Selection of depression measures for use among Vietnamese populations in primary care settings: a scoping review

Murphy, Jill; Goldner, Elliot M.; Goldsmith, Charles H.; Oanh, Pham Thi Kieu; Zhu, William; Corbett, Kitty; Nguyen, Vu Cong

doi:10.1186/s13033-015-0024-8

Cited by 18 publications

(17 citation statements)

References 54 publications

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“…The CES-D is scored on a Likert scale from 0 (rarely or none of the time) to 3 (most or all of the time). CES-D scores can range from 0–60, and a score of ≥16 is used to indicate the need for further assessment of clinical depression [21, 24]. This scale has been shown to have internal reliability and construct and criterion validity when used among HIV-positive patients [25].…”

Section: Methodsmentioning

confidence: 99%

Symptoms of Depression in People Living with HIV in Ho Chi Minh City, Vietnam: Prevalence and Associated Factors

et al. 2017

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This cross-sectional study investigated the prevalence and correlates of symptoms of depression among 400 people living with HIV/AIDS (PLHIV) from two HIV clinics in Ho Chi Minh City, Vietnam. Based on the Center for Epidemiologic Studies-Depression scale, 36.5% of participants were classified as likely to be clinically depressed. Factors independently associated with symptoms of depression included self-report of poor or fair health (aOR 2.16, 95% CI 1.33-3.51), having a low body mass index (aOR 1.85, 95% CI 1.13-3.04), reporting recent problems with family (aOR 1.97, 95% CI 1.21-3.19), feeling shame about being HIV-infected (aOR 1.90, 95% CI 1.20-3.00), and reporting conflict with a partner (aOR 2.21, 95% CI 1.14-4.26). Participants who lived with family (aOR 0.48, 95% CI 0.25-0.90) or who received emotional support from their families or supportive HIV networks (aOR 0.45, 95% CI 0.25-0.80) were less likely to experience symptoms of depression. Screening for and treatment of depression among Vietnamese PLHIV are needed.

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Section: Methodsmentioning

confidence: 99%

Symptoms of Depression in People Living with HIV in Ho Chi Minh City, Vietnam: Prevalence and Associated Factors

et al. 2017

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“…Inclusion criteria for the study were: (1) a score of > 7 on the SRQ-20, indicating probable depression caseness [12]; (2) completion of written informed consent and agreement to complete study outcome measures. Exclusion criteria were: (1) cognitive impairment based on patient history; (2) symptoms of psychosis, severe depression or suicidal ideation; (3) impaired vision or hearing; (4) illiteracy.…”

Section: Participantsmentioning

confidence: 99%

“…Each item of the SRQ-20 can be scored at 0 or 1, with 1 indicating that the symptom was present during the past month. The SRQ-20 was selected based on a review of depression measures that have been previously used and validated in Vietnamese populations, where it was found to be the most appropriate measure [12]. It has previously been found to be valid and appropriate for use by lay health workers in LMICs [14].…”

Section: Instrumentsmentioning

confidence: 99%

Is supported self-management for depression effective for adults in community-based settings in Vietnam?: a modified stepped-wedge cluster randomized controlled trial

Murphy

Xie

Nguyen

et al. 2020

Int J Ment Health Syst

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Background: This study tested the effectiveness of a supported self-management (SSM) intervention to reduce symptoms of depression among adults compared with enhanced treatment as usual in community-based and primary care settings in Vietnam. Methods:The cluster randomized trial included 376 adults in 32 communes in eight provinces. Eligible participants scored > 7 on the SRQ-20 depression scale. Patients with severe symptoms were excluded and referred to tertiary care. Randomization took place at the commune level. The immediate intervention group included 16 communes with 190 participants and the delayed group included 16 communes with 186 participants. Participants in communes randomized to the immediate intervention group received a two-month course of SSM, consisting of a workbook and supportive coaching. Those in communes randomized to the delayed group received enhanced treatment as usual and, for ethical purposes, received the SSM intervention after 4 months. The primary outcome is the effect of SSM on reduction in depression scores as indicated by a reduced proportion of participants with SRQ-20 scores > 7 at 2 months after commencement of SSM intervention. Blinding was not possible during intervention delivery but outcome assessors were blinded. Analysis was intention-to-treat.Results: At 2 months, 26.4% of the intervention group and 42.3% of the delayed group had SRQ-20 scores > 7. The adjusted odds ratio of having depression between the intervention and control was 0.42 (p < 0.0001), 95% CI (0.28, 0.63). Receiving the intervention thus reduces the odds of having depression by 58%, compared with receiving the control after 2 months of treatment. No adverse events were reported. Conclusions:Results suggest that SSM is effective for decreasing depression symptoms among adults in community-based settings in Vietnam.Trial Registration This trial is registered at ClinicalTrials.gov, number NCT03001063. © The Author(s) 2020. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article' s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article'

