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Peer to Peer Delivery of Behavioral Activation

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT02292849
Recruitment Status : Completed
First Posted : November 17, 2014
Results First Posted : September 29, 2017
Last Update Posted : September 29, 2017
Sponsor:
Collaborator:
National Institute of Mental Health (NIMH)
Information provided by (Responsible Party):
Weill Medical College of Cornell University

Study Description
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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.

Condition or disease Intervention/treatment Phase
Depression Behavioral: Peer to Peer Other: Standard Mental Health Referral Not Applicable

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.

Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 29 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Peer to Peer Delivery of Behavioral Activation
Actual Study Start Date : November 1, 2013
Actual Primary Completion Date : October 7, 2015
Actual Study Completion Date : October 7, 2015

Resource links provided by the National Library of Medicine


Arms and Interventions
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Arm Intervention/treatment
Experimental: 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.
 Behavioral: Peer to Peer
12 weekly sessions of peer-delivered behavioral activation
Active Comparator: Referral
These individuals will receive a standard mental health referral to a community agency.
 Other: Standard Mental Health Referral
Standard mental health referral to a community agency


Outcome Measures
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Primary Outcome Measures :
  1. Proportion of Peer to Peer Coaches Who Undergo Behavioral Activation Training and Achieve Certification [ Time Frame: 4 weeks prior to Baseline ]
    Proportion of Peer to Peer coaches who undergo Behavioral Activation training and achieve certification

  2. Number of Peer to Peer Clients Who Attend > 80% of Behavioral Activation Sessions [ Time Frame: 12 weeks ]
    Number of Peer to Peer clients who attend > 80% of Behavioral Activation sessions


Secondary Outcome Measures :
  1. Changes in Hamilton Depression Rating Scale Scores [ Time Frame: 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.


Eligibility Criteria
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Ages Eligible for Study:   60 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

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)

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
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02292849


Locations
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United States, New York
Weill Cornell Medical College
White Plains, New York, United States, 10605
Sponsors and Collaborators
Weill Medical College of Cornell University
National Institute of Mental Health (NIMH)
Investigators
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Principal Investigator: Patrick Raue, PhD Weill Medical College of Cornell University
More Information
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Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

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Responsible Party: Weill Medical College of Cornell University
ClinicalTrials.gov Identifier: NCT02292849    
Other Study ID Numbers: 1307014080
P30MH085943 ( U.S. NIH Grant/Contract )
First Posted: November 17, 2014    Key Record Dates
Results First Posted: September 29, 2017
Last Update Posted: September 29, 2017
Last Verified: August 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Keywords provided by Weill Medical College of Cornell University:
Depression
Additional relevant MeSH terms:
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Depression
Behavioral Symptoms