Depression Clinical Trial
Official title:
Preventing Depression in Late Life: A Model for Low and Middle Income Countries
Verified date | January 2019 |
Source | University of Pittsburgh |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This study is being conducted in GOA India. The study addresses specific issues of depression
prevention in older adults living in low- and middle income countries (LMICs), by developing
risk-reduction strategies through the use of lay health counselors. We will be training Lay
Health Counselors (LHC's) to deliver simple behaviorally oriented interventions, designed to
enhance the ability to relax, to improve active coping via better problem solving, and to
increase protective factors such as good quality sleep. Lay Health Counselors are inhabitants
of Goa.
The aim of phase 1 is to create a depression and anxiety prevention intervention for use by
lay health counselors. We will test the feasibility and acceptability of Problem Solving
Therapy for Primary Care (PST-PC) and Brief Behavioral Treatment for Insomnia (BBTI). The
products of phase 1 will be a prevention and counseling manual to standardize the
implementation of the interventions for further testing in a randomized prevention trial
(Specific Aim 2) and the adaptation of PST-PC and BBTI for the Indian population.
In Phase 2, we will: gather data on the feasibility of identifying, enrolling, randomizing
and retaining participants; implement the experimental intervention and enhanced usual care;
identify "real world", barriers and develop strategies for addressing them; and assess the
fidelity of the interventions.
Status | Completed |
Enrollment | 181 |
Est. completion date | November 7, 2018 |
Est. primary completion date | November 7, 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 60 Years and older |
Eligibility |
Inclusion Criteria: - Patient at the participating primary care centers - age 60 and older - GHQ scores 4 or above - Hindi MMSE scores 24 or higher - no episodes of major depression or anxiety disorder within the past 12 months - no current antidepressant pharmacotherapy Exclusion Criteria: - episode of major depression or anxiety disorder within the past 12 months - current antidepressant pharmacotherapy - younger than age 60 - Hindi MMSE scores less than 24 - GHQ scores less than 4 |
Country | Name | City | State |
---|---|---|---|
India | Goa Medical College | Bambolim | Goa |
Lead Sponsor | Collaborator |
---|---|
University of Pittsburgh | Goa Medical College, National Institutes of Health (NIH), Sangath |
India,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Percent of Participants Who Develop Major Depression and Anxiety Disorders | Cumulative incidence of episodes of major depression and anxiety disorders over a 12-month period measured by MINI | One year | |
Primary | General Health Questionnaire (GHQ) Scores | Levels of depressive and anxiety symptoms. Scores on the General Health Questionnaire (GHQ-12) range from 0 to 12; a higher score indicated greater symptoms for depression and anxiety | One year | |
Secondary | World Health Organization Disability Assessment Schedule (WHODAS-II) Scores | Assessment instrument for health and disability or functional status. Scores on the World Health Organization Disability Assessment Schedule (WHODAS 2.0) range from 12 to 60; a higher score indicated greater disability. | One year |
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