Status:
COMPLETED
Remote Coaching for Supporting the Implementation of Depression Care in Primary Care in Rural India
Lead Sponsor:
Harvard Medical School (HMS and HSDM)
Collaborating Sponsors:
Sangath
Ministry of Health & Family Welfare, India
Conditions:
Depression
Depressive Disorder
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
This cluster-randomized hybrid type-II implementation superiority trial will include 14 rural primary care facilities in Madhya Pradesh, which will implement a collaborative depression care packaged b...
Detailed Description
Evidence-based clinical interventions exist for depression; however, the gap between those who need treatment and those who receive it (i.e., the care gap) is alarming, with upwards of 90% of individu...
Eligibility Criteria
Inclusion
- Facilities must be primary health centers in Sehore district, Madhya Pradesh, which have been upgraded to "Health and Wellness Center" status offering services for non-communicable disease care, and that have an Accredited Social Health Activist (ASHA) worker linked to the Health and Wellness Center to ensure access to the brief psychological treatment for depression
- Patients must be outpatients seen at these facilities, and must be adults of any gender age ≥18 years
- Patients must screen positive for depression by the ANM/nurse defined as having a PHQ-2 score ≥3.
Exclusion
- Facilities that have not been upgraded to Health and Wellness Center and that do not have a linked ASHA worker
- Patients that have significant speech, hearing, language or cognitive impairment impacting their ability to provide informed consent and complete study assessments
- Patients in need of urgent medical or psychiatric attention (e.g., emergency treatment or in-patient admission)
- Patients who do not plan to stay in the study catchment area for at least three months at the time of consent
- Patients who do not understand Hindi
Key Trial Info
Start Date :
October 6 2022
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
December 31 2023
Estimated Enrollment :
14 Patients enrolled
Trial Details
Trial ID
NCT05264792
Start Date
October 6 2022
End Date
December 31 2023
Last Update
October 18 2024
Active Locations (1)
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1
Sangath
Bhopal, Madhya Pradesh, India, 462016