"Do More, Feel Better" for Depression in Older People with HIV
What You Need to Know Before You Apply
What is the purpose of this trial?
More than half of people living with HIV (PWH) in the United States are 50 years of age or older. Older PWH have a 2.3-fold increased risk of depression compared to their peers without HIV. The investigator team has developed a streamlined lay-delivered behavioral activation intervention called "Do More, Feel Better" that has been shown to decrease depressive symptoms among older adults obtaining services in community senior centers. The investigators propose to (1) identify barriers and facilitators to improving mental health among older PWH by using this intervention in the context of Ryan White case management services, (2) adapt and enhance the intervention to meet the needs of older PWH, and (3) conduct a pilot randomized controlled trial to determine the acceptability, feasibility, and appropriateness of the adapted DMFB intervention.
Who Is on the Research Team?
Susan M Graham, MD MPH PhD
Principal Investigator
University of Washington
Are You a Good Fit for This Trial?
This trial is for people aged 50 or older who are living with HIV and experiencing depression. Participants should be receiving case management services, such as those provided through the Ryan White program.Inclusion Criteria
Exclusion Criteria
What Are the Treatments Tested in This Trial?
Interventions
- "Do More, Feel Better" for Older People with HIV
Trial Overview
"Do More, Feel Better" is a talk-based program designed to help older adults with HIV manage depression by encouraging positive activities. The study will test if this adapted approach works well and fits into existing support services.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Lay-delivered behavioral activation intervention, adapted based on interviews and theater testing with the target audience
The control condition will be usual care, which will likely involve some period waiting for an intake followed by supportive counseling sessions for treating depressive symptoms. Receipt of counseling and other supportive services during the trial for both the intervention and usual care groups will be closely tracked.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Washington
Lead Sponsor
National Institute of Mental Health (NIMH)
Collaborator
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