title: Community-based intervention for depression management at the primary care level in Ha Nam Province, Vietnam: a cluster-randomised controlled trial.
abstract: OBJECTIVE
  To evaluate the effectiveness of an intervention including psychoeducation and yoga for depression management at the primary healthcare level in one district in the Hà Nam province, Vietnam.
  
  
  METHODS
  The Patient Health Questionnaire-9 (PHQ-9) was used for depression screening and follow-up. Screened patients were further diagnosed with the Mini-International Neuropsychiatric Diagnostic Interview, by a trained general doctor. A linear regression model, adjusted for age, gender and baseline PHQ-9 score was used to assess whether the intervention leads to decreased depression severity compared to standard care in the control communes.
  
  
  RESULTS
  Both groups had similar PHQ-9 scores at baseline. The intervention group had on average significantly lower PHQ-9 scores after the intervention than the control group. Almost half of the patients in the intervention group recovered from depression, whereas nobody did in the control group.
  
  
  CONCLUSIONS
  The results indicate that the intervention can be more effective than standard care in treating depression. The mean change of the PHQ-9 score after the intervention is deemed to be of clinical relevance.
authors.affiliation: Department of Public Health Science, Karolinska Institutet, Stockholm, Sweden.
authors.forename: Maria
authors.initials: M
authors.lastname: Niemi
authors.affiliation: Department of Public Health Science, Karolinska Institutet, Stockholm, Sweden.
authors.forename: Simone
authors.initials: S
authors.lastname: Kiel
authors.affiliation: Department of Public Health Science, Karolinska Institutet, Stockholm, Sweden.
authors.forename: Peter
authors.initials: P
authors.lastname: Allebeck
authors.affiliation: Department of Environmental Health, Hanoi Medical University, Hanoi, Vietnam.
authors.forename: Le Thi
authors.initials: le T
authors.lastname: Hoan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003153:Community Health Services / Q000379:methods* / Q000458:organization & administration; D003866:Depressive Disorder / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D006282:Health Personnel / Q000193:education*; D006801:Humans; D007406:Interview, Psychological / Q000379:methods; D016014:Linear Models; D008297:Male; D008403:Mass Screening / Q000379:methods / Q000458:organization & administration; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D018579:Patient Selection; D011320:Primary Health Care / Q000379:methods* / Q000458:organization & administration; D011613:Psychotherapy / Q000193:education* / Q000379:methods / Q000592:standards; D012720:Severity of Illness Index; D014744:Vietnam; D000078329:Workforce; D015013:Yoga; D055815:Young Adult
keywords: Vietnam; aleatorizado en conglomerados; basado en la comunidad; cluster-randomised controlled trial; communautaire; community-based; depresión; depressive disorder; ensayo controlado; essai randomisé contrôlé par grappes; psicoeducación; psychoeducation; psychoéducation; trouble dépressif; yoga