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Sponsor: Dartmouth-Hitchcock Medical Center
Conditions: Depression - Major Depressive Disorder
Interventions: depression app for care partners of persons with dementia
Depression is a significant problem in care partners of people living with dementia; despite the expansion of options for accessing evidence-based treatments, most care partners of people living with dementia are not screened for depression and do not receive treatment. The objective of this project is to identify a screening method for depression that is feasible and acceptable to care partners and to adapt an innovative pathway to online evidence-based treatment for depression (iPath\*D) as a means of increasing mental health literacy, screening rates and treatment access for care partners of people living with dementia. The results are expected to have a major positive impact by providing proof-of-principle for the use of an online pathway to evidence based treatment with the potential for reaching an unprecedented number of care partners who have unmet mental health needs.
Sex: ALL
Age: 18 Years to —
Healthy volunteers: No
Study type: INTERVENTIONAL
Inclusion Criteria:
* For 2 Week iPath\*CP Pilot:
1. Adults (≥18 years)
2. Care partners of persons with dementia who score ≥5 on the PHQ-8 AND PHQ-9 screen
3. Can communicate in English
4. Have access to an Android based or Apple iOS based phone or tablet capable of running the iPath application.
For Debrief Interviews:
* Care partners: Interviews will be conducted with a purposeful sample of 6 patients already consented into the study at the completion of T1 data collection, ensuring representation by sex (male/female), perceived usability (low/high) of iPath\*CP and race/ethnicity.
* Clinicians: Interviews will be conducted with clinicians and clinical staff who had patients involved in the project.
Exclusion Criteria:
* Care partners with:
1. PHQ-8 score \<5
2. Answering positively for question 9 of the PHQ-9 who also screen positive for suicidal ideation with method, intent, plan or a recent prior suicide/self-harm attempt, as determined by a positive endorsement of items 3, 4, 5 or 6b ("Past 3 Months") on the Columbia-Suicide Severity Rating Scale (C-SSRS) and determined by Dr. Mistler, Psychiatrist at DH, not to be eligible.
3. With bipolar disorder or psychosis (documented in the electronic medical record \[EMR\])
4. With significant cognitive impairment (documented in the EMR or self-reported during eligibility screening)
5. With no access to an Android or Apple device
For Debrief Interviews:
* Patients: Participants withdrawn from the 2 Week iPath\*CP Pilot.
* Clinicians: None.