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Depression Treatment and Economic Empowerment

The ASHA Project: Pilot Study of a Depression Treatment/Economic Empowerment

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04532008
Acronym
ASHA
Enrollment
48
Registered
2020-08-31
Start date
2012-09-01
Completion date
2020-08-15
Last updated
2020-08-31

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Depressive Symptoms

Brief summary

This pilot study randomized 48 depressed rural Bangladeshi housewives to either intervention or control groups. The intervention groups received depression treatment and a financial empowerment intervention.

Detailed description

This study was conducted in the rural Sirajganj region of Bangladesh. Working with the International Centre for Diarrhoeal Disease Research, Bangladesh and a local NGO, we recruited 48 depressed rural housewives for the study. Participants were randomized into intervention in control groups. The intervention groups (n=24) received 12 sessions of evidence based depression treatment, financial literacy education, agricultural training and skill building. They opened bank accounts and saved for six months. At the end of the six month period, participants who had met savings and attendance requirements received a cash transfer of approximately $186, which was used to purchase a productive asset. 22 participants purchased an agricultural animal, usually a goat; 1 financed a small retail business, and 1 leased land to grow crops for sale. Depression scores on the PHD-9 were sharply reduced. The study had 100% retention.

Interventions

BEHAVIORALGroup based treatment

12 sessions of group based therapy that included cognitive restructuring, behavioral activation, and interpersonal therapy

Sponsors

International Centre for Diarrhoeal Disease Research, Bangladesh
CollaboratorOTHER
Albert Einstein College of Medicine
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

48 women randomized to either intervention or control.

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
No

Inclusion criteria

* Age 18-40 * PHQ greater than 10 * Able to save * Able to read and write

Exclusion criteria

* Not in age range PhQ below 10 Unable to contribute to savings account Illiterate

Design outcomes

Primary

MeasureTime frameDescription
Depressive Symptoms12 months post baselinesymptoms on the Patient Health Questionnaire (PHD-9), ranging from 0 to 27, with higher scores indicating worse outcomes

Secondary

MeasureTime frameDescription
RetentionAssessed at 12 Months post baslinePercentage of participants in the intervention group completing the intervention

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026