Life sciences · Interventional Study
ClinicalTrials.gov · October 27, 2026
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Interventional Study.
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Registry record from ClinicalTrials.gov (NCT06894680). This is a study registration, not published results. Lead sponsor: Royal Society of Tropical Medicine and Hygiene. Recruitment status: COMPLETED. Phase: NA. Study type: INTERVENTIONAL. Enrollment: 100 participants (ACTUAL). Conditions: Older Adults (50-90 Years), Depression. Interventions: OTHER: Stepped care; OTHER: Treatment as usual. Primary outcome measures: Effectiveness of a Stepped-Care Task-Sharing (SCT) Model in reducing depressive symptoms measured by Patient Health Questionnaire-9 (PHQ-9). , Baseline PHQ-9 score (before intervention) Follow-up assessments at 6 weeks, 3 months, and 6 months. Brief summary: Depression levels will be compared using PHQ-9 in the Treatment as Usual arm(TAU) VS intervention arm to see if the stepped care intervention is effective in treating depression. The main questions it aims to answer are: * Needs assessment of stepped-care integration versus usual care for treating depression in older adults living with HIV? * How effective will the stepped care task-sharing (SCT) model in reducing depressive symptoms and improving HIV treatment outcomes in older PLHIV in Nigeria? Participants who screen positive for depression PHQ-9 ≥10 will be randomized into 2 arms for treatment using a systemized ballot system: TAU arm and Intervention arm. TAU arm will receive current treatment available for depression at the HIV center. Intervention arm will receive the stepped-care intervention in stages based on their symptom severity. Follow-up assessments at (6 weeks, 3months, 6 months, 9 months and 12 months) will be conducted by assessors who would be blinded to the different groups (TAU arm VS intervention arm).