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The aim of this hybrid (Effectiveness-Implementation) cluster randomised controlled clinical trial is to test the feasibility of implementing an age-appropriate electronic version of the WHO Mental Health Gap Action Programme Intervention Guide (emhGAP-Age) in routine home-based care of older Nigerians with depression. The main questions it aims to answer are:
Whether the emhGAP-Age demonstrate sufficient signals of effectiveness in the identification and home management of late life depression to permit for further exploration in a fully powered clinical trial?
What are the logistical, programmatic, and operational requirements for a home-delivered emhGAP-Age in a sample of older people with depression in Nigeria? Consenting older participants with depression in the intervention arm will receive treatment based on emhGAP-Age which consists of;
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Age emhGAP-IG | Experimental |
|
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| Generic emhGAP-IG | Active Comparator | Psychoeducation and stress reduction |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| emhGAP-Age | Behavioral |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Depression remission | Patient Health Questionnaire (PHQ-9) score < 6 | At six months post trial entry |
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Inclusion Criteria:
Exclusion Criteria:
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