Lay-Delivered Behavioral Activation in Senior Centers

Recruiting now · Not applicable

Conditions studied: Depression

In brief

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.

Key facts

Study ID

NCT04621877

Run by

University of Washington

People needed

288

Starts

2021-01-27

Expected to finish

2025-12-01

Last updated by the study team

2024-10-15

Who can join

Age: 60 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• 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

Where it is running

• SAGE Center Brooklyn at Stonewall House — New York, New York, United States (enrolling)
• Progress Village Senior Center — Tampa, Florida, United States (enrolling)
• Hudson Guild Senior Center — New York, New York, United States (enrolling)
• Lincoln Square Senior Center — New York, New York, United States (enrolling)
• Goddard Riverside Community Center and NORC — New York, New York, United States (enrolling)
• Carver Senior Center — New York, New York, United States (enrolling)
• Dyckman Senior Center — New York, New York, United States (enrolling)
• Enumclaw Senior Center — Enumclaw, Washington, United States (enrolling)
• Casa Latina — Seattle, Washington, United States (enrolling)
• Centro de la Raza — Seattle, Washington, United States (enrolling)
• Pt Defiance Senior Center — Tacoma, Washington, United States (enrolling)
• Brandon Senior Center — Brandon, Florida, United States (enrolling)
• Gardenville Dining & Activity Center — Gibsonton, Florida, United States (enrolling)
• Ruskin Senior Center — Ruskin, Florida, United States (enrolling)
• JL Young Apartments (Senior Housing) — Tampa, Florida, United States (enrolling)
• Oaks at Riverview Senior Center — Tampa, Florida, United States (enrolling)
• Jewish Towers Senior Housing — Tampa, Florida, United States (enrolling)
• Town 'n Country Senior Center — Tampa, Florida, United States (enrolling)
• 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
• Edie Windsor SAGE Center — New York, New York, United States
• Stanley M. Isaacs Neighborhood Center — New York, New York, United States
• Diana Jones Senior Center — Brooklyn, New York, United States

Full record on ClinicalTrials.gov

Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.