DIL

Prevention of Depression in Late Life

Brief
Sangath launched the DIL project aiming at developing strategies to prevent depression in late life and thereby promote well-being. Depression in late life (60 years and above) is a growing public health problem in India due to a variety of reasons such as disability, depletion of economic and social resources, bereavement, caregiving, and chronic insomnia.
Given the demographic transition, it is necessary to conduct research on conditions that affect those in late life. It is imperative for us to understand the complex causes of depression and use our understanding to develop strategies to prevent it. The dearth of specialist resources, together with the limited ability of current depression treatments to avert years lived with disability, underscores the need for preventive interventions that can be delivered by lay health workers in primary care settings.
The study was conducted in an urban and rural setting in Goa and the project is in the final stages of completion.

Aim and objectives

The DIL project aims at developing strategies and interventions to prevent depression in late life. The interventions will be delivered by trained lay health workers in primary care settings.
The objectives of this project are as follows
  • To understand the challenges of ageing particularly depression in late life
  • To understand the available care settings for the depressed in late life
  • To understand the complex causes of depression
  • To develop interventions aimed at preventing depression in late life and promote healthy ageing
  • To explore the acceptability of the interventions among the depressed in late life
  • To test the effectiveness of the developed interventions in the community to prevent depression and promote healthy ageing in late life
Overview
Formative Phase (Year 1)
  • Develop modules for intervention
  • Develop protocols for In-depth Interview and Focus Group Discussion
  • Train and pilot in 20 participants
Intervention Phase (Years 2 & 3)
  • Conduct a randomised control trial of the effects of the intervention on preventing depression
  • The target sample of 120 participants with subthreshold depression (60 from rural and 60 from urban settings)