Improving help-seeking for depression care in Nepal: Development and testing the feasibility, acceptability and appropriateness of a social contact-based community intervention
Wellcome Trust
Transcultural Psychosocial Organization (TPO) Nepal
Depression is a highly prevalent mental health condition which has enormous emotional and financial burden on individuals, families, and society as a whole. Despite the availability of effective treatment, a large number of people needing depression care do not receive treatment. Individual often delay or avoid seeking help for depression due to various reasons including stigma and negative attitude towards services. The aim of this study is to develop and test the feasibility, acceptability, and appropriateness of a social contact-based community psychosocial intervention in order to improve help-seeking behavior of people with depression in Nepal. The objectives of the study are to; (1) systematically review the interventions that have shown effectiveness to improve help-seeking attitude, intension, and behavior among people with depression in LMICs; (2) assess the perceptions of people with depression, their family members and key community stakeholders about barriers for seeking depression care and potential strategy to address those barriers; (3) develop a social contact-based community psychosocial intervention in order to improve negative attitude and intention towards seeking depression care; and (4) test the feasibility, acceptability, and appropriateness of the social contact-based community psychosocial intervention through a pilot cluster randomized controlled trial in Jhapa district of Nepal.
6.6 Psychological and behavioural