Lay-Delivered Behavioral Activation in Senior Centers
University of Washington
288 participants
Jan 27, 2021
INTERVENTIONAL
Conditions
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
Inclusion Criteria16
- Client Participants (anticipated enrollment: 288)
- Referral to study (stage 1):
- Age ≥ 60 years.
- Attends one of 18 participating Seattle, NYC, or Tampa area senior centers.
- Patient Health Questionnaire (PHQ-9) score of ≥10 via routine screening.
- Research assessment (stage 2):
- Clinically-assessed HAM-D\>14
- Mini-Mental Status Exam (MMSE) ≥ 24 OR modified Telephone Interview for Cognitive Status (mTICS) ≥ 19
- Off antidepressants or on a stable dose for 12 weeks.
- Capacity to provide written consent for both research assessment and the BA intervention.
- Age ≥ 60 years.
- Attends one of the participating Seattle, NYC, or Tampa-area senior centers.
- Master's degree in social work, counseling, marriage/family, or other clinical mental health degree
- English or Spanish Speaking
- Capacity to provide consent for all study procedures
- Willing to audio record study sessions for supervision and evaluation
Exclusion Criteria11
- Current active suicidal ideation.
- Presence of psychiatric diagnoses other than unipolar, non-psychotic major depression or generalized anxiety disorder by SCID-V (Structure Clinical Interview for DSM-V).
- Severe or life-threatening medical illness (e.g., end stage organ failure).
- Inability to speak English or Spanish
- Current major depressive disorder, alcohol or substance abuse, or manic, hypomanic, or psychotic symptoms (SCID-V);
- Mini-Mental Status Exam (MMSE) ≥ 24 OR modified Telephone Interview for Cognitive Status (mTICS) ≥ 19;
- Inability to speak and read English or Spanish
- Non-English or Non-Spanish speaking
- Does not hold a Master's degree in social work, counseling, marriage/family, or other clinical mental health degree
- Unable to provide consent
- Unwilling to audio record study sessions for supervision and evaluation
Interventions
Behavioral Activation as delivered by trained volunteers
Behavioral Activation as delivered by trained master's level clinicians
Locations(25)
View Full Details on ClinicalTrials.gov
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NCT04621877