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Lookup NU author(s): Sophie Walker, Dr Lucy RobinsonORCiD, Dr Stella Paddick, Professor Hamish McAllister-WilliamsORCiD, Professor Richard Walker
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).
ObjectiveTo conduct a pilot study of the adapted Ziba Ufa intervention for the treatment of late life depression, to assess feasibility and acceptability.DesignA pilot clinical trial, using a single group design over eight months, using qualitative and quantitative methods.SettingFour rural and urban outpatient health clinics in Kilimanjaro, Tanzania.ParticipantsIndividuals aged 60 years and above, with chronic health conditions and mild-moderate depression symptoms, with no cognitive impairment or severe frailty.Intervention‘Ziba Ufa’ (‘Repair the Crack’) was adapted for Tanzania from the Depression in Late Life (DIL) intervention. It is a hybrid model of problem-solving therapy and healthy lifestyle advice.MeasurementsA locally validated depression screener (MOSHI-D) was used to screen for mild-moderate depression symptoms. Feasibility was assessed using recruitment and retention data, and acceptability was assessed using thematic analysis and the Theoretical Framework of Acceptability to analyse exit interviews with participants and counsellors at follow-up.ResultsA total of 157 older adults were screened, and thirty-two participants were enroled, with eight allocated to one counsellor per site. The enrolment rate of those clinically eligible at screening was 52%, with the majority unable to attend due to living too far away from the clinic. The retention rate was high at 97% (N=31). Qualitative feedback indicated the programme was acceptable because it helped older adults ‘open up’ and did not interfere with everyday life.ConclusionsZiba Ufa was feasible and acceptable in Tanzania when delivered in routine clinical settings, with travel reimbursed.
Author(s): Walker S, Robinson LJ, Mhando L, Paddick SM, Boshe J, McAllister-Williams RH, Eliamini W, Sakanda L, Walker R
Publication type: Article
Publication status: Published
Journal: The American Journal of Geriatric Psychiatry: Open Science, Education, and Practice
Year: 2025
Volume: 5
Pages: 21-33
Print publication date: 01/03/2025
Online publication date: 09/11/2024
Acceptance date: 02/11/2024
Date deposited: 29/11/2024
ISSN (electronic): 2950-3868
Publisher: Elsevier B.V.
URL: https://doi.org/10.1016/j.osep.2024.11.001
DOI: 10.1016/j.osep.2024.11.001
Data Access Statement: The data is publicly available upon request to the corresponding author.
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