Fredric Azariah1, Miriam Sequeira1, Alex Cohen1, Amit Dias1, Jennifer Q Morse1, Stewart J Anderson1, Pim Cuijpers1, Vikram Patel1, Charles F Reynolds1. 1. Sangath, Goa, India (Azariah, Sequeira, Dias, Patel); Department of Public Health, London School of Hygiene and Tropical Medicine, London (Cohen); Department of Preventive and Social Medicine, Goa Medical College, Goa, India (Dias); School of Health Sciences, Chatham University, Pittsburgh (Morse); Department of Biostatistics, University of Pittsburgh Graduate School of Public Health, Pittsburgh (Anderson); Department of Developmental, Neuro-, and Clinical Psychology, Free University of Amsterdam, Amsterdam (Cuijpers); Department of Global Health and Social Medicine, Harvard Medical School, Boston (Patel); Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh (Reynolds).
Abstract
OBJECTIVE: As a sequel to the Depression in Later Life trial of lay counselor-delivered problem-solving therapy for depression prevention among older adults in Goa, India, this qualitative study aimed to explore participant experiences to illuminate the reasons for the trial's positive findings and implications for further efforts at depression prevention in low-resource settings. METHODS: In-depth interviews were conducted with 19 participants (21% of those randomly assigned to the original intervention). Two independent raters coded the data and organized narratives according to broad themes. RESULTS: Most participants valued their relationship with the lay counselor, learned self-care strategies to cope with illnesses, and increased engagement in pleasurable social and physical activities. Some participants reported needing assistance with managing financial strain and family conflicts. CONCLUSIONS: The lay-counselor-delivered intervention was well received. The relationship with the counselor and behavioral activation toward better self-care and more-pleasurable activities may have been keys to the intervention's success.
OBJECTIVE: As a sequel to the Depression in Later Life trial of lay counselor-delivered problem-solving therapy for depression prevention among older adults in Goa, India, this qualitative study aimed to explore participant experiences to illuminate the reasons for the trial's positive findings and implications for further efforts at depression prevention in low-resource settings. METHODS: In-depth interviews were conducted with 19 participants (21% of those randomly assigned to the original intervention). Two independent raters coded the data and organized narratives according to broad themes. RESULTS: Most participants valued their relationship with the lay counselor, learned self-care strategies to cope with illnesses, and increased engagement in pleasurable social and physical activities. Some participants reported needing assistance with managing financial strain and family conflicts. CONCLUSIONS: The lay-counselor-delivered intervention was well received. The relationship with the counselor and behavioral activation toward better self-care and more-pleasurable activities may have been keys to the intervention's success.
Authors: Clarissa Giebel; Nipun Shrestha; Siobhan Reilly; Ross G White; Maria Isabel Zuluaga; Gabriel Saldarriaga; Ginger Liu; Dawn Allen; Mark Gabbay Journal: BMC Geriatr Date: 2022-09-29 Impact factor: 4.070