Status:
COMPLETED
SMART-DAPPER: Leveraging the Depression And Primary-care Partnership for Effectiveness-implementation Research Project
Lead Sponsor:
University of California, San Francisco
Collaborating Sponsors:
University of Nairobi
National Institute of Mental Health (NIMH)
Conditions:
Depression, Unipolar
Posttraumatic Stress Disorder
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
Despite carrying the vast majority of the global mental disorder burden, 75% of adults with mental disorders in Low and Middle Income Countries have no access to services. This study will test strateg...
Detailed Description
Mental disorders are a leading cause of global disability, driven by depression and anxiety. Most of the disease burden is in Low and Middle Income Countries (LMICs), where 75% of adults with mental d...
Eligibility Criteria
Inclusion
- Kisumu County Hospital (KCH) adult primary care outpatient clinic attendees who screen positive for depression and/or PTSD
- Ability to attend weekly IPT sessions/fluoxetine monitoring; (3) 18 years or older
Exclusion
- Cognitive dysfunction compromising ability to participate in IPT or accurately take fluoxetine (lack of orientation to person, place, time and situation)
- acute suicidality requiring higher level of care
- drug/alcohol use disorders requiring substance use treatment (AUDIT score of 8 or higher, DAST score of 3 or higher)
- history of mania or requiring treatment for hypomania
- Outside mental health treatment during the study treatment phases (any mental health treatment is allowed during follow-up phases and is recorded by study team).
Key Trial Info
Start Date :
August 31 2020
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
May 6 2024
Estimated Enrollment :
2162 Patients enrolled
Trial Details
Trial ID
NCT03466346
Start Date
August 31 2020
End Date
May 6 2024
Last Update
December 2 2025
Active Locations (3)
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1
Jaramogi Oginga Odinga Teaching and Referral Hospital (JOOTRH)
Kisumu, Kenya
2
Kisumu County Hospital
Kisumu, Kenya
3
Lumumba Health Center
Kisumu, Kenya