Purpose

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.

Condition

Eligibility

Eligible Ages
Over 60 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

Referral to study (stage 1): 1. Age ≥ 60 years. 2. Attends one of 18 participating Seattle, NYC, or Tampa area senior centers. 3. Patient Health Questionnaire (PHQ-9) score of ≥10 via routine screening. Research assessment (stage 2): 1. Clinically-assessed HAM-D>14 2. Mini-Mental Status Exam (MMSE) ≥ 24 OR modified Telephone Interview for Cognitive Status (mTICS) ≥ 19 3. Off antidepressants or on a stable dose for 12 weeks. 4. Capacity to provide written consent for both research assessment and the BA intervention. Client Participants

Exclusion Criteria

  1. Current active suicidal ideation. 2. Presence of psychiatric diagnoses other than unipolar, non-psychotic major depression or generalized anxiety disorder by SCID-V (Structure Clinical Interview for DSM-V). 3. Severe or life-threatening medical illness (e.g., end stage organ failure). 4. Inability to speak English or Spanish Volunteer Participants (anticipated enrollment: 36) Inclusion Criteria 1. Age ≥ 60 years. 2. Attends one of the participating Seattle, NYC, or Tampa-area senior centers. Volunteer Participants Exclusion Criteria 1. Current major depressive disorder, alcohol or substance abuse, or manic, hypomanic, or psychotic symptoms (SCID-V); 2. Mini-Mental Status Exam (MMSE) ≥ 24 OR modified Telephone Interview for Cognitive Status (mTICS) ≥ 19; 3. Inability to speak and read English or Spanish Clinician Participants (anticipated enrollment: 36) Inclusion Criteria 1. Master's degree in social work, counseling, marriage/family, or other clinical mental health degree 2. English or Spanish Speaking 3. Capacity to provide consent for all study procedures 4. Willing to audio record study sessions for supervision and evaluation Clinician Participants Exclusion Criteria 1. Non-English or Non-Spanish speaking 2. Does not hold a Master's degree in social work, counseling, marriage/family, or other clinical mental health degree 3. Unable to provide consent 4. Unwilling to audio record study sessions for supervision and evaluation

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
Single (Outcomes Assessor)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Volunteer-delivered Behavioral Activation - "Do More, Feel Better"
"Do More, Feel Better" (DMFB) is a streamlined, simplified version of Behavioral Activation (BA) delivered by lay volunteers to depressed senior center clients.
  • Behavioral: Volunteer-delivered Behavioral Activation
    Behavioral Activation as delivered by trained volunteers
Active Comparator
Master's Level Clinician-delivered Behavioral Activation
Traditional Behavioral Activation (BA) delivered by master's level mental health clinicians
  • Behavioral: Master's level clinician-delivered Behavioral Activation
    Behavioral Activation as delivered by trained master's level clinicians

Recruiting Locations

Brandon Senior Center
Brandon 4148757, Florida 4155751 33510
Contact:
Mary Goldsworthy
813-974-3576
domorefeelbetter@usf.edu

Gardenville Dining & Activity Center
Gibsonton 4156748, Florida 4155751 33534
Contact:
Mary Goldsworthy
813-974-3576
domorefeelbetter@usf.edu

Ruskin Senior Center
Ruskin 4170688, Florida 4155751 33570
Contact:
Mary Goldsworthy
813-974-3576
domorefeelbetter@usf.edu

JL Young Apartments (Senior Housing)
Tampa 4174757, Florida 4155751 33604
Contact:
Mary Goldsworthy
813-974-3576
domorefeelbetter@usf.edu

Oaks at Riverview Senior Center
Tampa 4174757, Florida 4155751 33604
Contact:
Mary Goldsworthy
813-974-3576
domorefeelbetter@usf.edu

Jewish Towers Senior Housing
Tampa 4174757, Florida 4155751 33609
Contact:
Melody Espinosa
813-396-2758
domorefeelbetter@usf.edu

Town 'n Country Senior Center
Tampa 4174757, Florida 4155751 33615
Contact:
Melody Espinosa
813-396-2758
domorefeelbetter@usf.edu

Progress Village Senior Center
Tampa 4174757, Florida 4155751 33619
Contact:
Mary Goldsworthy
813-974-3576
domorefeelbetter@usf.edu

Hudson Guild Senior Center
New York 5128581, New York 5128638 10011
Contact:
Victoria Micha Weiss
915-507-7672

Lincoln Square Senior Center
New York 5128581, New York 5128638 10023
Contact:
Victoria Micha Weiss
915-507-7672

Goddard Riverside Community Center and NORC
New York 5128581, New York 5128638 10024
Contact:
Victoria Micha Weiss
915-507-7672

Carver Senior Center
New York 5128581, New York 5128638 10029
Contact:
Victoria Micha Weiss
915-507-7672

Dyckman Senior Center
New York 5128581, New York 5128638 10034
Contact:
Victoria Micha Weiss
915-507-7672

SAGE Center Brooklyn at Stonewall House
New York 5128581, New York 5128638 11201
Contact:
Victoria Micha Weiss
915-507-7672

Enumclaw Senior Center
Enumclaw 5793822, Washington 5815135 98022
Contact:
Dylan Fisher
206-616-2129
dmfb@uw.edu

Casa Latina
Seattle 5809844, Washington 5815135 98144
Contact:
Bernardo Martinez
206-616-2129
dmfb@uw.edu

Centro de la Raza
Seattle 5809844, Washington 5815135 98144
Contact:
Bernardo Martinez
206-616-2129
dmfb@uw.edu

Pt Defiance Senior Center
Tacoma 5812944, Washington 5815135 98407
Contact:
Dylan Fisher
206-616-2129
dmfb@uw.edu

More Details

Status
Recruiting
Sponsor
University of Washington

Study Contact

Brittany Mosser
206-616-2129
dmfb@uw.edu

Detailed Description

This Collaborative R01 application (UW, Cornell, USF) proposes to conduct an effectiveness trial of lay-delivered Behavioral Activation ("Do More, Feel Better"; DMFB), in comparison to MSW-delivered Behavioral Activation (MSW BA), for depressed (PHQ-9>10 and Ham-D>14) older (60+) senior center clients. The primary aim tests the effectiveness of DMFB, in comparison to MSW BA, on increasing overall activity level (target) and reducing depression symptoms. The investigators will test whether increased activity level predicts greater reduction in depression severity and whether increased activity's impact on depression is non-inferior across conditions. Secondarily, the investigators will test hypotheses associated with overall functioning, satisfaction with treatment, and client-level moderators. Lastly the investigators will explore longer-term client outcomes, delivery cost, and preparing for sustainability by exploring client, provider, and center factors related to intervention fidelity.

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.