Depressive Symptoms
Conditions
Keywords
Depression, Transgender women
Brief summary
The study aims to develop and implement a depression screening intervention into routine HIV and sexual health service provision at a transgender health clinic in Thailand, and to explore the facilitators, barriers, feasibility and acceptability of the screening implementation.
Detailed description
The study will follow a mixed-methods approach that will incorporate quantitative and qualitative components. Aim 1 will involve the development and implementation of depression screening intervention at Tangerine Clinic. Aim 2 will involve semi-structured interviews with a purposive subset of participants who received the intervention and healthcare providers to explore the multilevel facilitators, barriers, feasibility and acceptability of the screening implementation. Aim 3 will evaluate the proportion of participants who are offered, accept, and receive the peer-led depression screening intervention, and the proportion who screen positive.
Interventions
BEHAVIORALDepression Screening Intervention
All participants will be screened for depression using PHQ-2 and PHQ-9. Those screened positive for PHQ-2 but decline further screening with PHQ-9 will be assisted for further assessment or care. Those with mild to severe symptoms (score of 7 or higher on PHQ-9) will be assisted for further assessment or care with a psychiatrist.
Sponsors
amfAR, The Foundation for AIDS Research
National Institutes of Health (NIH)
Fogarty International Center of the National Institute of Health
Thai Red Cross AIDS Research Centre
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
1. Thai nationality 2. Transgender women ≥18 years 3. Attending the Tangerine Clinic for routine care visits during the intervention period. 4. Can be a new or returning clients.
Exclusion criteria
1\. Transgender women currently receiving care for a mental health diagnosis will be excluded from participating in this study. Inclusion Criteria for healthcare providers: 1. Currently working at the Tangerine Clinic 2. Can be medical doctors, nurses, peer counselors and other members of the clinic management team involved in the routine delivery of HIV and health services to Transgender women.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intervention Acceptability: Number of participants who accepted intervention | Day 1 | Acceptability will be measured by the number of clients who were offered and accepted the intervention. |
| Intervention Acceptability: Participants' perspective of the intervention through in-depth interviews | Day 1 | Acceptability will be assessed qualitatively through post-intervention in-depth interviews. |
| Intervention Acceptability: Participants' perspective of the intervention through focus group discussion | Day 1 | Acceptability will be assessed qualitatively through post-intervention focus group discussion. |
| Intervention Feasibility: Number of intervention completed | Day 1 | Feasibility will be measured by number of intervention completed. Point estimates of \>50% of participants completed is considered as the minimum criteria for feasibility. |
| Intervention Feasibility: Participants' perspective of the intervention through in-depth interviews | Day 1 | Feasibility will be assessed qualitatively through post-intervention in-depth interviews. |
| Intervention Feasibility: Participants' perspective of the intervention through focus group discussion. | Day 1 | Feasibility will be assessed qualitatively through post-intervention focus group discussion. |
| Number of participants screening positive for depression | Day 1 | Screening positive is defined as scoring 7 or greater on PHQ-9. The total possible score for PHQ-9 is 27, with 0-6 being minimum and indicating no depressive symptoms, 7-12 mild depression, 13-18 moderate depression, and 19-27 severe depression. |
Countries
Thailand
Outcome results
None listed