ArticleThe American journal of geriatric psychiatry. Open science, education, and practice2025
Designing Implementation Strategies for Lay-Delivered Depression Care: Senior Center Organizational Perspectives From A Multi-Site Randomized Clinical Trial.
Article in The American journal of geriatric psychiatry. Open science, education, and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
Background: "Do More, Feel Better" (DMFB) is a Behavioral Activation intervention designed for lay providers to address depression in older adults attending senior centers. This study explored senior center partners' perspectives on implementing DMFB outside research settings, focusing on adaptations to proposed implementation strategies, implementation determinants, and preimplementation outcomes, including feasibility, acceptability, and appropriateness. Methods: Using a convergent mixed-methods design, we conducted semi-structured interviews and surveyed 12 senior centers partners from Washington, Florida, and New York as part of a collaborative randomized controlled trial. Stratified, purposive sampling was used to select for administrators and frontline staff. We used the implementation science frameworks FRAME-IS, CFIR, and IOF, respectively, to identify recommended adaptations to strategies, determinants, and preimplementation outcomes. Rapid qualitative analysis, descriptive analyses, and joint display cross-comparing qualitative themes with quantitative data were used. Results: Partners supported train-the-trainer strategy and educational materials but recommended adding content on supervision and confidentiality; offering expert consultation and support for the lead trainer beyond technical assistance; and broadening client inclusion criteria. New strategies that emerged from the data included interactive training, volunteer incentives, and local DMFB networks. Barriers included limited funding for a lead trainer, finding the right candidate, a volunteer workforce, and mental health stigma. Facilitators included program credibility, alignment with center missions, meeting community and organizational needs, and contextual fit. Quantitative ratings confirmed high feasibility, acceptability, and appropriateness. Conclusions: DMFB is promising for real-world implementation using a train-the-trainer model if supported by adequate training, access to expert consultation and support, and funding.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.