Lay-Delivered Behavioral Activation in Senior Centers
Recruiting · NCT04621877 · Interventional (participants receive a specific treatment) · Lead sponsor: University of Washington
View the official record on ClinicalTrials.gov →Interventions studied
Master's level clinician-delivered Behavioral ActivationVolunteer-delivered Behavioral Activation
What this trial is about
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.
Who can take part
Age range
60 Years and older
Sex
All (male and female)
Healthy volunteers
No - a diagnosis or condition is required
Phase
Not applicable (e.g. observational or device study)
Study type
Interventional (participants receive a specific treatment)
Inclusion criteria
- 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.
- Client Participants
Exclusion criteria
- 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
- Volunteer Participants (anticipated enrollment: 36) Inclusion Criteria
- Age ≥ 60 years.
- Attends one of the participating Seattle, NYC, or Tampa-area senior centers.
- Volunteer Participants Exclusion Criteria
- 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
- Clinician Participants (anticipated enrollment: 36) Inclusion Criteria
- 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
- Clinician Participants Exclusion Criteria
- 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
Where it is running
25 locations listed across 3 US states.
- 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 - New York, New York, United States
- Hudson Guild Senior Center - New York, New York, United States
- Lincoln Square Senior Center - New York, New York, United States
- Goddard Riverside Community Center and NORC - New York, New York, United States
- Carver Senior Center - New York, New York, United States
- Dyckman Senior Center - New York, New York, United States
- Stanley M. Isaacs Neighborhood Center - New York, New York, United States
- SAGE Center Brooklyn at Stonewall House - New York, New York, United States
- Enumclaw Senior Center - Enumclaw, Washington, United States
- Greenwood Senior Center - Seattle, Washington, United States
- West Seattle Senior Center - Seattle, Washington, United States
- Southeast Seattle Senior Center - Seattle, Washington, United States
- GenPride Senior Center - Seattle, Washington, United States
- Casa Latina - Seattle, Washington, United States
- Centro de la Raza - Seattle, Washington, United States
- Pt Defiance Senior Center - Tacoma, Washington, United States