Improving Help-seeking for Depression Care in Nepal
Optimizing a Community-based Intervention to Improve Help-seeking for Depression Care in Morang District of Nepal
1 other identifier
interventional
286
1 country
1
Brief Summary
Depression is a serious public health concern worldwide due to its high prevalence rate and significant emotional and financial burden on individuals, their families, and society. There is a substantial gap between the number of people in need of treatment for depression and those who actually receive it. The recent World Health Organization (WHO) World Mental Health Survey revealed that 86.3% of people with anxiety, mood, or substance disorders in lower-middle-income countries did not receive any treatment in the past 12 months. This study aims to evaluate a community-based intervention to address demand-side barriers by improving mental health literacy, dispelling myths and misconceptions about depression, changing negative attitudes towards depression care, and promoting help-seeking behavior.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jul 2024
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 15, 2024
CompletedFirst Submitted
Initial submission to the registry
August 4, 2024
CompletedFirst Posted
Study publicly available on registry
August 27, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
November 30, 2024
CompletedSeptember 19, 2024
September 1, 2024
4 months
August 4, 2024
September 2, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in help-seeking behaviour for depression care
The primary outcome of this study is "change in help-seeking behavior for depression care, defined by the proportion of participants who receive treatment from a health provider".
In one month
Secondary Outcomes (3)
Treatment adherence for depression
In three month
Change in symptom severity of depression
In three month
Change in knowledge, attitude and perception
In three months
Study Arms (8)
Factor-1
OTHERParticipants allocated to this will receive full version of the Gain Life intervention
Factor-2
OTHERParticipants allocated to this will receive a few components of the Gain Life intervention that include information on depression, available treatments, and stigma reduction
Factor-3
OTHERParticipants allocated to this will receive only a few components of Gain Life intervention including information on depression, available treatments, and life transformation experiences
Factor-4
OTHERParticipants allocated to this will receive only information on depression, and available treatments components of the Gain Life intervention
Factor-5
OTHERParticipants allocated to this will receive three components of the Gain Life intervention that include information on depression, stigma reduction and life transformation experiences
Factor-6
OTHERParticipants allocated to this will receive information on depression and stigma reduction components of the Gain Life intervention
Factor-7
OTHERParticipants allocated to this will receive a selected components of the Gain Life intervention such as information on depression, available treatments and life transformation experiences
Factor-8
OTHERParticipants allocated to this will receive only the information on depression component of the Gain Life intervention
Interventions
The Gain Life intervention comprises four components: (i) information about depression, (ii) awareness of available services, (iii) stigma reduction through dispelling myths and facts about depression, and (iv) a life transformation story. The first module aims to raise awareness about depression, with a particular focus on its causes, manifestations, and the potential negative consequences of untreated depression. The second component includes the types of services offered, costs, distance to service providers, and operating hours. The third component address stigma and misconceptions surrounding depression by addressing the root causes of stigma, dispelling myths, and providing accurate information about depression. The final module of the Gain Life intervention features recovery stories of individuals who have overcome depression. This module includes two 8-minute video stories of individuals who successfully recovered from depression.
Eligibility Criteria
You may qualify if:
- being an adult aged 18 or older residing in Kanepokhari Rural Municipality or Patharisanischare Municipality,
- those detected through the CIDT
- providing consent for participation
- being proficient in speaking and understanding Nepali
You may not qualify if:
- people with already receiving mental health services
- having severe mental illness\]
- participants below the age of 18 years,
- participants outside of Kanepokhari and Pathari-sanischare Municipality
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Transcultural Psychosocial Organization (TPO) Nepal
Kathmandu, Bagmati, 44600, Nepal
Related Publications (1)
Luitel NP, Kohrt BA, Lamichhane B, Bhardwaj A, Gautam K, Jordans MJ. Optimizing a community-based intervention to improve help-seeking for depression care: study protocol for a randomized factorial trial. Trials. 2025 Aug 16;26(1):293. doi: 10.1186/s13063-025-09014-2.
PMID: 40819070DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Masking Details
- Data collectors will be blinded to the allocation of the participants to different groups.
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- FACTORIAL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 4, 2024
First Posted
August 27, 2024
Study Start
July 15, 2024
Primary Completion
November 1, 2024
Study Completion
November 30, 2024
Last Updated
September 19, 2024
Record last verified: 2024-09
Data Sharing
- IPD Sharing
- Will not share
No many researchers involved in the study so the data will only be shared within the research team