Depression
Conditions
Brief summary
This stepped wedge, randomized controlled trial will test the effectiveness of a Supported Self-Management intervention for depression among adults in Vietnam. The intervention will be delivered at the community level in 8 Vietnamese provinces by primary care providers and social workers. The intervention group will receive the Supported Self-Management intervention, while the control group will receive enhanced treatment as usual. The primary outcome measure for depression is the Self-Reporting Questionnaire-20 (SRQ-20). The World Health Organization's Disability Assessment Scale (WHODAS 2.00 and the CAGE (Concern/Cut-down, Anger, Guilt, and Eye-opener) measures are also used to assess functional ability and alcohol misuse.
Interventions
This Supported Self-Management intervention consists of bibliotherapy (the Antidepressant Skills Workshop) that is provided to a patient by a health or social worker. The patient is supported in the use of the skills found in the workbook over the course of two months. The skills in the workbook are based on the principles of Cognitive Behavioural Therapy.
Participants in the control arm will received enhanced treatment as usual in the form of usual care at primary care centres and a leaflet providing information about depression.
Sponsors
Study design
Eligibility
Inclusion criteria
* Score of \>7 on SRQ-20 indicating depression caseness * Consent to participate and complete all measures
Exclusion criteria
* Cognitive disturbance * Psychotic symptoms
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Self-Reporting Questionnaire 20 (SRQ-20) | Two months |
Secondary
| Measure | Time frame |
|---|---|
| World Health Organization's Disability Assessment Scale (WHODAS 2.0) | Two months |
Countries
Vietnam