A Systems-Level Intervention for Rural Adults With Depression
A Systems-Level Intervention for Rural Adults With Depression
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).
Inclusion Criteria:

 -  Must live in Hillsdale County, Michigan for at least one year

 -  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.