Implementation of a Depression Screening Intervention at a Transgender Health Clinic in Thailand
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 317
- 试验地点
- 2
- 主要终点
- Number of participants screening positive for depression
研究概览
简要总结
The study aims to develop and implement a depression screening intervention into routine HIV and sexual health service provision at a transgender health clinic in Thailand, and to explore the facilitators, barriers, feasibility and acceptability of the screening implementation.
详细描述
The study will follow a mixed-methods approach that will incorporate quantitative and qualitative components. Aim 1 will involve the development and implementation of depression screening intervention at Tangerine Clinic. Aim 2 will involve semi-structured interviews with a purposive subset of participants who received the intervention and healthcare providers to explore the multilevel facilitators, barriers, feasibility and acceptability of the screening implementation. Aim 3 will evaluate the proportion of participants who are offered, accept, and receive the peer-led depression screening intervention, and the proportion who screen positive.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Male
- 接受健康志愿者
- 是
入选标准
- •Thai nationality
- •Transgender women ≥18 years
- •Attending the Tangerine Clinic for routine care visits during the intervention period.
- •Can be a new or returning clients.
排除标准
- •Transgender women currently receiving care for a mental health diagnosis will be excluded from participating in this study.
- •Inclusion Criteria for healthcare providers:
- •Currently working at the Tangerine Clinic
- •Can be medical doctors, nurses, peer counselors and other members of the clinic management team involved in the routine delivery of HIV and health services to Transgender women.
- •Exclusion criteria for healthcare providers
- •Not willing to participate in this study
结局指标
主要结局
Number of participants screening positive for depression
时间窗: Day 1
Screening positive is defined as scoring 7 or greater on PHQ-9. The total possible score for PHQ-9 is 27, with 0-6 being minimum and indicating no depressive symptoms, 7-12 mild depression, 13-18 moderate depression, and 19-27 severe depression.
Intervention Acceptability: Participants' perspective of the intervention through focus group discussion
时间窗: Day 1
Acceptability will be assessed qualitatively through post-intervention focus group discussion.
Intervention Feasibility: Number of intervention completed
时间窗: Day 1
Feasibility will be measured by number of intervention completed. Point estimates of \>50% of participants completed is considered as the minimum criteria for feasibility.
Intervention Feasibility: Participants' perspective of the intervention through focus group discussion.
时间窗: Day 1
Feasibility will be assessed qualitatively through post-intervention focus group discussion.
Intervention Acceptability: Number of participants who accepted intervention
时间窗: Day 1
Acceptability will be measured by the number of clients who were offered and accepted the intervention.
Intervention Acceptability: Participants' perspective of the intervention through in-depth interviews
时间窗: Day 1
Acceptability will be assessed qualitatively through post-intervention in-depth interviews.
Intervention Feasibility: Participants' perspective of the intervention through in-depth interviews
时间窗: Day 1
Feasibility will be assessed qualitatively through post-intervention in-depth interviews.
次要结局
未报告次要终点