Cognitive behavioural therapy (CBT) is effective for treating depression.


 This pilot trial examined the adherence and effectiveness of an eight-session adapted CBT delivered by trained lay health workers for older adults with depressive symptoms living in rural areas of China, compared with the usual care.


 Fifty with screen-positive depression were randomly assigned to the CBT arm or the care as usual (CAU) arm.  The majority (19/24) of participants in the CBT arm completed all sessions.  Mixed-effect linear regression showed that the CBT reduced more GDS scores over time compared with CAU.


 Lay-delivered culturally adapted CBT is potentially effective for screen-positive late-life depression.
CBT
Cognitive behavioural therapy (CBT) is effective for treating depression.


 This pilot trial examined the adherence and effectiveness of an eight-session adapted CBT delivered by trained lay health workers for older adults with depressive symptoms living in rural areas of China, compared with the usual care.


 Fifty with screen-positive depression were randomly assigned to the CBT arm or the care as usual (CAU) arm.  The majority (19/24) of participants in the CBT arm completed all sessions.  Mixed-effect linear regression showed that the CBT reduced more GDS scores over time compared with CAU.


 Lay-delivered culturally adapted CBT is potentially effective for screen-positive late-life depression.
CBT
Cognitive behavioural therapy (CBT) is effective for treating depression.


 This pilot trial examined the adherence and effectiveness of an eight-session adapted CBT delivered by trained lay health workers for older adults with depressive symptoms living in rural areas of China, compared with the usual care.


 Fifty with screen-positive depression were randomly assigned to the CBT arm or the care as usual (CAU) arm.  The majority (19/24) of participants in the CBT arm completed all sessions.  Mixed-effect linear regression showed that the CBT reduced more GDS scores over time compared with CAU.


 Lay-delivered culturally adapted CBT is potentially effective for screen-positive late-life depression.
CBT
Late-life depression issues in developing countries are challenging because of understaffing in mental health.  Fifty with screen-positive depression were randomly assigned to the CBT arm or the care as usual (CAU) arm.  Mixed-effect linear regression showed that the CBT reduced more GDS scores over time compared with CAU.



CAU
The primary outcomes were the session completion of older adults and changes in depressive symptoms, assessed using the Geriatric Depression Scale (GDS).


 Mixed-effect linear regression showed that the CBT reduced more GDS scores over time compared with CAU.



GDS
Cognitive behavioural therapy (CBT) is effective for treating depression.


 This pilot trial examined the adherence and effectiveness of an eight-session adapted CBT delivered by trained lay health workers for older adults with depressive symptoms living in rural areas of China, compared with the usual care.


 Fifty with screen-positive depression were randomly assigned to the CBT arm or the care as usual (CAU) arm.  The majority (19/24) of participants in the CBT arm completed all sessions.  Mixed-effect linear regression showed that the CBT reduced more GDS scores over time compared with CAU.


 Lay-delivered culturally adapted CBT is potentially effective for screen-positive late-life depression.
CBT