76
Participants
Start Date
August 1, 2023
Primary Completion Date
March 10, 2024
Study Completion Date
March 31, 2024
Healthy Activity Program (HAP)
HAP, delivered over 6-8 sessions by non-specialist healthcare workers, has behavioural activation as the core psychological strategy along with other strategies such as problem-solving and activation of social networks.
Antidepressant medication (ADM)
Patients assigned to antidepressant medication will start on fluoxetine 20 mg/day which can be raised to 40 mg/day (the maximum mandated by treatment guidelines for primary care in India) at week 3 or 6 for patients who have yet to remit. Patients who cannot tolerate fluoxetine will be switched to escitalopram.
Sangath, Bhopal
National Institute of Mental Health (NIMH)
NIH
Harvard School of Public Health (HSPH)
OTHER
Massachusetts General Hospital
OTHER
Centre for Addiction and Mental Health
OTHER
Brigham and Women's Hospital
OTHER
Vanderbilt University
OTHER
All India Institute of Medical Sciences, Bhopal
OTHER
Sangath
OTHER
Harvard Medical School (HMS and HSDM)
OTHER