ArticleBMC health services research2026
Community health workers fostering trust and engagement in a community-based intervention for depressive older adults in Peru: a qualitative study.
Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06065020 (Pilot Trial of an Evidence-based Community Intervention to Improve Depressive Symptoms Among Peruvian Older Adults), which is not on this map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Pilot Trial of an Evidence-based Community Intervention to Improve Depressive Symptoms Among Peruvian Older Adults
Who cites it
1 citing paper in PubMed.
- Aging, climate change, and the paradox of preparedness: Reflections from Villa El Salvador, Lima, Peru.PLOS global public health · 2026Article
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- Update of
Authors and funding
12 authors.
Funding
Abstract
backgroundInnovative community-driven approaches, such as task-sharing interventions with Community Health Workers (CHWs), are essential to reduce the mental health care gap. This study explored how CHWs’ actions, experiences, knowledge, and resources contributed to fostering the acceptability and feasibility of a community-based mental health intervention (VIDACTIVA) for older adults.
methodsWe examined the role of CHWs (n = 16) delivering VIDACTIVA, an evidence-based CHW-led intervention for older adults with depression. VIDACTIVA integrates Problem-solving therapy and Behavioral Activation in eight home-based sessions. Data included in-depth interviews and field notes collected across a 3-year period of piloting, adaptation, and implementation. An inductive thematic analysis identified key CHW practices that enhanced the intervention’s engagement.
resultsSixteen CHWs (aged 39–72, median 60 years) participated. Three main themes emerged as central: (1) establishing trust with older adults through active listening, empathy, and addressing urgent needs; (2) adapting session settings and creatively introducing tools to sustain engagement; and (3) fostering strong peer support networks that enhanced CHWs’ confidence, learning, and commitment throughout implementation.
conclusionCHWs play a pivotal role in community-based mental health interventions by building trust with participants, leveraging their community knowledge, and working as a collective that supports learning, self-care, and teamwork, factors that humanize care and strengthen the sustainability of programs.
trial registrationThe current trial registration number is NCT06065020, which was registered on September 26, 2023.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.