Peer to Peer Delivery of Behavioral Activation

Not Applicable

Completed

• Conditions: Depression
• Interventions: Behavioral: Peer to Peer; Other: Standard Mental Health Referral

• Registration Number: NCT02292849
• Lead Sponsor: Weill Medical College of Cornell University

Brief Summary

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.

Detailed Description

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.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2013-11-01
• Study First Submitted: 2014-11-12
• Study First Submitted QC: 2014-11-14
• Study First Posted: 2014-11-17
• Primary Completion: 2015-10-07
• Study Completion: 2015-10-07
• Results First Submitted: 2017-01-27
• Status Verified: 2017-08
• Results First Submitted QC: 2017-08-03
• Last Update Submitted: 2017-08-03
• Results First Posted: 2017-09-29
• Last Update Posted: 2017-09-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 29

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)

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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

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Peer to Peer	Peer to Peer	These individuals will receive a standard mental health referral to a community agency and in addition meet with a trained peer coach for 12 weekly meetings.
Referral	Standard Mental Health Referral	These individuals will receive a standard mental health referral to a community agency.

Primary Outcome Measures

Name	Time	Method
Proportion of Peer to Peer Coaches Who Undergo Behavioral Activation Training and Achieve Certification	4 weeks prior to Baseline	Proportion of Peer to Peer coaches who undergo Behavioral Activation training and achieve certification
Number of Peer to Peer Clients Who Attend > 80% of Behavioral Activation Sessions	12 weeks	Number of Peer to Peer clients who attend \> 80% of Behavioral Activation sessions

Secondary Outcome Measures

Name	Time	Method
Changes in Hamilton Depression Rating Scale Scores	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.

Trial Locations

Locations (1)

Weill Cornell Medical College; 🇺🇸 White Plains, New York, United States