Peer-Delivered Behavioral Activation in a CCBHC

Wayne State University

Status: Not yet enrolling

Conditions: Major Depressive Disorder; Substance Use Disorders

Treatments: Behavioral: Peer Activate; Behavioral: Peer-delivered non-specific services

Study type: Interventional

Funder types: Other

Identifiers

NCT07219394

BARCT: 25-02-7552

Details and patient eligibility

About

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.

Enrollment: 250 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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250 participants in 2 patient groups

Behavioral Activation

Experimental group

Description:

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.

Treatment:

Behavioral: Peer Activate

Enhanced Treatment as Usual

Active Comparator group

Description:

Enhanced treatment as usual (ETAU) involves peer-delivered non-directive support, including facilitated linkages to care and non evidence-based intervention approaches typically used by peer recovery specialists.

Treatment:

Behavioral: Peer-delivered non-specific services