Internet-based behavioural activation with lay counsellor support versus online minimal psychoeducation without support for treatment of depression: a randomised controlled trial in Indonesia

The Lancet. Psychiatry
Retha ArjadiClaudi L H Bockting

Abstract

Depression is one of the leading contributors to the global burden of disease. However, treatment availability is often very poor in low-income and middle-income countries. In a randomised clinical trial, we investigated the efficacy of internet-based behavioural activation with lay counsellor support compared with online minimal psychoeducation without support for depression in Indonesia (a middle-income country). We did a community-based, two-group, randomised controlled trial in Indonesia. Eligible participants were aged 16 years or older, scored 10 or above on the Patient Health Questionnaire 9 (PHQ-9), met the criteria for major depressive disorder or persistent depressive disorder based on the Structured Clinical Interview for DSM-5, were proficient in Bahasa Indonesia, and could use the internet. Participants were randomly allocated (1:1) by a research assistant using a web-based randomisation program to online behavioural activation with lay support (termed Guided Act and Feel Indonesia [GAF-ID]) or online psychoeducation without further support. Randomisation was done within a random permuted block design and was stratified by sex and depression severity (ie, PHQ-9 10-14 vs ≥15). The primary outcome was self-reported P...Continue Reading

Citations

Feb 14, 2019·The Australian and New Zealand Journal of Psychiatry·Harris A EyreMalcolm Hopwood
Aug 2, 2019·International Journal of Geriatric Psychiatry·Patrick J RaueMartha L Bruce
Jul 7, 2020·The Cochrane Database of Systematic Reviews·Eleonora UphoffRachel Churchill
Dec 5, 2019·Aging & Mental Health·Patrick J RaueCecily Kaplan
Aug 8, 2019·NPJ Digital Medicine·Valerie A NoelRobert E Drake
Jan 22, 2020·Early Intervention in Psychiatry·Cristina MeiPatrick D McGorry
Dec 19, 2020·Internet Interventions : the Application of Information Technology in Mental and Behavioural Health·Carlos Quiñonez-FreireRosa M Baños
Sep 22, 2021·JMIR Mental Health·Deinera Exner-CortensPaul D Arnold
Jan 26, 2022·Journal of Advanced Nursing·Carmen Sánchez-GutiérrezJosé M López-Millán

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