Lay-Delivered Behavioral Activation in Senior Centers
2 other identifiers
interventional
288
1 country
25
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 Behavioral Activation to be delivered by lay volunteers ("Do More, Feel Better"; DMFB). The focus of Behavioral Activation is to guide clients to reengage in daily pleasant and rewarding activities, and reduce depressive symptoms. If the investigators can show that the lay delivery model has positive impact in comparison to MSW-delivered Behavioral Activation, the investigators will have identified an effective intervention that can be used by a large untapped workforce of older adult volunteers across the nation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable depression
Started Jan 2021
Longer than P75 for not_applicable depression
25 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 3, 2020
CompletedFirst Posted
Study publicly available on registry
November 9, 2020
CompletedStudy Start
First participant enrolled
January 27, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 30, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2025
CompletedOctober 15, 2024
October 1, 2024
4.7 years
November 3, 2020
October 10, 2024
Conditions
Outcome Measures
Primary Outcomes (2)
Hamilton Rating Scale for Depression (HAM-D)
The HAM-D will be used as measure of depressive symptom severity. The HAM-D is a clinically administered measure and has been validated in a variety of psychiatric populations.
Change from Baseline HAM-D at 3, 6, 9, 24, and 36 weeks after treatment starts
Behavioral Activation Scale (BADS)
The BADS will be used as the primary target measure, and yields a total score reflecting level of engagement in reinforcing activities. The BADS has shown good psychometric properties; studies have validated the BADS as a mechanism by which behavioral activation interventions reduces depression.
Change from Baseline BADS at 3, 6, 9, 24, and 36 weeks after treatment starts
Secondary Outcomes (2)
World Health Organization Disability Assessment Schedule (WHODAS II)
Change from Baseline WHODAS-II at 3, 6, 9, 24, and 36 weeks after treatment starts
Client Satisfaction with Treatment (CSQ)- 3 Item
Administered at 3, 6, and 9 weeks after treatment starts
Other Outcomes (1)
Intervention Fidelity
Weekly for 9 weeks of treatment
Study Arms (2)
Volunteer-delivered Behavioral Activation - "Do More, Feel Better"
EXPERIMENTAL"Do More, Feel Better" (DMFB) is a streamlined, simplified version of Behavioral Activation (BA) delivered by lay volunteers to depressed senior center clients.
Master's Level Clinician-delivered Behavioral Activation
ACTIVE COMPARATORTraditional Behavioral Activation (BA) delivered by master's level mental health clinicians
Interventions
Behavioral Activation as delivered by trained volunteers
Behavioral Activation as delivered by trained master's level clinicians
Eligibility Criteria
You may qualify if:
- Referral to study (stage 1):
- Age ≥ 60 years.
- Attends one of 18 participating Seattle, NYC, or Tampa area senior centers.
- Patient Health Questionnaire (PHQ-9) score of ≥10 via routine screening.
- Research assessment (stage 2):
- Clinically-assessed HAM-D\>14
- Mini-Mental Status Exam (MMSE) ≥ 24 OR modified Telephone Interview for Cognitive Status (mTICS) ≥ 19
- Off antidepressants or on a stable dose for 12 weeks.
- Capacity to provide written consent for both research assessment and the BA intervention.
You may not qualify if:
- Current active suicidal ideation.
- Presence of psychiatric diagnoses other than unipolar, non-psychotic major depression or generalized anxiety disorder by SCID-V (Structure Clinical Interview for DSM-V).
- Severe or life-threatening medical illness (e.g., end stage organ failure).
- Inability to speak English or Spanish
- Age ≥ 60 years.
- Attends one of the participating Seattle, NYC, or Tampa-area senior centers.
- Current major depressive disorder, alcohol or substance abuse, or manic, hypomanic, or psychotic symptoms (SCID-V);
- Mini-Mental Status Exam (MMSE) ≥ 24 OR modified Telephone Interview for Cognitive Status (mTICS) ≥ 19;
- Inability to speak and read English or Spanish
- Master's degree in social work, counseling, marriage/family, or other clinical mental health degree
- English or Spanish Speaking
- Capacity to provide consent for all study procedures
- Willing to audio record study sessions for supervision and evaluation
- Non-English or Non-Spanish speaking
- Does not hold a Master's degree in social work, counseling, marriage/family, or other clinical mental health degree
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Washingtonlead
- National Institute of Mental Health (NIMH)collaborator
- University of South Floridacollaborator
- Weill Medical College of Cornell Universitycollaborator
Study Sites (25)
Brandon Senior Center
Brandon, Florida, 33510, United States
Gardenville Dining & Activity Center
Gibsonton, Florida, 33534, United States
Ruskin Senior Center
Ruskin, Florida, 33570, United States
JL Young Apartments (Senior Housing)
Tampa, Florida, 33604, United States
Oaks at Riverview Senior Center
Tampa, Florida, 33604, United States
Jewish Towers Senior Housing
Tampa, Florida, 33609, United States
Town 'n Country Senior Center
Tampa, Florida, 33615, United States
Progress Village Senior Center
Tampa, Florida, 33619, United States
Diana Jones Senior Center
Brooklyn, New York, 11206, United States
Edie Windsor SAGE Center
New York, New York, 10001, United States
Hudson Guild Senior Center
New York, New York, 10011, United States
Lincoln Square Senior Center
New York, New York, 10023, United States
Goddard Riverside Community Center and NORC
New York, New York, 10024, United States
Carver Senior Center
New York, New York, 10029, United States
Dyckman Senior Center
New York, New York, 10034, United States
Stanley M. Isaacs Neighborhood Center
New York, New York, 10128, United States
SAGE Center Brooklyn at Stonewall House
New York, New York, 11201, United States
Enumclaw Senior Center
Enumclaw, Washington, 98022, United States
Greenwood Senior Center
Seattle, Washington, 98103, United States
West Seattle Senior Center
Seattle, Washington, 98116, United States
Southeast Seattle Senior Center
Seattle, Washington, 98118, United States
GenPride Senior Center
Seattle, Washington, 98122, United States
Casa Latina
Seattle, Washington, 98144, United States
Centro de la Raza
Seattle, Washington, 98144, United States
Pt Defiance Senior Center
Tacoma, Washington, 98407, United States
Related Publications (1)
Raue PJ, Sirey JA, Gum A, Hawrilenko M, Fisher DM. Protocol for a collaborative randomised effectiveness trial of lay-delivered versus clinician-delivered behavioural activation in senior centres. BMJ Open. 2022 Aug 23;12(8):e066497. doi: 10.1136/bmjopen-2022-066497.
PMID: 35998966DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Patrick J Raue, PhD
University of Washington
Central Study Contacts
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
Study Record Dates
First Submitted
November 3, 2020
First Posted
November 9, 2020
Study Start
January 27, 2021
Primary Completion
September 30, 2025
Study Completion
December 1, 2025
Last Updated
October 15, 2024
Record last verified: 2024-10
Data Sharing
- IPD Sharing
- Will share
We will deposit participant data into the NIMH informatics infrastructure (e.g., National Data Archive) to enable sharing of clinical research data.