The overall objective of the project is to determine the effectiveness of tele-delivered behavioral activation (BA) by trained lay counselors (Tele-BA-S) to prevent Post-stroke depression (PSD) in low-income, older stroke survivors with subthreshold depression (SD).
Enrollment within 3-months +2 weeks of a first-time ischemic or hemorrhagic stroke
24-item HDRS score < 15 indicating subthreshold depression defined as the absence of depressive symptoms or presence of mild symptoms of depression
Single person income less than or equal to $45,000
Residing in a community residence
Stroke event unrelated to vascular risk factors (e.g., drug use) or transient ischemic attack
24-item HDRS score > or equal to 15 indicating moderate to severe depression
Actively participating in psychotherapy
high suicide risk or severe psychiatric illness (e.g., bipolar disorder and active psychosis) and/or actively taking antipsychotics
The University of Texas Health Science Center, Houston
Lead sponsor
National Institute of Mental Health (NIMH)
Collaborator