CARMHA Research Seminars
Improving community-based depression care in Vietnam through Supported Self-Management: randomized controlled trial and scale-up
Presenters: Dr. Jill Murphy and Ms. Leena Chau
Date: May 3rd, 2019
Location: SFU Harbour Centre, Room 2200
Like many low and middle-income countries, Vietnam has historically had low access to and availability of depression care. Supported Self-Management (SSM) is a low-cost intervention that combines bibliotherapy with supportive coaching by a lay provider. Using a stepped-wedge randomized controlled trial, the MAC-FI study tested the effectiveness of SSM to reduce depression among adults in community settings in eight Vietnamese provinces. Preliminary results suggest that SSM is effective for treating mild to moderate depression in Vietnam, demonstrating the potential impact of task-shifting interventions in community-based settings. These results, in addition to a strong partnership with government in Vietnam, indicate considerable potential for scale-up and impact. In a follow-up study (IRIS-DSV), the team is exploring factors that influence the implementation and scale-up of the SSM intervention in Vietnam using longitudinal prospective qualitative methods including semi-structured interviews with three groups of stakeholders from the eight provinces in Vietnam (patients, providers, and expert key stakeholders). Preliminary themes from completed interviews will be presented. Key integrated knowledge translation activities across the two studies will also be shared.
Jill is a MITACS Elevate Postdoctoral Fellow working in the Mood Disorders Centre in the Department of Psychiatry at UBC with a research focus on global mental health. She is working on a Global Alliance for Chronic Disease (GACD) China-Canada implementation study to improve the use of enhanced measurement-based care for depression in Shanghai. She is also actively involved with the executive of the APEC Digital Hub for Mental Health. Jill completed her PhD at SFU in 2016, examining barriers and facilitators to the integration of depression services in primary care in Vietnam. Following her PhD she was a postdoctoral fellow and Research Director for MAC-FI at CARMHA until March 2018. Jill remains actively involved as a co-investigator on the MAC-FI and IRIS-DSV projects.
Leena is the Research Manager for the MAC-FI and IRIS-DSV projects, helping to coordinate research and knowledge dissemination activities. Leena also organizes planning of the CARMHA Research Seminars. Prior to CARMHA, Leena worked at the University of British Columbia Centre, where she received her MSc in Population and Public Health and her BA in Psychology. She will be pursuing her PhD studies in the Faculty of Health Sciences at SFU in September 2019 with Dr. John O’Neil, Principal Investigator of the MAC-FI and IRIS-DSV projects, as her supervisor.