frame: pre-intervention (week 0); post-intervention (week 6); 1 month follow-up (week 10)
PROMIS Short Form v1.0 - Self-Efficacy for Managing Emotions 4a
Time frame: pre-intervention (week 0); post-intervention (week 6); 1 month follow-up (week 10)
PROMIS Global Mental Health-4
Time frame: pre-intervention (week 0); post-intervention (week 6); 1 month follow-up (week 10)
Euro QoL-5D 5L
Time frame: pre-intervention (week 0); post-intervention (week 6); 1 month follow-up (week 10)
CoreQ
Time frame: Post-intervention (week 6)
University of Washington Resilience Scale Short Form
Time frame: pre-intervention (week 0); post-intervention (week 6); 1 month follow-up (week 10)
Psychotropic medication use
Time frame: pre-intervention (week 0); post-intervention (week 6); 1 month follow-up (week 10)
Re-hospitalization
Time frame: post-intervention (week 6); 1 month follow-up (week 10)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Oct 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Interventions for Stressful Transitions in Later Life (InSTILL) in people with Nursing Home Resident and Skilled Nursing Facility, run by Massachusetts General Hospital at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 23 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Mean Total Score Treatment Credibility (time frame: After session 1 of intervention (one week after baseline)). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Oct 2026.