Mental Health in Adults and Children- Frugal Innovations (MAC-FI): Adult Depression Component

Simon Fraser University

Status: Completed

Conditions: Depression

Treatments: Other: Enhanced treatment as usual; Other: Supported Self-Management

Study type: Interventional

Funder types: Other

Identifiers

NCT03001063

0762-05

Details and patient eligibility

About

This stepped wedge, randomized controlled trial will test the effectiveness of a Supported Self-Management intervention for depression among adults in Vietnam. The intervention will be delivered at the community level in 8 Vietnamese provinces by primary care providers and social workers. The intervention group will receive the Supported Self-Management intervention, while the control group will receive enhanced treatment as usual. The primary outcome measure for depression is the Self-Reporting Questionnaire-20 (SRQ-20). The World Health Organization's Disability Assessment Scale (WHODAS 2.00 and the CAGE (Concern/Cut-down, Anger, Guilt, and Eye-opener) measures are also used to assess functional ability and alcohol misuse.

Enrollment: 376 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Score of >7 on SRQ-20 indicating depression caseness
• Consent to participate and complete all measures

Exclusion criteria

• Cognitive disturbance
• Psychotic symptoms

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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376 participants in 2 patient groups

Intervention

Experimental group

Description:

This arm will receive the Supported Self- Management intervention, which consists of bibliotherapy that is provided with the regular support of health or social workers for a duration of two months.

Treatment:

Other: Supported Self-Management

Control

Other group

Description:

This arm will receive enhanced treatment as usual, which consists of a leaflet with information about depression and regular care as provided by primary care centres. The control arm will receive the intervention after the intervention arm has completed the intervention period.

Treatment:

Other: Enhanced treatment as usual