The effectiveness of a Supported Self-management task-shifting intervention for adult depression in Vietnam communities: study protocol for a randomized controlled trial.

摘要: Depressive disorders are one of the leading causes disease and disability worldwide. In Vietnam, although epidemiological evidence suggests that depression rates on par with global averages, services for very limited. a feasibility study was implemented from 2013 to 2015, we found Supported Self-management (SSM) intervention showed promising results adults in community Vietnam. This paper describes Mental Health Adults Children: Frugal Innovations (MAC-FI) trial protocol will assess effectiveness SSM intervention, delivered by primary care social workers, community-based populations eight Vietnamese provinces. The MAC-FI program be assessed using stepped-wedge, randomized controlled trial. Study participants aged 18 years over provinces screened at centres health workers Self-reporting Questionnaire-20 (SRQ-20). Patients scoring >7, indicating caseness, invited participate either group or enhanced treatment as usual control group. Recruited further World Organization’s Disability Assessment Scale (WHODAS 2.0) Cut-down, Annoyed, Guilty, Eye-opener (CAGE) Questionnaire alcohol misuse. Intervention-group receive support worker collaborator, period 2 months. Control- leaflet information about depression. SRQ-20, WHODAS 2.0 CAGE scores taken blinded outcome assessors baseline, after 1 month analysis method intention-to-treat. has potential add knowledge base adult been validated context. also contribute growing body low-cost, task-shifting interventions use low-resource settings, where specialist mental often Retrospectively registered ClinicalTrials.gov, identifier: NCT03001063 . Registered 20 December 2016.