About the Speaker

Dr. Marcia Scazufca

Dr. Scazufca graduated in Psychology from the Catholic University of São Paulo (1984). She has a master’s degree in Epidemiology from the London School of Hygiene And Tropical Medicine -UK (2006) and a master’s degree in Social Psychology from the University of São Paulo (1990). PhD in Psychology at the Institute of Psychiatry, University of London (1996). Postdoctoral fellow at the Academic Unit of Psychiatry, University of Bristol (2008). Since 2009, she hold the position of Scientific Researcher VI at the Institute of Psychiatry, Hospital das Clínicas, Faculty of Medicine, University of São Paulo. Dr. Scazufca has been a visiting scientist at the Lown Scholar Program, Department of Global Health and Population, T. H. Chan School of Public Health, Harvard University since 2017, and visiting researcher at the Global Mental Health Research Group, Institute of Psychiatry, Psychology and Neurosciences, King’s College London since 2018. Her research is in psychiatric epidemiology, on the following topics: epidemiology of mental disorders in adults and the elderly (dementia, depression, psychosis, and postpartum women), and mental health in primary care. She has participated as a researcher and coordinator in national and international multicenter studies. Currently, Dr. Scazufca is conducting two randomized clinical trials in Brazil to test the effectiveness of digital psychosocial interventions for older adults in primary care with depressive and subthreshold depressive symptoms.


Cluster randomised controlled trial for late life depression in socioeconomically deprived areas of São Paulo, Brazil (PROACTIVE) project


The presentation will cover the main results of large-scale pragmatic, two-arm, cluster-randomised controlled trial that evaluated a task-shared, collaborative care psychosocial intervention (PROACTIVE) for managing depressive symptomatology among older adults (aged ≥60 years) in the community in Brazil. PROACTIVE is 17-week program (participants receive 8 to 11 session), based on psychoeducation and behavioural activation, delivered mostly by community health workers support by mobile technology. The study was conducted in Guarulhos (1.3 million pop) and included 715 participants (approx. 36 in each clinic) registered with 20 primary care clinics. The clinics were randomly allocated to enhanced usual care alone (control group) or to enhanced usual care plus PROACTIVE (intervention group). The primary (recovery from depression, PHQ-9 score <10) and secondary outcomes were assessed at eight and 12-month after inclusion, respectively.