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OpenTrials
Completed

NCT Number: NCT02292849

Peer to Peer Delivery of Behavioral Activation

The goal of this study is to test the feasibility, acceptability and preliminary impact of peer-delivered Behavioral Activation (BA) for depressed older adults (60+) who are Naturally Occurring Retirement Communities (NORC) residents or senior center participants.

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Key information

Conditions

Depression Behavior Behavioral Symptoms

Age range

60 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Weill Cornell Medical College

White Plains, New York, 10605, United States

About this study

This project focuses on helping to solve a growing problem in health care today. Through increased screening in the older adult population, detection of depression has increased which has established a growing need for mental health resources. Unfortunately, there are limited resources to keep up with the steady increase of individuals in need. Training peers to work with older depressed adults in techniques such as behavioral activation provides an alternative model to help moderate the increased need and provide a unique intervention of care. Developing an innovative peer facilitated program has the potential to enhance the delivery of quality health care.

The specific aims of the study are 1) to train peer coaches and implement Peer to Peer in the community 2) to examine depression ratings over time.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age 60 and older
  • Member of Lenox Hill Senior Center, St. Peter's Senior Center, or Beth Abe
  • Score of 10+ on Patient Health Questionnaire (PHQ-9)

Exclusion criteria

  • Presence of alcohol abuse, substance abuse, psychotic disorder, or bipolar disorder as observed on the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders (SCID)
  • Inability to speak English
  • Dementia: Mini Mental State Examination (MMSE) score below 24
  • High suicide risk, i.e. intent or plan to attempt suicide

Treatment and study plan

Peer to Peer

Behavioral

12 weekly sessions of peer-delivered behavioral activation

Standard Mental Health Referral

Other

Standard mental health referral to a community agency

Primary outcomes

  1. Proportion of Peer to Peer Coaches Who Undergo Behavioral Activation Training and Achieve Certification

    Time frame: 4 weeks prior to Baseline

    Proportion of Peer to Peer coaches who undergo Behavioral Activation training and achieve certification

  2. Number of Peer to Peer Clients Who Attend > 80% of Behavioral Activation Sessions

    Time frame: 12 weeks

    Number of Peer to Peer clients who attend > 80% of Behavioral Activation sessions

Secondary outcomes

  1. Changes in Hamilton Depression Rating Scale Scores

    Time frame: Baseline and 12 weeks

    Hamilton Depression Rating Scale mean change scores from baseline to 12 weeks. This scale measures severity of depressive symptoms (range=0-76), with higher scores indicating more sever depressive symptomatology.

Sponsors and collaborators

Lead sponsor

Weill Medical College of Cornell University

Other

Collaborators

  • National Institute of Mental Health (NIMH)

Registry information

Important dates

Study start
2013
Primary completion
2015
Study completion
2015
First posted
Nov 17, 2014
Registry last updated
Sep 29, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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