Circulatory System Mental and Behavioural Disorders Depression, Hypertension
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All adult chronic care patients 18 years or older receiving treatment for hypertension and with depressive symptoms, as indicated by a total score of 9 or more on the Patient Health Questionnaire 9(PHQ-9 who give valid consent. 20 largest eligible clinicsproviding chronic care according to ICDM (integrated chronic diseases management)model
Exclusion criteria
Exclusion criteria: Clinics that do not provide ICDM; small (<10 000 attendances/ year); mobile or satellite Individuals who plan to move away from the vicinity of the clinic in the next year, or do not manage an assessment based on a 3-item decisional capacity instrument developed to assess mental capacity consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of patients considered recovered from their depressive symptoms, as assessed using the PHQ-9 | — |
Secondary
| Measure | Time frame |
|---|---|
| Blood pressure control ;adherence using the self-reported Visual Analogue Scale;Perceived stress symptoms | — |
Countries
South Africa
Contacts
Research Coordinator