Developing a Peer Support Intervention for Depression in SCD
Purpose
The purpose of this study is to assess the feasibility, acceptability, and fidelity of an 8-week intervention where peer coaches will deliver depression care to adults 60 years of age or older who have depression and subjective cognitive decline.
Conditions
- Subjective Cognitive Decline
- Depression in Old Age
Eligibility
- Eligible Ages
- Over 60 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Older adults aged 60+ - Endorse subjective cognitive decline - Endorse depressive symptoms - not currently experiencing suicidal ideation nor active, untreated manic, psychotic, or substance use disorder - fluent in English and able to give informed consent
Exclusion Criteria
- Meets diagnostic criteria for mild cognitive impairment or Alzheimer's dementia - Meets diagnostic criteria for a current major depressive disorder - have a history of neurological and psychiatric comorbidities such as major depressive disorder in the past 12 months
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- N/A
- Intervention Model
- Single Group Assignment
- Primary Purpose
- Health Services Research
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Other Intervention |
Peer coaches will deliver the PeersCOG intervention to participants. |
|
Recruiting Locations
More Details
- Status
- Recruiting
- Sponsor
- Massachusetts General Hospital
Detailed Description
With support from the MADRC ORE Core, we will recruit 30 community-dwelling older adults to conduct an open pilot study of PeersCOG. Trained and supervised peer coaches will deliver depression care to adults 60 years of age and older with depression and subjective cognitive decline in an 8-week intervention using video chats and texts. We will use mixed methods to assess feasibility, acceptability, and fidelity. We will use validated instruments to assess the preliminary outcomes, including depression, SCD, functioning, and social factors at baseline, 8 weeks, and 3 months, and we will conduct post-intervention interviews with stakeholders at 8 weeks. Older adult participants will be asked to name a study partner who will support the older adult throughout the study in terms of study enrollment. They may also have additional perspectives on the impact of impaired cognition and depression on daily living and related needs. The older adult will not be excluded if the study partner is not available.
