Programa Esperanza (Project Hope): A Depression Program for Older Latinos With Chronic Medical Conditions
Depression
About this trial
This is an interventional treatment trial for Depression focused on measuring depression, randomized behavioral trial, aged, Latinos, Spanish-speaking, chronic medical conditions
Eligibility Criteria
Inclusion Criteria:
- English or Spanish-speaking Latino age 55 years or older
- receiving services from any AltaMed PACE site
- positive for depression (> 8 PHQ-9 score)
Exclusion Criteria:
- current drinking problems
- disorders with active mania or psychotic symptoms
- cognitive impairment precluding ability to give informed consent or participating in the intervention
- an active medical condition with life expectancy less than 6 months
- anticipated absences or disenrollment from PACE
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Problem Solving Treatment
Enhanced Usual Care
Problem Solving Treatment Individual, face-to-face PST sessions over a span of 8 weeks and 3 monthly booster sessions. The PST protocol is highly structured, time-limited, and manual-driven; sessions include PST hand outs and homework as well as social and behavioral activation strategies.
Enhanced Usual Care EUC patients will receive psychoeducational materials on depression and depression treatment of older persons. EUC patients will continue to receive the full complement of PACE services (medical, rehabilitation, social) including referrals to specialty mental health services, if indicated.