Improving Mental Health Through Integration With Primary Care in Rural Karnataka

Completed

• Conditions: DIABETES,HIGH BLOOD PRESSURE,HIGH CHOLESTEROL,PSYCHOLOGICAL PROBLEMS

• Registration Number: CTRI/2018/04/013001
• Lead Sponsor: National Institute of Mental Health

Brief Summary

This cluster Randomized Controlled Trial was designed to implement and evaluate the effects of a multi-level intervention designed to integrate mental health treatment into rural primary health clinics in South India using a collaborative care model compared to enhanced standard care treatment. The primary outcome measures include

1. Incidence of dually diagnosed participants

incidence of patients presenting to Primary Health Clinic (PHC) with a dual diagnosis of depression or anxiety, and

diabetes or cardiovascular disease in in the standard versus enhanced screening arms.

2. anxiety or depression

levels of anxiety or depression reported by participants, depending on initial diagnosis

3. blood glucose control

for patients presenting with diabetes

4. blood pressure

for patients presenting with hypertension

5. cholesterol

for patients presenting with hypercholesterolemia

Secondary Outcome Measures:

6. medication adherence

adherence to medical regimen using a Visual Analog scale. Specific regimen depends on initial diagnosis

Detailed Description

Not available

Study Timeline

• Study Start: 2015-04-27
• Study Completion: 2018-01-11
• Last Update Posted: 2024-10-15

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 2687

Inclusion Criteria

30 years or older; • Diagnosed with co-morbid CMD (Depression or Anxiety Disorder) and either • Able and willing to consent and participate in the intervention and all assessments; • Able to speak Kannada; and • Mentally competent to provide consent and answer to study measures and participate in intervention (MMSE score greater than 26).

Exclusion Criteria

• Under 30 years of age; • Patients who are not diagnosed with co-morbid CMD (Depression or Anxiety Disorder) and either hypertension, diabetes, or diagnosed ischemic heart disease; • Not mentally competent to provide consent and answer to study measures and participate in intervention (MMSE score > 26).
• • Unable to speak Kannada; and • Participants who do not provide contact information.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
blood pressure and cholesterol for patients presenting with diabetes hypertension hypercholesterolemia	1 year
anxiety or depression	1 year
Blood glucose control	1 year
Incidence of dually diagnosed participants	1 year

Secondary Outcome Measures

Name	Time	Method
medication adherence adherence to medical regimen using a Visual Analog scale. Specific regimen depends on initial diagnosis [Time Frame: 1 year	1 YEAR

Trial Locations

Locations (1)

St. Johns Research Institute; 🇮🇳 Bangalore, KARNATAKA, India

St. Johns Research Institute

🇮🇳Bangalore, KARNATAKA, India

Krishnamachari Srinivasan MD

Principal investigator

9845038195

srinivasanstjohns@gmail.com