Behavioral Activation for the PreVention of Post-strokE Depression in LoW-incomE Older Stroke Survivors

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 ofdepressive 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 transientischemic 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 activepsychosis) and/or actively taking antipsychotics

• Diagnosed dementia and/or currently taking cognitive enhancers, amyloid-targetingmedications, 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 thelast 4 weeks