DIL

Prevention of Depression in Late Life

PROJECT AT A GLANCE

Funder: National Institute of Mental Health, USA
 
Duration: December 2013 - December 2016

Principal investigator: Dr Amit Dias

Project coordinator: Dr Fredric Azariah

Research coordinator: Vithoba Gaude

Intervention facilitator: Miriam Carvalho

Data manager: Salvino Soares

Collaborators: Charles Reynolds, Alex Cohen, Pim Cuijpers and Prof Vikram Patel

Project implementation site: St Cruz (urban) and Mandur (rural), Goa

Collaborating institutions:

  • University of Pittsburgh, US
  • London School of Hygiene & Tropical Medicine, UK
  • Department of Preventive & Social Medicine at Goa Medical College

Brief
Sangath has launched its new project which aims at developing strategies to prevent depression in late life and thereby promote well-being. Depression in late life (60 years and above) is a growing public health problem in India due to a variety of reasons such as disability, depletion of economic and social resources, bereavement, care giving, and chronic insomnia.
     Given the demographic transition, it is necessary to conduct research on conditions that affect those in late life. It is imperative for us to understand the complex causes for depression and use our understanding to develop strategies to prevent it. The dearth of specialist resources, together with the limited ability of current depression treatments to avert years lived with disability, underscores the need for preventive interventions that can be delivered by lay health workers  in primary care settings. The study will be conducted in an urban and rural setting in Goa.

Aim and objectives
The DIL project aims at developing strategies and interventions to prevent depression in late life. The interventions will be delivered by trained lay health workers in primary care settings.
 
The objectives of this project are as follows
  • To understand the challenges of ageing particularly depression in late life
  • To understand the available care settings for the depressed in late life
  • To understand the complex causes of depression
  • To develop interventions aimed at preventing depression in late life and promote healthy ageing
  • To explore the acceptability of the interventions among the depressed in late life
  • To test the effectiveness of the developed interventions in the community to prevent depression and promote healthy ageing in late life
Overview
Formative Phase (Year 1)
  • Develop modules for intervention
  • Develop protocols for In-depth Interview and Focus Group Discussion
  • Train and pilot in 20 participants
     
Intervention Phase (Years 2 & 3)
  • Conduct a randomised control trial of the effects of the intervention in preventing depression
  • Target sample of 120 participants with sub threshold depression (60 from rural and 60 from urban settings)