Effect of a Lay Counselor Intervention on Prevention of Major Depression in Older Adults Living in Low- and Middle-Income Countries: A Randomized Clinical Trial

Quick takeaway

This Goa-based randomized trial evaluated a task-shared prevention model for late-life depression and showed why lay-counselor delivery is a credible preventive option for older adults in primary care-linked settings.

Why this matters

High value because it targets a major and underdiagnosed geriatric risk with a realistic delivery model.

Key caution

The study was conducted in one state, so broader replication across Indian PHC systems would strengthen external validity.