About this trial
This pilot randomized controlled trial will evaluate the feasibility and preliminary effects of a six-week behavioral intervention designed to improve mood and daily functioning in adults who have experienced a stroke and report depressive symptoms and difficulty becoming engaged in activities after waking.
Participants will be randomly assigned to either the behavioral intervention or a health education program. Assessments will be completed before and immediately after the six-week program and will include questionnaires and seven-day monitoring of sleep, activity, and mood. The study will also examine feasibility indices such as participant retention, intervention attendance, acceptability, and preliminary changes in mood.
Eligibility criteria
Qualifiers
Age 18 years or older.
History of stroke at least 6 months before enrollment.
Patient Health Questionnaire-9 score of 10 or higher.
Difficulty getting started or engaging in activities in the morning.
Disqualifiers
Conditions that would interfere with study participation.
Neurological condition other than stroke.
Currently receiving psychological therapy for depression.
Significant cognitive impairment or dementia.
Trial design
Treatments tested in this trial
- Morning Activation Program
- Health Education Program