Evaluating the Clinical Cost-effectiveness of Two Primary Mental Health Service Frameworks in Yogyakarta, Indonesia
- Conditions
- Mental Disorders
- Interventions
- Behavioral: Psychotherapy
- Registration Number
- NCT02700490
- Lead Sponsor
- University of Cambridge
- 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.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 400
- Participants are adults who meet the screening criteria for depression and anxiety on the self-report General Health Questionnaire (GHQ-12)
- Potential participants who are currently receiving treatment for any mental health disorders will not be invited to participate in the study.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Specialist Psychotherapy Assessment and treatment of common mental disorders by a clinical psychologist in primary care facilities. Enhanced Usual Care Psychotherapy Assessment and treatment of common mental disorders by a general practitioner and nurse practitioner, who have been trained in the WHO mhGap manual, in primary care facilities.
- Primary Outcome Measures
Name Time Method Change in Clinical Interview Schedule Revised (CIS-R) score from baseline 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 Baseline, 6 months and 12 months Measures health and social functioning of participants
- Secondary Outcome Measures
Name Time Method Utility of service as measured by Client Service Receipt Inventory (CSRI) Baseline, 6 months and 12 months Measures service utility within the time frame
Change in WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) score from baseline Baseline, 6 months and 12 months Measures type and extent of disability of participants
Change in European Quality of Life Scale (EQ-5D) score from baseline Baseline, 6 months and 12 months Measures quality of life of participants
Trial Locations
- Locations (1)
Centre for Public Mental Health
🇮🇩Yogyakarta, D.I Yogyakarta, Indonesia