Behavioral Activation for the PreVention of Post-strokE Depression in LoW-incomE Older Stroke Survivors

Purpose

The overall objective of the project is to determine the effectiveness of tele-delivered behavioral activation (BA) by trained lay counselors (Tele-BA-S) to prevent Post-stroke depression (PSD) in low-income, older stroke survivors with subthreshold depression (SD).

Conditions

  • Post-stroke Depression
  • Subthreshold Depression

Eligibility

Eligible Ages
Over 55 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Enrollment within 3-months +2 weeks of a first-time ischemic or hemorrhagic stroke - 24-item HDRS score < 15 indicating subthreshold depression defined as the absence of depressive symptoms or presence of mild symptoms of depression - Single person income less than or equal to $45,000 - Residing in a community residence - Ability to speak and read in English or Spanish - Mini-MoCA score > or equal to 11

Exclusion Criteria

  • Stroke event unrelated to vascular risk factors (e.g., drug use) or transient ischemic attack - 24-item HDRS score > or equal to 15 indicating moderate to severe depression - Actively participating in psychotherapy - high suicide risk or severe psychiatric illness (e.g., bipolar disorder and active psychosis) and/or actively taking antipsychotics - Diagnosed dementia and/or currently taking cognitive enhancers, amyloid-targeting medications, or orexin receptor antagonists - Patient Health Questionnaire 9 score > or equal to 10 and/or answers positive to Q9 - Diagnosed aphasia and/or severe cognitive impairments - high-risk alcohol or drug misuse - receiving medications for mood disorders and a change in dose or type within the last 4 weeks

Study Design

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

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Tele-delivered Behavioral Activation by lay counselors after Stroke (Tele-BA-S)
  • Behavioral: Tele-delivered Behavioral Activation by lay counselors after Stroke (Tele-BA-S)
    The Tele-BA-S intervention will comprise 5 weekly video-conferenced BA sessions delivered by trained lay counselors, homework, and 2 monthly follow-up booster calls. Participants will receive the standard hospital discharge post-stroke educational packet and a scheduled follow-up appointment with a stroke practitioner to evaluate patients at 7-14 days and 3 months ±14 days, according to current standard of care. They will be seen over video or in-person, according to their preference and capabilities.
Active Comparator
Treatment as Usual
  • Behavioral: Treatment as Usual
    Participants will receive the standard hospital discharge post-stroke educational packet and a scheduled follow-up appointment with a stroke practitioner to evaluate patients at 7-14 days and 3 months ±14 days, according to current standard of care. They will be seen over video or in-person, according to their preference and capabilities.

Recruiting Locations

More Details

Status
Recruiting
Sponsor
The University of Texas Health Science Center, Houston

Study Contact

Jennifer Beauchamp, PhD, RN
713-500-2114
Jennifer.e.Beauchamp@uth.tmc.edu

If you are in crisis please dial 988 for the Suicide & Crisis Lifeline. Please note: ADAA is not a direct service organization. ADAA does not provide psychiatric, psychological, or medical advice, diagnosis, or treatment.
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