Lay-Delivered Behavioral Activation in Senior Centers

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

288 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-01-27

Study Completion Date

2025-12-01

Brief Summary

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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.

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Detailed Description

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This Collaborative R01 application (UW, Cornell, USF) proposes to conduct an effectiveness trial of lay-delivered Behavioral Activation ("Do More, Feel Better"; DMFB), in comparison to MSW-delivered Behavioral Activation (MSW BA), for depressed (PHQ-9\>10 and Ham-D\>14) older (60+) senior center clients. The primary aim tests the effectiveness of DMFB, in comparison to MSW BA, on increasing overall activity level (target) and reducing depression symptoms. The investigators will test whether increased activity level predicts greater reduction in depression severity and whether increased activity's impact on depression is non-inferior across conditions. Secondarily, the investigators will test hypotheses associated with overall functioning, satisfaction with treatment, and client-level moderators. Lastly the investigators will explore longer-term client outcomes, delivery cost, and preparing for sustainability by exploring client, provider, and center factors related to intervention fidelity.

Conditions

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Depression

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Volunteer-delivered Behavioral Activation - "Do More, Feel Better"

"Do More, Feel Better" (DMFB) is a streamlined, simplified version of Behavioral Activation (BA) delivered by lay volunteers to depressed senior center clients.

Group Type EXPERIMENTAL

Volunteer-delivered Behavioral Activation

Intervention Type BEHAVIORAL

Behavioral Activation as delivered by trained volunteers

Master's Level Clinician-delivered Behavioral Activation

Traditional Behavioral Activation (BA) delivered by master's level mental health clinicians

Group Type ACTIVE_COMPARATOR

Master's level clinician-delivered Behavioral Activation

Intervention Type BEHAVIORAL

Behavioral Activation as delivered by trained master's level clinicians

Interventions

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Volunteer-delivered Behavioral Activation

Behavioral Activation as delivered by trained volunteers

Intervention Type BEHAVIORAL

Master's level clinician-delivered Behavioral Activation

Behavioral Activation as delivered by trained master's level clinicians

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

Referral to study (stage 1):

1. Age ≥ 60 years.
2. Attends one of 18 participating Seattle, NYC, or Tampa area senior centers.
3. Patient Health Questionnaire (PHQ-9) score of ≥10 via routine screening.

Research assessment (stage 2):

1. Clinically-assessed HAM-D\>14
2. Mini-Mental Status Exam (MMSE) ≥ 24 OR modified Telephone Interview for Cognitive Status (mTICS) ≥ 19
3. Off antidepressants or on a stable dose for 12 weeks.
4. Capacity to provide written consent for both research assessment and the BA intervention.

1. Age ≥ 60 years.
2. Attends one of the participating Seattle, NYC, or Tampa-area senior centers.

1. Master's degree in social work, counseling, marriage/family, or other clinical mental health degree
2. English or Spanish Speaking
3. Capacity to provide consent for all study procedures
4. Willing to audio record study sessions for supervision and evaluation

Exclusion Criteria

1. Current active suicidal ideation.
2. Presence of psychiatric diagnoses other than unipolar, non-psychotic major depression or generalized anxiety disorder by SCID-V (Structure Clinical Interview for DSM-V).
3. Severe or life-threatening medical illness (e.g., end stage organ failure).
4. Inability to speak English or Spanish

1. Current major depressive disorder, alcohol or substance abuse, or manic, hypomanic, or psychotic symptoms (SCID-V);
2. Mini-Mental Status Exam (MMSE) ≥ 24 OR modified Telephone Interview for Cognitive Status (mTICS) ≥ 19;
3. Inability to speak and read English or Spanish

1. Non-English or Non-Spanish speaking
2. Does not hold a Master's degree in social work, counseling, marriage/family, or other clinical mental health degree
3. Unable to provide consent
4. Unwilling to audio record study sessions for supervision and evaluation

Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Responsible Party

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Patrick Raue

Professor, School of Medicine: Psychiatry: Population Health

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Patrick J Raue, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Washington

Locations

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Brandon Senior Center

Brandon, Florida, United States

Site Status RECRUITING

Gardenville Dining & Activity Center

Gibsonton, Florida, United States

Site Status RECRUITING

Ruskin Senior Center

Ruskin, Florida, United States

Site Status RECRUITING

JL Young Apartments (Senior Housing)

Tampa, Florida, United States

Site Status RECRUITING

Oaks at Riverview Senior Center

Tampa, Florida, United States

Site Status RECRUITING

Jewish Towers Senior Housing

Tampa, Florida, United States

Site Status RECRUITING

Town 'n Country Senior Center

Tampa, Florida, United States

Site Status RECRUITING

Progress Village Senior Center

Tampa, Florida, United States

Site Status RECRUITING