None listed
Conditions
Brief summary
We are undertaking a randomised controlled trial to test if it is feasible to conduct a full scale study of the safety and effectiveness of peer worker (people with lived experience of living and working in the farming community) delivered behavioural activation (a brief evidence based psychological treatment for depression) for people with moderate to severe depression. We want to find out if it is possible to recruit and train peer workers, if they can sucessfully deliver the intervention and if people from farming communities will agree to participate in a clinical trial.
Interventions
Back-on-Track is an individual ten-session (that will last around 30 minutes, delivered approximately weekly, either face-to face or using video conferencing) psychological intervention based on Behavioural Activation. Back-on-Track encourages a person to develop or get back into activities which are meaningful to them by scheduling activities and monitoring behaviours and looking at specific situations where changing these behaviours and activities may be helpful (activity scheduling and mood monitoring). People will be asked to complete worksheets (that will be developed for the purposes of the study) during and after the session (worksheets will take no more than 20 minutes to complete each week and involve making a plan for the week and rating mood on a daily basis). Peer workers will be encouraged to, generally, adhere to the structure of the Back-on-Track approach but can tailor sessions to address individual contexts. Peer workers will complete the Back-on-Track training package that includes: 1. Introduction to Back-on-Track 2. Behavioural activation training – University of South Australia Professional Certificate in Behavioural Activation for Depression. 3. Peer worker fortnightly clinical supervision. In total the Back-on-Track training package will take 76 hours to complete. Trainee peer workers will need to pass a standardised competency assessment to successfully complete the program to become a Back-on-Track peer worker. The training lead for the trial is Associate Professor Martin Jones, other members of the research team will also contribute to the training as required.
Sponsors
Study design
Eligibility
Inclusion criteria
Inclusion criteria: 1. PHQ-9 (Patient Health Questionnaire) score of between 5 and 19 (indicative of mild to moderate depression). 2. Self identifies as a member of the farming community 3. Not currently receiving any formal psychological treatment (e.g., Cognitive Behavioural Therapy) for any mental health problem. 4. Does not have serious long term health conditions that may necessitate hospital admission or regular contact with secondary health services during the trial 5. Are not actively suicidal or have attempted suicide in the past two months 6. Does not have a diagnosis of psychosis, personality disorder, or cognitive impairment
Exclusion criteria
None