Overview
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).
Eligibility
Inclusion Criteria:
- 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
- Ability to speak and read in English or Spanish
- Mini-MoCA score \> or equal to 11
Exclusion Criteria:
- 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
- Diagnosed dementia and/or currently taking cognitive enhancers, amyloid-targeting medications, or orexin receptor antagonists
- Patient Health Questionnaire 9 score \> or equal to 10 and/or answers positive to Q9
- Diagnosed aphasia and/or severe cognitive impairments
- high-risk alcohol or drug misuse
- receiving medications for mood disorders and a change in dose or type within the last 4 weeks
