Using Peer Mentors to Deliver Depression Care

NCT02261818 | Completed Results

• 1 other identifier: K23MH100705
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Can peer mentors be integrated into depression care to older adults with mental health professional supervision? We will assess whether peer mentors who are lay persons who are in recovery from depression can provide depression care services to older adults with depression. Older adults who are 50 and older will be screened for depression in the clinic and community. Those who meet criteria will be paired with a peer mentor for 8 meetings. Peer mentors will audiorecord their meetings with the patient and the recordings will be analyzed to assess what kinds of communication and behaviors the peer mentors engage in and what among those communications may be associated with relieving depression. The peer mentor will be trained and supervised by a psychiatrist and they will form a team to provide the depression care to the older adult. The study aims to relieve depressive symptoms and engage older adults in care. Both older adults and peer mentors wil be interviewed after the study to assess the strengths and weaknesses of peer mentor delivery of depression care. A manual will be developed describing the process and procedures of the study.

Conditions

Depression

Keywords

depression; aging; health services

Outcome Measures

Primary Outcomes (1)

• Depression With PHQ-9

  PHQ-9 will be used to assess depression. The maximum score is 27. The scale is interpreted as follows: 0-4 no depression, 5-9 mild, 10-14 moderate, 15-19 moderately severe, 20-27 severe.

  at 8 weeks

Study Arms (1)

Meetings with peer mentors

OTHER

Peer mentors who have experience of depression are trained and supervised to provide social support to older adults to relieve depression. They will provide active listening, empathy, work on a patient-derived goal, psychoeducation and connection to both clinical and community resources.

Behavioral: Meetings with peer mentors

Interventions

Meetings with peer mentors BEHAVIORAL

Peer mentors provide social support to address depressive symptoms

Meetings with peer mentors

Eligibility Criteria

• Age: 50 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years and older,
• able to give informed consent;
• received basic training in behavioral health,
• history of depression.-
• Patients:
• years and older;
• clinically significant depression (defined above);
• able to communicate in English;
• willing to give informed consent

You may not qualify if:

• meet current diagnostic criteria for Minor or Major Depressive Disorder;
• meet current diagnostic criteria for a psychotic disorder;
• meet current diagnostic criteria for substance abuse or dependence.
• Patients:
• meet diagnostic criteria for mania or hypomania;
• meet diagnostic criteria for psychotic syndrome;
• meet diagnostic criteria for alcohol abuse or dependence;
• acutely suicidal or psychotic; and,
• a score on the Mini-Mental State Examination (MMSE) \<24.

Sponsors & Collaborators

• Johns Hopkins University: lead

Study Sites (1)

Johns Hopkins Bayview Medical Center

Baltimore, Maryland, 21224, United States

Location

MeSH Terms

Conditions

Depression

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Results Point of Contact

• Title: Dr Jin Hui Joo
• Organization: Johns Hopkins University

jjoo1@jhmi.edu

4105502282

Study Officials

• Jin Hui Joo, MA MA

  Johns Hopkins University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Primary Investigator

Study Record Dates

• First Submitted: August 1, 2014
• First Posted: October 10, 2014
• Study Start: April 1, 2014
• Primary Completion: May 1, 2015
• Study Completion: May 1, 2015
• Last Updated: October 2, 2017
• Results First Posted: October 2, 2017

Record last verified: 2017-08

Locations

US (1)