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“…We are confident, however, that the work we conducted during the feasibility study, including a review of depression measures that have been validated for use in Vietnam and among Vietnamese populations [25] and the validation of the Antidepressant Skills Workbook , support the appropriateness and validity of these measure and tools for use in Vietnam. While the CAGE was not used during the feasibility study, it has been validated for use in many countries, including low-income settings [39] and has been used by Tran et al [40] in a study of the interaction of perinatal common mental disorders, alcohol use and domestic violence in Vietnam.…”

Section: Discussionmentioning

confidence: 99%

“…The primary outcome measure will be the SRQ-20 Vietnamese version [22]. We selected the SRQ-20 as the most suitable measure following an extensive review of existing measures for depression [25]. The SRQ-20 has been carefully developed for use in Vietnam, it has been adapted to address culturally appropriate manifestations of depression symptomatology and its validity has been tested in studies within Vietnam [23].…”

Section: Methodsmentioning

confidence: 99%

The effectiveness of a Supported Self-management task-shifting intervention for adult depression in Vietnam communities: study protocol for a randomized controlled trial

Murphy

Goldsmith

Jones

et al. 2017

Trials

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BackgroundDepressive disorders are one of the leading causes of disease and disability worldwide. In Vietnam, although epidemiological evidence suggests that depression rates are on par with global averages, services for depression are very limited. In a feasibility study that was implemented from 2013 to 2015, we found that a Supported Self-management (SSM) intervention showed promising results for adults with depression in the community in Vietnam.This paper describes the Mental Health in Adults and Children: Frugal Innovations (MAC-FI) trial protocol that will assess the effectiveness of the SSM intervention, delivered by primary care and social workers, to community-based populations of adults with depression in eight Vietnamese provinces.Methods/designThe MAC-FI program will be assessed using a stepped-wedge, randomized controlled trial. Study participants are adults aged 18 years and over in eight provinces of Vietnam. Study participants will be screened at primary care centres and in the community by health and social workers using the Self-reporting Questionnaire-20 (SRQ-20). Patients scoring >7, indicating depression caseness, will be invited to participate in the study in either the SSM intervention group or the enhanced treatment as usual control group. Recruited participants will be further assessed using the World Health Organization’s Disability Assessment Scale (WHODAS 2.0) and the Cut-down, Annoyed, Guilty, Eye-opener (CAGE) Questionnaire for alcohol misuse. Intervention-group participants will receive the SSM intervention, delivered with the support of a social worker or social collaborator, for a period of 2 months. Control- group participants will receive treatment as usual and a leaflet with information about depression. SRQ-20, WHODAS 2.0 and CAGE scores will be taken by blinded outcome assessors at baseline, after 1 month and after 2 months. The primary analysis method will be intention-to-treat.DiscussionThis study has the potential to add to the knowledge base about the effectiveness of a SSM intervention for adult depression that has been validated for the Vietnamese context. This trial will also contribute to the growing body of evidence about the effectiveness of low-cost, task-shifting interventions for use in low-resource settings, where specialist mental health services are often limited.Trial registrationRetrospectively registered at ClinicalTrials.gov, identifier: NCT03001063. Registered on 20 December 2016.Electronic supplementary materialThe online version of this article (doi:10.1186/s13063-017-1924-5) contains supplementary material, which is available to authorized users.

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Selection of depression measures for use among Vietnamese populations in primary care settings: a scoping review

Cited by 18 publications

References 54 publications

Symptoms of Depression in People Living with HIV in Ho Chi Minh City, Vietnam: Prevalence and Associated Factors

Symptoms of Depression in People Living with HIV in Ho Chi Minh City, Vietnam: Prevalence and Associated Factors

Is supported self-management for depression effective for adults in community-based settings in Vietnam?: a modified stepped-wedge cluster randomized controlled trial

The effectiveness of a Supported Self-management task-shifting intervention for adult depression in Vietnam communities: study protocol for a randomized controlled trial

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