The Effect of Integrating Child and Adolescent Mental Health Into Primary Health Care and Traditional Healers' Practice: a Randomized Controlled Trial in Eastern Uganda
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 36
- 主要终点
- Proportion of clinics which recorded at least one non-epilepsy CAMH diagnosis in the intervention compared to the control group.
研究概览
简要总结
This randomized controlled trial will compare the effect of a CAMH integration package on yield of CAMH cases compared to non-CAMH integrated sites. It will be conducted among nurses, midwives and clinical officers who provide PHC services to children and adolescents in 42 health centers; and eligible traditional healers.
详细描述
The overall goal of the study is to increase access to mental health services for children and adolescents in Uganda by improving entry through primary health care workers and traditional healers.
The main objective of the study is to measure the effect of integrating child and adolescent mental health (CAMH) into primary health care (PHC) and into traditional healers' services on CAMH case identification in 2 districts in Eastern Uganda, so as to improve entry into mental health services.
The specific objectives are:
- To estimate the effect of CAMH integration into PHC on case identification, measured by the number of new non- epilepsy CAMH diagnoses.
- To assess the feasibility and effect of integrating CAMH into traditional healers practice, measured by the number of CAMH referrals from community to clinics per month.
- To assess the acceptability of CAMH integration among PHC workers and traditional healers
- To estimate the costs associated with the integration of CAMH into PHC and traditional medicine
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Public (government health system)
- •No psychiatric nurse allocated
排除标准
- •mhGAP training in the previous 3 years
研究组 & 干预措施
CAMH training
Intervention clinics will receive a CAMH integration package comprising of:
- Training PHC workers (midwives, nurses and/or clinical officers) on how to screen and refer for CAMH, based on WHO mhGAP implementation guide.
- Support supervision in the clinics to reinforce training and provide on-job support to PHC staff.
- Provision of job aids and training materials
干预措施: CAMH training (Other)
No CAMH training
Clinics will continue to provide the standard of care.
结局指标
主要结局
Proportion of clinics which recorded at least one non-epilepsy CAMH diagnosis in the intervention compared to the control group.
时间窗: 3 months
次要结局
未报告次要终点
研究者
Angela Akol
PhD candidate
University of Bergen