A Study of Brief Behavioral Activation for the Treatment of Depression in Older Adult Cancer Survivors

Inclusion criteria

• As per self-report or medical record, ≥65 years old
• As per self-report or medical record, has a history of cancer
• As per medical record and/or clinician confirmation:

• a patient in MSK Survivorship Clinics AND/OR
• no evidence of disease (NED) AND/OR
• 6 months or more post-treatment (patients on maintenance hormonal therapies are eligible)
• Fluent in English, as per self-reported fluency of "well" or "very well"*
• As per self-report, able to communicate over video-conference and/or phone for sessions
• Elevated score on the PHQ-9: ≥5 (N/A for Training Case participants)
• Received a Blessed Orientation-Memory-Concentration Scale (BOMC) score of ≤ 11 (N/A for Training Case participants)

Exclusion criteria

• As per PI determination, requires a higher level of care for current passive or active suicidal ideation than current protocol is able to provide. If a participant receives a score of > 0 on item 9 of the PHQ-9, they will be referred to study PI for further evaluation. They will be excluded from participation in this study if the PI determines they would be appropriate for a higher level of care than BA may be able to provide.
• As per self-report or as documented in the medical record, current untreated (e.g., no medication, no therapy) major psychotic disorder (schizotypal personality disorder, schizophreniform disorder, schizoaffective disorder). Patients diagnosed with a major psychiatric disorder will be reviewed by the study PI to determine eligibility prior to consent.
• As per self-report or medical record, currently taking antidepressant medication for < 3 month
• As per medical record, patient has impaired decision-making capacity