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| ID | Type | Description | Link |
|---|---|---|---|
| P30MH085943 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute of Mental Health (NIMH) | NIH |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Peer to Peer | Experimental | 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. |
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| Referral | Active Comparator | These individuals will receive a standard mental health referral to a community agency. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Peer to Peer | Behavioral | 12 weekly sessions of peer-delivered behavioral activation |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of Peer to Peer Coaches Who Undergo Behavioral Activation Training and Achieve Certification | Proportion of Peer to Peer coaches who undergo Behavioral Activation training and achieve certification | 4 weeks prior to Baseline |
| Number of Peer to Peer Clients Who Attend > 80% of Behavioral Activation Sessions | Number of Peer to Peer clients who attend > 80% of Behavioral Activation sessions | 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in Hamilton Depression Rating Scale Scores | 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. | Baseline and 12 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Patrick Raue, PhD | Weill Medical College of Cornell University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Weill Cornell Medical College | White Plains | New York | 10605 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31368583 | Derived | Raue PJ, Sirey JA, Dawson A, Berman J, Bruce ML. Lay-delivered behavioral activation for depressed senior center clients: Pilot RCT. Int J Geriatr Psychiatry. 2019 Nov;34(11):1715-1723. doi: 10.1002/gps.5186. Epub 2019 Aug 8. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Peer to Peer Coaches | Peer coaches who were eligible to provide the Behavioral Activation intervention |
| FG001 | Peer to Peer Clients | 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. Peer to Peer: 12 weekly sessions of peer-delivered behavioral activation |
| FG002 | Referral Clients | These individuals will receive a standard mental health referral to a community agency. Standard Mental Health Referral: Standard mental health referral to a community agency |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | Peer to Peer Coaches | These individuals were eligible to provide the Behavioral Activation intervention. |
| BG001 | Peer to Peer Clients | 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. Peer to Peer: 12 weekly sessions of peer-delivered behavioral activation |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Proportion of Peer to Peer Coaches Who Undergo Behavioral Activation Training and Achieve Certification | Proportion of Peer to Peer coaches who undergo Behavioral Activation training and achieve certification | This outcome analyzed Peer to Peer coaches who were eligible to provide the Behavioral Activation intervention | Posted | Count of Participants | Participants | 4 weeks prior to Baseline |
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12 weeks
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Peer to Peer Clients | 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. Peer to Peer: 12 weekly sessions of peer-delivered behavioral activation |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| ER visit for respiratory disorder | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Patrick Raue, Ph.D. | Weill Cornell Medical College | 206-543-3807 | praue@uw.edu |
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| ID | Term |
|---|---|
| D003863 | Depression |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| Standard Mental Health Referral |
| Other |
Standard mental health referral to a community agency |
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| BG002 | Referral Clients | These individuals will receive a standard mental health referral to a community agency. Standard Mental Health Referral: Standard mental health referral to a community agency |
| BG003 | Total | Total of all reporting groups |
| Participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Count of Participants | Participants |
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| Primary | Number of Peer to Peer Clients Who Attend > 80% of Behavioral Activation Sessions | Number of Peer to Peer clients who attend > 80% of Behavioral Activation sessions | Clients assigned to receive Peer BA | Posted | Count of Participants | Participants | 12 weeks |
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| Secondary | Changes in Hamilton Depression Rating Scale Scores | 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. | Randomized clients | Posted | Mean | Standard Deviation | units on a scale | Baseline and 12 weeks |
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| 0 |
| 8 |
| 2 |
| 8 |
| 0 |
| 8 |
| EG001 | Referral Clients | These individuals will receive a standard mental health referral to a community agency. Standard Mental Health Referral: Standard mental health referral to a community agency | 0 | 10 | 1 | 10 | 0 | 10 |
| ER visit for injury | Injury, poisoning and procedural complications | Non-systematic Assessment |
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| ER visit for general disorder | General disorders | Non-systematic Assessment |
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