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Lay‐delivered behavioral activation for depressed senior center clients: Pilot RCT
Author(s) -
Raue Patrick J.,
Sirey Jo Anne,
Dawson Alexis,
Berman Jaquelin,
Bruce Martha L.
Publication year - 2019
Publication title -
international journal of geriatric psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.28
H-Index - 129
eISSN - 1099-1166
pISSN - 0885-6230
DOI - 10.1002/gps.5186
Subject(s) - randomized controlled trial , psychological intervention , intervention (counseling) , attendance , mental health , referral , medicine , depression (economics) , workforce , rating scale , physical therapy , psychology , psychiatry , nursing , developmental psychology , surgery , economics , macroeconomics , economic growth
Objective We describe the development of a lay‐delivered behavioral intervention (“Do More, Feel Better”) for depressed senior center clients, and we present preliminary data from a pilot randomized controlled trial (RCT) on (a) the feasibility of training lay volunteers to fidelity and (b) the acceptability, impact, and safety of the intervention. Methods We trained 11 volunteers at two aging service settings in “Do More, Feel Better” and randomized 18 depressed clients to receive the intervention or referral to mental health services. Results Pilot data indicated that we can successfully train and certify 64% of older volunteers and that depressed clients receiving the intervention reported high levels of session attendance and satisfaction. While there were no significant differences in 12‐week reduction in Hamilton Depression Rating Scale scores between groups, intervention clients showed an 8‐point reduction in comparison with a 0‐point reduction among referral clients. Conclusions “Do More, Feel Better” has the potential of transferring evidence‐based behavioral interventions to the hands of supervised lay volunteers and can address the insufficient workforce providing geriatric mental health services.