The Healthy Activity Program lay counsellor delivered treatment for severe depression in India: systematic development and randomised evaluation.


Chowdhary, N; Anand, A; Dimidjian, S; Shinde, S; Weobong, B; Balaji, M; Hollon, SD; Rahman, A; Wilson, GT; Verdeli, H; Araya, R; King, M; Jordans, MJ; Fairburn, C; Kirkwood, B; Patel, V; (2015) The Healthy Activity Program lay counsellor delivered treatment for severe depression in India: systematic development and randomised evaluation. The British journal of psychiatry, 208 (4). pp. 381-8. ISSN 0007-1250 DOI: https://doi.org/10.1192/bjp.bp.114.161075

[img]
Preview
Text - Published Version
License:

Download (713kB) | Preview

Abstract

BACKGROUND: Reducing the global treatment gap for mental disorders requires treatments that are economical, effective and culturally appropriate.<br/> AIMS: To describe a systematic approach to the development of a brief psychological treatment for patients with severe depression delivered by lay counsellors in primary healthcare.<br/> METHOD: The treatment was developed in three stages using a variety of methods: (a) identifying potential strategies; (b) developing a theoretical framework; and (c) evaluating the acceptability, feasibility and effectiveness of the psychological treatment.<br/> RESULTS: The Healthy Activity Program (HAP) is delivered over 6-8 sessions and consists of behavioral activation as the core psychological framework with added emphasis on strategies such as problem-solving and activation of social networks. Key elements to improve acceptability and feasibility are also included. In an intention-to-treat analysis of a pilot randomised controlled trial (55 participants), the prevalence of depression (Beck Depression Inventory II ⩾19) after 2 months was lower in the HAP than the control arm (adjusted risk ratio = 0.55, 95% CI 0.32-0.94,P= 0.01).<br/> CONCLUSIONS: Our systematic approach to the development of psychological treatments could be extended to other mental disorders. HAP is an acceptable and effective brief psychological treatment for severe depression delivered by lay counsellors in primary care.<br/>

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) > Dept of Nutrition and Public Health Interventions Research (2003-2012)
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- )
Research Centre: Centre for Global Mental Health
Maternal and Child Health Intervention Research Group
PubMed ID: 26494875
Web of Science ID: 374100400014
URI: http://researchonline.lshtm.ac.uk/id/eprint/2331801

Statistics


Download activity - last 12 months
Downloads since deposit
209Downloads
248Hits
Accesses by country - last 12 months
Accesses by referrer - last 12 months
Impact and interest
Additional statistics for this record are available via IRStats2

Actions (login required)

Edit Item Edit Item