Volunteer-Delivery of Behavioral Activation

NCT03371771 | Completed

• 2 other identifiers: STUDY00002543R34MH111849
• Study Type: interventional
• Target: 55
• Locations: 1 country
• Sites: 4

Brief Summary

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 a Behavioral Activation intervention to match the skill set of age-matched lay volunteers available to senior centers (Volunteer BA). This R34 proposes developmental work on delivering Volunteer BA in senior centers, so as to arrive to a sustainable intervention with standardized procedures. The investigators follow with a small randomized controlled trial (RCT) testing the comparative impact of Volunteer BA versus MSW-provided BA on increased client activity and reduced depressive symptoms.

Conditions

Depression

Outcome Measures

Primary Outcomes (2)

• Change from Baseline in Behavioral Activation for Depression Scale (BADS) scores

  The Behavioral Activation for Depression Scale (range 0-150; higher scores indicate higher levels of activation) change score from baseline to 9 weeks

  Baseline and 9 weeks

• Change from Baseline in Hamilton Rating Scale for Depression (HAM-D) scores

  Hamilton Depression Rating Scale for Depression (range 0-76; higher scores indicate greater severity of depression) change score from baseline to 9 weeks

  Baseline and 9 weeks

Study Arms (2)

Volunteer-delivered Behavioral Activation

EXPERIMENTAL

Behavioral: Volunteer-delivered Behavioral Activation

MSW-delivered Behavioral Activation

ACTIVE COMPARATOR

Behavioral: MSW-delivered Behavioral Activation

Interventions

Volunteer-delivered Behavioral Activation BEHAVIORAL

Behavioral Activation as delivered by trained volunteers

Volunteer-delivered Behavioral Activation

MSW-delivered Behavioral Activation BEHAVIORAL

Behavioral Activation as delivered by trained MSWs

MSW-delivered Behavioral Activation

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Referral to study (stage 1):
• Age ≥ 60 years.
• Attends one of 4 participating Seattle senior centers.
• PHQ-9 score of ≥10 via routine screening.
• Research assessment (stage 2):
• Mini Mental State Exam (MMSE) ≥ 24.
• Capacity to provide written consent for both research assessment and the BA intervention.

You may not qualify if:

• Current passive or active suicidal ideation (SCID-V or HAM-D).
• Presence of psychiatric diagnoses other than unipolar, non-psychotic major depression or anxiety disorder by SCID-V.
• Severe or life-threatening medical illness (e.g., end stage organ failure).
• Inability to speak English.

Sponsors & Collaborators

• University of Washington: lead
• National Institute of Mental Health (NIMH): collaborator

Study Sites (4)

Greenwood Senior Center

Seattle, Washington, 98103, United States

Location

Wallingford Senior Center

Seattle, Washington, 98103, United States

Location

Southeast Senior Center

Seattle, Washington, 98118, United States

Location

Central Area Senior Center

Seattle, Washington, 98144, United States

Location

MeSH Terms

Conditions

Depression

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Study Officials

• Patrick J Raue, PhD

  University of Washington

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor, School of Medicine: Psychiatry: Population Health

Model Details: Participants will be randomized to receive either Volunteer or MSW-delivered Behavioral Activation

Study Record Dates

• First Submitted: December 8, 2017
• First Posted: December 13, 2017
• Study Start: September 15, 2017
• Primary Completion: September 30, 2020
• Study Completion: September 30, 2020
• Last Updated: October 26, 2020

Record last verified: 2020-10

Data Sharing

• IPD Sharing: Will not share

Locations

US (4)