COMMIT Depression Trial Nepal
NCT04510909 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 86
Last updated 2020-08-18
Summary
Community health workers (CHWs) have successfully used Motivational Interviewing (MI) to improve treatment adherence (i.e. taking medications and attending clinic appointments) for patients with depression in the US and globally. Mobile health (mHealth) tools can address challenges in implementing MI by providing real-time support in the community and facilitating ongoing coaching and supervision for CHWs, as these two challenges currently impede CHWs' ability to use MI. The investigators will develop then test a new mHealth app, which can potentially be used in the US and abroad, to help CHWs receive decision-support for MI and capture consented audio recordings of patient interactions for review and feedback by facility-based nurses with MI expertise.
Conditions
Interventions
- OTHER
-
COMMIT mHealth application
The investigators will develop Community-based mHealth Motivational Interviewing Tool (COMMIT) using iterative design and testing with frequent, structured input from the key stakeholders: community health workers (CHWs), their supervisors and adult depression patients.The tool will be used by community CHWs in Dolakha, Nepal to: 1) obtain decision-support to deliver motivational interviewing (MI) for patients in their communities, and 2) capture consented audio recordings of client interactions for review and feedback by their supervisors, allowing CHWs to maintain MI skills beyond the initial training period.
Sponsors & Collaborators
-
National Institute of Mental Health (NIMH)
collaborator NIH -
University of California, San Francisco
collaborator OTHER -
Icahn School of Medicine at Mount Sinai, Department of Health Systems Design and Global Health
collaborator UNKNOWN -
Nyaya Health Nepal
collaborator UNKNOWN -
Ministry of Health and Population, Nepal
collaborator OTHER_GOV -
Possible
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-08-31
- Primary Completion
- 2021-01-31
- Completion
- 2021-09-30
Countries
- Nepal
More Related Trials
-
Engaging Depressed Low-Income Seniors in Mental Health Services
NCT01094951 ·Status: COMPLETED ·Phase: NA
-
Implementation Science Approach to Enhancing Depression Treatment in Collaborative Depression Care Settings ( DepCare )
NCT05085886 ·Status: COMPLETED ·Phase: NA
-
Outreach and Treatment for Depression in the Labor Force
NCT00057590 ·Status: COMPLETED ·Phase: NA
-
Effect of Depressin Screening and Care Program at Community Health Center
NCT01626703 ·Status: COMPLETED ·Phase: NA
-
Treatment for Depressed Primary Care Patients
NCT01014312 ·Status: COMPLETED ·Phase: NA
-
Antidepressant Adherence for Depressed Adults in Primary Care
NCT06496646 ·Status: RECRUITING ·Phase: NA
-
Training Doctors to Support Patient Self-Care of Depression
NCT01618552 ·Status: COMPLETED ·Phase: NA
-
Feedback to Improve Depression Outcomes
NCT03162211 ·Status: RECRUITING ·Phase: NA
-
Outcomes in MEasurement-Based Treatment
NCT01141387 ·Status: COMPLETED
-
Evaluation Study of Medical-Social Collaboration Model for Middle-aged and Older Adults With Depressive Symptoms
NCT07064551 ·Status: RECRUITING ·Phase: NA
-
Tailored Implementation Intervention for Managing Depressed Elderly Patients in Primary Care
NCT01913236 ·Status: COMPLETED ·Phase: NA
-
Enhanced Measurement-Based Care Effectiveness for Depression (EMBED) Study
NCT05527951 ·Status: UNKNOWN ·Phase: NA
-
Studying Patterns in Patient Engagement Among Treatment Resistant Depression Patients
NCT06101914 ·Status: NOT_YET_RECRUITING
-
Technology-enabled Task-sharing for Depression in Primary Care
NCT04055155 ·Status: WITHDRAWN
-
Mental Health in Adults and Children- Frugal Innovations (MAC-FI): Adult Depression Component
NCT03001063 ·Status: COMPLETED ·Phase: NA
-
Shared Decision-Making for Elderly Depressed Primary Care Patients
NCT01031134 ·Status: COMPLETED ·Phase: NA
-
Personalized Antidepressant Adherence Strategies For Depressed Elders
NCT01301859 ·Status: COMPLETED ·Phase: NA
-
Measuring Quality of Decisions About Treatment of Depression
NCT01152307 ·Status: COMPLETED ·Phase: NA
-
Collaborative Stepped-care Intervention for Adults With Subthreshold Depressive Symptoms in the Primary Care Setting
NCT06658041 ·Status: RECRUITING ·Phase: NA
-
Improving Depression Management
NCT05050227 ·Status: COMPLETED ·Phase: NA
-
Management of Depression in Primary Care
NCT01402206 ·Status: COMPLETED ·Phase: NA
-
Culturally Sensitive Collaborative Treatment for Depressed Chinese Americans
NCT00227929 ·Status: COMPLETED ·Phase: NA
-
Integrating Depression Care in Acute Coronary Syndromes Care in China
NCT02195193 ·Status: COMPLETED ·Phase: NA
-
Reward Function and Therapy for Late-Life Depression
NCT03688139 ·Status: COMPLETED ·Phase: NA
-
Improving Help-seeking for Depression Care in Nepal
NCT06574074 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA