Neerja Chowdhary|Arpita Anand|Sona Dimidjian|Sachin Shinde|Benedict Weobong|Madhumitha Balaji|Steven D. Hollon|At?f Rahman|G. Terence Wilson|Helena Verdeli|Ricardo Araya|Michael King|Mark J. D. Jordans|Christopher G. Fairburn|Betty Kirkwood|Vikram Patel
The Healthy Activity Program lay counsellor delivered treatment for severe depression in India: Systematic development and randomised evaluation
Sangath|London School of Hygiene & Tropical Medicine|Sangath|University of Colorado Boulder|Sangath|Sangath|London School of Hygiene & Tropical Medicine|Sangath|Vanderbilt University|University of Liverpool|Rutgers, The State University of New Jersey|Columbia University|London School of Hygiene & Tropical Medicine|University College London|King's College London|University of Oxford|London School of Hygiene & Tropical Medicine|Public Health Foundation of India|Sangath|London School of Hygiene & Tropical Medicine
reducing global treatment gap mental disorders requires treatments economical effective culturally appropriateto describe systematic approach development brief psychological treatment patients severe depression delivered lay counsellors primary healthcarethe treatment developed three stages using variety methods identifying potential strategies b developing theoretical framework c evaluating acceptability feasibility effectiveness psychological treatmentthe healthy activity program hap delivered 68 sessions consists behavioral activation core psychological framework added emphasis strategies problemsolving activation social networks key elements improve acceptability feasibility also included intentiontotreat analysis pilot randomised controlled trial 55 participants prevalence depression beck depression inventory ii 19 2 months lower hap control arm adjusted risk ratio 055 95 ci 032094p 001our systematic approach development psychological treatments could extended mental disorders hap acceptable effective brief psychological treatment severe depression delivered lay counsellors primary care