Depression Clinical Trial
Official title:
LIFE-DM Implementation Study: A Mixed Methods Implementation Evaluation of an Integrated Depression and Microfinance Program for Women in Vietnam
This is an implementation project to develop a model to support implementation of LIFE-DM, an evidence-based practice (EBP) program that integrates depression management with microfinance services to address both poverty and depression among low-income women in Vietnam. This evaluation is a mixed methods study that will 1) describe the development of community-partnered implementation process, 2) study the effectiveness of the training and implementation support plan on provider and patient outcomes, and 3) identify factors that impact implementation success.
Livelihood Integration for Effective Depression Management (LIFE-DM) aims to address the dual
challenges of poverty and depression faced by women in Vietnam by integrating evidence-based
treatment for depression management and microfinance services. With funding from NIMH, the
investigators established initial evidence for the effectiveness of LIFE-DM in reducing
depression and improving functioning, social support, self-efficacy, and income at six
months. These treatment effects were maintained at twelve months, suggesting that the LIFE-DM
program may be an effective strategy to break the cycle of depression and poverty in
low-income women.
For the Grand Challenges of Canada (GCC) Transition to Scale Grant, the investigators
developed a model to scale up the program in the public health and social system across two
provinces, Danang and Thua Thien Hue through 1) the training of local trainers from the
psychiatric hospital to support local implementation, 2) development of a supervision model,
and 3) use of a learning collaborative.
To evaluate the success of the model, the investigators will conduct a mixed methods
implementation study that will assess implementation and patient outcomes according to the
RE-AIM framework, as well as identify barriers and facilitators to implementation.
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