HIGHLIGHTS What is the primary question addressed by this study? Can PEARLS, a brief, home-based intervention focused on problem solving treatment and behavioral activation for low-income older adults living with depression, improve social connectedness for underserved older populations? What is the main finding of this study? PEARLS participants significantly improved on all three social connectedness constructs (social interactions and satisfaction with social support; perceived isolation; loneliness) six-months after PEARLS enrollment. Though most improvements persisted during early COVID-19 pandemic, additional supports may be needed for older persons with complex health and social needs. What is the meaning of the finding? PEARLS is a promising intervention for increasing social connectedness among underserved older adults living with depression.

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