AI Article Synopsis
- This qualitative study followed up on a previous trial that tested problem-solving therapy delivered by lay counselors to prevent depression in older adults in Goa, India, aiming to understand participant experiences and the success of the intervention.
- Interviews were conducted with 19 participants to gather insights, and the analysis revealed that many valued their relationships with counselors, learned effective self-care strategies, and engaged more in enjoyable social and physical activities.
- The study concluded that the positive outcomes were likely due to the supportive counselor relationships and increased engagement in healthy activities, highlighting the potential for this approach in low-resource settings.
Article Abstract
Objective: As a sequel to the Depression in Later Life trial of lay counselor-delivered problem-solving therapy for depression prevention among older adults in Goa, India, this qualitative study aimed to explore participant experiences to illuminate the reasons for the trial's positive findings and implications for further efforts at depression prevention in low-resource settings.
Methods: In-depth interviews were conducted with 19 participants (21% of those randomly assigned to the original intervention). Two independent raters coded the data and organized narratives according to broad themes.
Results: Most participants valued their relationship with the lay counselor, learned self-care strategies to cope with illnesses, and increased engagement in pleasurable social and physical activities. Some participants reported needing assistance with managing financial strain and family conflicts.
Conclusions: The lay-counselor-delivered intervention was well received. The relationship with the counselor and behavioral activation toward better self-care and more-pleasurable activities may have been keys to the intervention's success.
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| http://dx.doi.org/10.1176/appi.psychotherapy.20190009 | DOI Listing |
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