Reducing the treatment gap for depression in Goa, India
IMPlementation of Evidence Based Facility and Community Interventions to Reduce the Treatment Gap for depRESSion
This study is testing whether a new community-based approach to treating depression in Goa, India, can help more people get the care they need and feel better compared to traditional facility-based treatment.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 784 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Sangath Academic / other |
| Locations | 1 site (Mormugao, Goa) |
| Trial ID | NCT05890222 on ClinicalTrials.gov |
What this trial studies
This clinical trial aims to reduce the treatment gap for depression by implementing integrated interventions in both facility and community settings in Goa, India. It compares two models: the Facility Model, which provides a psychosocial intervention for depression, and the Community Model, which combines this intervention with community-based strategies. The study will assess whether the Community Model increases the demand for and improves outcomes of depression treatment delivered by non-specialist health workers in primary care. Participants will be adults who reside in the trial clusters and speak local languages.
Who should consider this trial
Good fit: Ideal candidates are adults over 18 years old who reside in the trial clusters and screen positive for moderately severe or severe depression.
Not a fit: Patients with significant speech, hearing, or language impairments, or those presenting with active psychotic symptoms may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could significantly improve access to effective depression treatment for adults in Goa.
How similar studies have performed: Other studies have shown success with community-based interventions for mental health, suggesting this approach could be effective.
Eligibility criteria
Show full inclusion / exclusion criteria
(A) Contact Coverage Outcome Inclusion Criteria * Adults (\>18 years) * Residing in the clusters included in the trial * Speak English or one of the local languages (Konkani, Marathi, Hindi) Exclusion Criteria * Patients with significant speech, hearing, or language impairment that interferes with completion of the screening and/or receipt of psychosocial intervention * Patients who present to the health centre for emergency medical attention * Patients with active psychotic symptoms (B) Effectiveness Coverage Outcome Inclusion Criteria * Adults (\>18 years); * Residing in the clusters included in the trial * Speak English or one of the local languages (Konkani, Marathi, Hindi). * Screen positive for moderately severe or severe depression (total score \>14) on the Patient Health Questionnaire-9 items (PHQ-9) Exclusion Criteria * Patients with significant speech, hearing, or language impairment that interferes with completion of the screening and/or receipt of psychosocial intervention * Patients who present to the health centre for emergency medical attention * Patients with active psychotic symptoms
Where this trial is running
Mormugao, Goa
- Sangath — Mormugao, Goa, India (Recruiting)
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.