Older Adult Volunteers' Experiences Delivering a Lay-Led Behavioral Activation Program for Depression Among Community-Dwelling Older Adults: A Mixed Methods Study.

Authors

Nicole O Crawford
Lesley Steinman
Isabel Rollandi
Brenden Li, Lehigh Valley Health NetworkFollow
Enid Rubio
Brittany Mosser
Julien Rouvere
Brittany E Blanchard
Amber Gum
Jo Anne Sirey
Patrick J Raue

Publication/Presentation Date

6-1-2025

Abstract

OBJECTIVES: To evaluate coaches' experiences delivering a lay-led depression intervention (Do More, Feel Better; DMFB) during a Type I hybrid effectiveness-implementation RCT.

METHODS: We conducted a process evaluation to assess DMFB feasibility, appropriateness, fidelity, and acceptability in 12 senior centers in Florida, New York, and Washington (USA). DMFB is streamlined Behavioral Activation delivered by older adult volunteers from senior center communities. Data sources included eligibility and exit interviews with surveys and external fidelity ratings of session recordings.

RESULTS: The study sample included 45 older adults (M

CONCLUSIONS: This study adds to limited literature on implementation outcomes for lay-led community-based interventions for older adults. Preliminary findings document successful implementation.

Volume

6

First Page

54

Last Page

66

ISSN

2950-3868

Published In/Presented At

Crawford, N. O., Steinman, L., Rollandi, I., Li, B., Rubio, E., Mosser, B., Rouvere, J., Blanchard, B. E., Gum, A., Sirey, J. A., & Raue, P. J. (2025). Older Adult Volunteers' Experiences Delivering a Lay-Led Behavioral Activation Program for Depression Among Community-Dwelling Older Adults: A Mixed Methods Study. The American journal of geriatric psychiatry. Open science, education, and practice, 6, 54–66. https://doi.org/10.1016/j.osep.2025.05.001

Disciplines

Medical Education | Medicine and Health Sciences

PubMedID

41404441

Department(s)

USF-LVHN SELECT Program, USF-LVHN SELECT Program Students

Document Type

Article