RecruitingNot ApplicableNCT04621877

Lay-Delivered Behavioral Activation in Senior Centers

Sponsor

University of Washington

Enrollment

288 participants

Start Date

Jan 27, 2021

Study Type

INTERVENTIONAL

Conditions

Depression

Summary

In response to large numbers of senior center clients who suffer untreated depression and the dearth of geriatric mental health providers, the investigators have simplified Behavioral Activation to be delivered by lay volunteers ("Do More, Feel Better"; DMFB). The focus of Behavioral Activation is to guide clients to reengage in daily pleasant and rewarding activities, and reduce depressive symptoms. If the investigators can show that the lay delivery model has positive impact in comparison to MSW-delivered Behavioral Activation, the investigators will have identified an effective intervention that can be used by a large untapped workforce of older adult volunteers across the nation.

Eligibility

Min Age: 60 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a community-based program called Behavioral Activation (BA) — a structured activity and engagement approach to treating depression — delivered by trained non-clinical community workers (lay staff) at senior centers. The goal is to make depression treatment more accessible for older adults. **You may be eligible if...** - You are 60 years old or older - You attend a participating senior center in Seattle, New York City, or Tampa - You scored ≥10 on a depression screening questionnaire (PHQ-9) - A follow-up clinical assessment confirmed you have significant depression symptoms (HAM-D > 14) - Your thinking and memory are intact enough to participate (MMSE ≥ 24) - You are not on antidepressants, or have been on a stable antidepressant dose for at least 12 weeks **You may NOT be eligible if...** - You have active thoughts of suicide - You have a psychiatric condition other than depression or generalized anxiety - You have significant cognitive impairment or dementia - You are currently receiving another psychotherapy Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALVolunteer-delivered Behavioral Activation

Behavioral Activation as delivered by trained volunteers

BEHAVIORALMaster's level clinician-delivered Behavioral Activation

Behavioral Activation as delivered by trained master's level clinicians

Locations(25)

Brandon Senior Center

Brandon, Florida, United States

Gardenville Dining & Activity Center

Gibsonton, Florida, United States

Ruskin Senior Center

Ruskin, Florida, United States

JL Young Apartments (Senior Housing)

Tampa, Florida, United States

Oaks at Riverview Senior Center

Tampa, Florida, United States

Jewish Towers Senior Housing

Tampa, Florida, United States

Town 'n Country Senior Center

Tampa, Florida, United States

Progress Village Senior Center

Tampa, Florida, United States

Diana Jones Senior Center

Brooklyn, New York, United States

Edie Windsor SAGE Center