Morning Activation to Improve Mood After Stroke

Summary

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

Inclusion Criteria:

* 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.
* Able to provide informed consent.

Exclusion Criteria:

* Conditions that would interfere with study participation.
* Neurological condition other than stroke.
* Currently receiving psychological therapy for depression.
* Significant cognitive impairment or dementia.
* Current or past diagnosis of psychosis, bipolar disorder, or mania.
* Hospitalization that would interfere with study participation.
* Acute or significant suicidal ideation
* Alcohol or substance use problems within the past month.
* Use of antidepressant or anti-anxiety medication unless the dosage has been stable for at least 4 weeks and no changes are planned during the study.

Conditions3

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