Depression in Old Age, Subjective Cognitive Decline
Conditions
Brief summary
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.
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.
Interventions
BEHAVIORALPeersCOG
. The intervention will consist of 8 weekly video chats focused on emotional, appraisal, and informational support delivered by community-based older adult peer coaches to adults 60 years of age and older with subthreshold depression and SCD.
Sponsors
Massachusetts General Hospital
National Institutes of Health (NIH)
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of Intervention | Measured at baseline enrollment | Level of participant engagement: how many screened older adults agree to participate in the intervention and complete baseline assessments |
| Acceptability of Intervention | Measured during intervention (8 weeks) | Number of meetings older adults complete with peer coach |
| Fidelity of Intervention | Measured during intervention (8 weeks) | Degree of adherence to intervention |
Countries
United States
Outcome results
None listed