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The Promise of Peer-Led Interventions for Older Adults

Published:February 23, 2023DOI:https://doi.org/10.1016/j.jagp.2023.02.045
      Joo et al.
      • Joo JH
      • Davey-Rothwell M
      • Choi N
      • et al.
      Increasing the repertoire for depression care: methods and challenges of a randomized controlled trial of peer support for vulnerable older adults.
      present a study protocol and lessons learned to date in implementing a peer support intervention for low-income older adults experiencing depression. The significance of this work is underscored by findings that depression in community-dwelling older adults remains undertreated due to a limited geriatric workforce and a lack of treatment options that are acceptable to older adults.
      • Eden J
      • Maslow K
      • Le M
      • et al.
      The Mental Health and Substance Use Workforce for Older Adults.
      • Bartels SJ
      • Naslund JA.
      The underside of the silver Tsunami—older adults and mental health care.
      • Raue PJ
      • Sirey JA
      • Gum A
      • et al.
      Protocol for a collaborative randomised effectiveness trial of lay-delivered versus clinician-delivered behavioural activation in senior centres.
      As Joo et al.
      • Joo JH
      • Davey-Rothwell M
      • Choi N
      • et al.
      Increasing the repertoire for depression care: methods and challenges of a randomized controlled trial of peer support for vulnerable older adults.
      discuss, emerging evidence suggests that lay health providers and peer support specialists can be trained to provide psychosocial interventions.
      • Bartels SJ
      • Naslund JA.
      The underside of the silver Tsunami—older adults and mental health care.
      • Raue PJ
      • Sirey JA
      • Gum A
      • et al.
      Protocol for a collaborative randomised effectiveness trial of lay-delivered versus clinician-delivered behavioural activation in senior centres.
      • Raue PJ
      • Hawrilenko M
      • Corey M
      • et al.
      "Do more, feel better": pilot RCT of lay-delivered behavioral activation for depressed senior center clients.
      • Raue PJ
      • Dawson A
      • Hoeft T
      • et al.
      Acceptability of a lay-delivered intervention for depression in senior centers.
      • Bruce ML
      • Pepin R
      • Marti CN
      • et al.
      One year impact on social connectedness for homebound older adults: randomized controlled trial of tele-delivered behavioral activation versus tele-delivered friendly visits.
      The promise of such interventions is that they may be more acceptable to many older adults than formal mental healthcare, and at the same time significantly improve clinical outcomes. Expanding the geriatric workforce in this way also provides opportunities to increase the racial and ethnic diversity of those who offer care for older adults.
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      References

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