Trained para-professional health care workers will implement a stepped-care model of depression care in commune health stations in Vietnam.
This project focuses on evaluation of a collaborative care system for treatment of depression in Vietnam. This system involves training para-professional health care workers in a stepped-care model system of depression care to be implemented in commune health stations in Vietnam.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
473
Psychoeducation, behavioral activation therapy, and medication delivered within a collaborative care model.
Guideline Antidepressant Medication, following the VN National Mental Health plan.
Khanh Hoa Provincial Hospital
Nha Trang, Khanh Hoa, Vietnam
Danang Psychiatric Hospital
Da Nang, Vietnam
Change across time (random effects slope) in depressive symptoms, as assessed by the PHQ-9 questionnaire
The PHQ-9 (Patient Health Questionnaire-9) assesses depressive symptoms, over the last two weeks. It is assessed at 0, 6, 12, 24 weeks. The outcome target is the linear and quadratic change slopes across these 4 time points.
Time frame: 0, 6, 12, 24 weeks
Change across time (random effects slope) in anxiety symptoms, as assessed by the GAD-7 questionnaire
The GAD-7 (General Anxiety Disorder-7) assesses anxiety symptoms, over the last two weeks. It is assessed at 0, 6, 12, 24 weeks. The outcome target is the linear and quadratic change slopes across these 4 time points.
Time frame: 0, 6, 12, 24 weeks
Change across time (random effects slope) in physical health, as assessed by the SF-12 questionnaire, Physical Health subscale
The SF-12 questionnaire, Physical Health subscale, assesses physical health functioning. It is assessed at 0, 6, 12, 24 weeks. The outcome target is the linear and quadratic change slopes across these 4 time points.
Time frame: 0, 6, 12, 24 weeks
Change across time (random effects slope) in mental health, as assessed by the SF-12 questionnaire, Mental Health subscale
The SF-12 questionnaire, Mental Health subscale, assesses mental health functioning. It is assessed at 0, 6, 12, 24 weeks. The outcome target is the linear and quadratic change slopes across these 4 time points.
Time frame: 0, 6, 12, 24 weeks
Change across time (random effects slope) in behavioral activation skills and behaviors, as assessed by the BADS questionnaire.
The BADS (Behavioral Activation for Depression Scale) questionnaire assesses behavioral activation-related skills and behaviors. It is assessed at 0, 6, 12, 24 weeks. The outcome target is the linear and quadratic change slopes across these 4 time points.
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Time frame: 0, 6, 12, 24 weeks
"Substantial improvement" in depressive symptoms, as assessed by the PHQ-9
Rates of substantial symptomatic improvement (50% or greater reduction in PHQ-9 scores from baseline), to (a) 6 weeks, (b) 12 weeks, (c) 24 weeks.
Time frame: 6, 12, 24 weeks
"Depression remission", as assessed by the PHQ-9
Depression remission (PHQ-9\<5), at (a) 6 weeks, (b) 12 weeks, (c) 24 weeks.
Time frame: 6, 12, 24 weeks