• Amber M Gum, Lawrence Schonfeld, Susan Tyler, Sarah Fishleder, and Lucy Guerra.
• From the Department of Mental Health Law and Policy, Louis de la Parte Florida Mental Health Institute, and the Department of Internal Medicine, Morsani College of Medicine, University of South Florida, Tampa.
• South. Med. J. 2016 Aug 1; 109 (8): 442-7.

ObjectivesWe pilot tested a one-visit behavioral intervention with telephone follow-up for older primary care patients with mild to moderate depressive symptoms.MethodsA total of 16 English-speaking primary care patients aged 60 years and older who scored 5 to 14 on the Patient Health Questionnaire-9 (PHQ-9) engaged in the intervention visit. Outcomes were assessed at baseline and 4 weeks: activity goals, readiness to change (University of Rhode Island Change Assessment), PHQ-9, Generalized Anxiety Disorder-7, World Health Organization Disability Assessment Schedule 2.0, and satisfaction.ResultsThe 14 participants who completed the study met or exceeded 73% of activity goals on average. They also improved on all outcomes (P < 0.05) with medium (University of Rhode Island Change Assessment, GAD-7) to large effect sizes (PHQ-9, World Health Organization Disability Assessment Schedule 2.0), and they were satisfied.ConclusionsThis pilot study provided preliminary evidence that a one-visit behavioral activation intervention is acceptable and feasible and improves outcomes. If findings are confirmed, then this intervention could be integrated into existing collaborative care programs.

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