Evaluating the Clinical Cost-effectiveness of Two Primary Mental Health Service Frameworks in Yogyakarta, Indonesia
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Mental Disorders
- Sponsor
- University of Cambridge
- Enrollment
- 400
- Locations
- 1
- Primary Endpoint
- Change in Clinical Interview Schedule Revised (CIS-R) score from baseline
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
This study is a cluster randomised controlled trial, which aims to examine the short-term strategy of addressing treatment gap through increasing primary mental health service capacity. This study aims to compare after 6 months and 12 months, the effectiveness of a specialist model of mental health care and an enhanced usual care (task-sharing) framework, in terms of reducing mental health symptoms, reducing disability, and improving quality of life, as well as the health services costs (and potentially societal costs) associated with these outcomes in 400 patients.
Detailed Description
Two primary mental health service frameworks in Yogyakarta are compared: the specialist framework and the enhanced usual care framework. Both frameworks have not been evaluated in the Indonesian context, despite their potential to be the framework of choice for other provincial and district governments to adopt. Extension to existing services has been planned, which provides us with the opportunity to implement in a random manner the enhanced usual care framework in new areas. This study aims to compare after 6 months and 12 months, the effectiveness of a specialist model of mental health care and an enhanced usual care (task-sharing) framework, in terms of reducing mental health symptoms, reducing disability, and improving quality of life, as well as the health services costs (and potentially societal costs) associated with these outcomes in 400 patients. This study receives ground-level support from the Centre for Public Mental Health, Universitas Gadjah Mada, which manages the specialist primary mental health framework in Yogyakarta province, regional and national-level support from the Ministry of Health of Indonesia, and will be hopefully funded by the LPDP, Ministry of Finance of Indonesia.
Investigators
Sabrina Anjara
PhD
University of Cambridge
Eligibility Criteria
Inclusion Criteria
- •Participants are adults who meet the screening criteria for depression and anxiety on the self-report General Health Questionnaire (GHQ-12)
Exclusion Criteria
- •Potential participants who are currently receiving treatment for any mental health disorders will not be invited to participate in the study.
Outcomes
Primary Outcomes
Change in Clinical Interview Schedule Revised (CIS-R) score from baseline
Time Frame: Baseline, 6 months and 12 months
Measures the presence and severity of psychiatric symptoms
Change in Health of Nations Outcomes Scale (HoNOS) score from baseline
Time Frame: Baseline, 6 months and 12 months
Measures health and social functioning of participants
Secondary Outcomes
- Utility of service as measured by Client Service Receipt Inventory (CSRI)(Baseline, 6 months and 12 months)
- Change in WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) score from baseline(Baseline, 6 months and 12 months)
- Change in European Quality of Life Scale (EQ-5D) score from baseline(Baseline, 6 months and 12 months)