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Protocol for process evaluation of SMART Mental Health cluster randomised control trial: an intervention for management of common mental disorders in India.
Mukherjee, Ankita; Daniel, Mercian; Kallakuri, Sudha; Kaur, Amanpreet; Devarapalli, Siddhardha; Raman, Usha; Thornicroft, Graham; Essue, Beverley M; Praveen, D; Sagar, Rajesh; Kant, Shashi; Saxena, Shekhar; Patel, Anushka; Peiris, David; Maulik, Pallab K.
  • Mukherjee A; The George Institute for Global Health, New Delhi, India.
  • Daniel M; The George Institute for Global Health, New Delhi, India.
  • Kallakuri S; The George Institute for Global Health, Hyderabad, India.
  • Kaur A; The George Institute for Global Health, New Delhi, India.
  • Devarapalli S; The George Institute for Global Health, Hyderabad, India.
  • Raman U; Department of Communication, University of Hyderabad, Hyderabad, India.
  • Thornicroft G; Centre for Global Mental Health Centre for Implementation Science, Health Service and Population Research Department, King's College London Institute of Psychiatry Psychology and Neuroscience, London, UK.
  • Essue BM; Institute of Health Policy, Management and Evaluation, University of Toronto Dalla Lana School of Public Health, Toronto, Ontario, Canada.
  • Praveen D; The George Institute for Global Health, Hyderabad, India.
  • Sagar R; University of New South Wales, Sydney, New South Wales, Australia.
  • Kant S; Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India.
  • Saxena S; Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
  • Patel A; Department of Global Health and Population, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA.
  • Peiris D; The George Institute for Global Health, UNSW Sydney, SydneyAustralia.
  • Maulik PK; The George Institute for Global Health, UNSW Sydney, SydneyAustralia.
BMJ Open ; 12(6): e058669, 2022 06 17.
Article in English | MEDLINE | ID: covidwho-1902006
ABSTRACT

INTRODUCTION:

In India about 95% of individuals who need treatment for common mental disorders like depression, stress and anxiety and substance use are unable to access care. Stigma associated with help seeking and lack of trained mental health professionals are important barriers in accessing mental healthcare. Systematic Medical Appraisal, Referral and Treatment (SMART) Mental Health integrates a community-level stigma reduction campaign and task sharing with the help of a mobile-enabled electronic decision support system (EDSS)-to reduce psychiatric morbidity due to stress, depression and self-harm in high-risk individuals. This paper presents and discusses the protocol for process evaluation of SMART Mental Health. METHODS AND

ANALYSIS:

The process evaluation will use mixed quantitative and qualitative methods to evaluate implementation fidelity and identify facilitators of and barriers to implementation of the intervention. Case studies of six intervention and two control clusters will be used. Quantitative data sources will include usage analytics extracted from the mHealth platform for the trial. Qualitative data sources will include focus group discussions and interviews with recruited participants, primary health centre doctors, community health workers (Accredited Social Health Activits) who participated in the project and local community leaders. The design and analysis will be guided by Medical Research Council framework for process evaluations, the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework, and the normalisation process theory. ETHICS AND DISSEMINATION The study has been approved by the ethics committee of the George Institute for Global Health, India and the Institutional Ethics Committee, All India Institute of Medical Sciences (AIIMS), New Delhi. Findings of the study will be disseminated through peer-reviewed publications, stakeholder meetings, digital and social media platforms. TRIAL REGISTRATION NUMBER CTRI/2018/08/015355.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Mental Health / Mental Disorders Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials / Systematic review/Meta Analysis Limits: Humans Country/Region as subject: Asia Language: English Journal: BMJ Open Year: 2022 Document Type: Article Affiliation country: Bmjopen-2021-058669

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Mental Health / Mental Disorders Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials / Systematic review/Meta Analysis Limits: Humans Country/Region as subject: Asia Language: English Journal: BMJ Open Year: 2022 Document Type: Article Affiliation country: Bmjopen-2021-058669