Peer-Delivered Behavioral Activation in a CCBHC
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Peer Activate, Peer-delivered non-specific services.
- Who it may be relevant to
- Registry conditions: Major Depressive Disorder, Substance Use Disorders. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Hybrid Effectiveness-Implementation Trial to Evaluate a Scalable, Peer-Delivered Intervention for Depression Among People With Substance Use Disorder in a Certified Community Behavioral Health Clinic
Overview
Low-income individuals have limited access to evidence-based interventions for mental health. Peer recovery specialists, individuals in recovery from mental health and/or substance use problems, have the potential to increase access to evidence-based interventions for individuals from low-resource communities, particularly when trained and supervised in models that are acceptable and feasible in these communities. This study will examine the effectiveness and implementation potential of a peer-delivered evidence-based intervention (Behavioral Activation) among individuals receiving services from a community-based treatment setting providing integrated physical and behavioral healthcare.
Interventions
- Behavioral Peer Activate
Peer Activate is an adapted behavioral activation (BA) intervention, developed for delivery by peer recovery specialists to reduce rates of depressive symptoms and substance use. BA focuses on increasing positive reinforcement through engaging in adaptive, valued behaviors. BA has been found to be effective in improving substance use outcomes and decreasing depressive symptoms among low-income individuals with SUD. Peer Activate includes 6 weekly sessions with up to 6 additional booster sessions - Behavioral Peer-delivered non-specific services
Peers will deliver non-specific peer services, including linkage to care, general support, and facilitated referrals to external providers as needed.
Primary outcome measures
- Change in Hamilton Depression Rating Scale [Time frame: Baseline, post-intervention (approximately 3 months after baseline), 6- and 12-month follow-up]
Secondary outcome measures (2)
- Change in Patient Health Questionnaire-9 [Time frame: Baseline, post-intervention (approximately 3 months after baseline), 6- and 12-month follow-up]
- Change in Short Inventory of Problems [Time frame: Baseline, post-intervention (approximately 3 months after baseline), 6- and 12-month follow-up]
Eligibility criteria
Inclusion criteria
- Age 18 years old or older
- Report clinically-significant symptoms of depression, as indexed by a score of 8+ on the PHQ-9.
Exclusion criteria
- Active, under treated psychotic symptoms or mania that would interfere with participation in study procedures
- Inability to provide informed consent and/or complete procedures in English
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
United States · 1 center
- Detroit Recovery Project — Detroit
Identifiers
NCT: NCT07219394 · BARCT: 25-02-7552