Condition category
Mental and Behavioural Disorders
Date applied
09/07/2010
Date assigned
10/01/2011
Last edited
10/01/2011
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Not provided at time of registration

Trial website

Contact information

Type

Scientific

Primary contact

Dr Dixon Chibanda

ORCID ID

Contact details

37 Baines Ave
Harare
CY 105
Zimbabwe

Additional identifiers

EudraCT number

ClinicalTrials.gov number

Protocol/serial number

N/A

Study information

Scientific title

Locally adapted problem-solving therapy for depression and common mental disorders in primary care in Zimbabwe delivered through lay workers and a Friendship Bench: a pilot study

Acronym

The Friendship Bench Project

Study hypothesis

There is very limited evidence that sustainable interventions for depression and other common mental disorders (CMD) can be integrated into routine primary health care in Africa. In primary care clinics serving a high density suburb in Harare, a low-cost multi-component 'Friendship Bench Intervention' for CMD, based on problem-solving therapy, was developed to be delivered by trained and supervised female lay workers who were already respected in the community for their outreach role in human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS), tuberculosis (TB) and health promotion. Our aim was to explore the potential of integrating this low-intensity mental health intervention into the work load of lay workers.

Outcomes included the number of people referred to the service and the number seen by the lay workers, qualitative data from layworkers on the acceptability and feasibility to them of providing this as part of their work load and participant scores pre-post problem solving therapy on the Shona Symptom Questionnaire for common mental health symptoms.

Ethics approval

Medical Research Council of Zimbabwe (MRCZ) REC approved on the 10th August 2006 (ref: MRCZ/A/1307)

Study design

Observational cross-sectional pilot cohort study

Primary study design

Observational

Secondary study design

Cross-section survey

Trial setting

Other

Trial type

Quality of life

Patient information sheet

Not available in web format, please use the contact details below to request a patient information sheet

Condition

Depression and common mental disorders

Intervention

All individuals attending a local clinic who were identified by the local nursing staff as needing psychological care were referred to the 'Friendship Bench', a problem solving therapy based intervention run by lay health works supervised by a clinical psychologist and psychiatrist. initially all those referred were screened using a locally validated indigenous screening tool, the SSQ. All scoring above the cut-off score of 8+ received six sessions of problem solving therapy delivered over a six week period. All those identified as having severe depression were referred to the psychiatric hospital.

Intervention type

Other

Phase

Not Applicable

Drug names

Primary outcome measures

Shona Symptom Questionnaire (SSQ) score after six sessions of problem solving therapy delivered through the friendship bench.

Secondary outcome measures

No secondary outcome measures

Overall trial start date

01/01/2007

Overall trial end date

30/12/2009

Reason abandoned

Eligibility

Participant inclusion criteria

1. Residents of Mbare
2. Aged 16 years and over, either sex
3. Gave written informed consent. Those who were unable to give informed consent but needed mental health services were referred to the clinical psychologist or psychiatrist and their data was not included in the analysis.

Participant type

Patient

Age group

Adult

Gender

Both

Target number of participants

973

Participant exclusion criteria

1. Client requires acute medical attention such that they cannot participate in screening
2. Severe depression with risk features as diagnosed by primary care nurse

Recruitment start date

01/01/2007

Recruitment end date

30/12/2009

Locations

Countries of recruitment

Zimbabwe

Trial participating centre

37 Baines Ave
Harare
CY 105
Zimbabwe

Sponsor information

Organisation

Counseling Services Unit (Zimbabwe)

Sponsor details

1 Raleigh Street
Kopje
Harare
-
Zimbabwe

Sponsor type

Research organisation

Website

Funders

Funder type

Research organisation

Funder name

Counseling Services Unit (Zimbabwe)

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Results and Publications

Publication and dissemination plan

Not provided at time of registration

Intention to publish date

Participant level data

Not provided at time of registration

Results - basic reporting

Publication summary

Publication citations

Additional files

Editorial Notes