The Effect of Integrating CAMH Into PHC and Traditional Healers' Practice in Uganda: a Randomized Controlled Trial

NCT ID: NCT02552056

Last Updated: 2016-05-13

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 36 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2015-10-31
• Study Completion Date: 2016-02-29

Brief Summary

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.

Detailed Description

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:

1. To estimate the effect of CAMH integration into PHC on case identification, measured by the number of new non- epilepsy CAMH diagnoses.

2. 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.

3. To assess the acceptability of CAMH integration among PHC workers and traditional healers

4. To estimate the costs associated with the integration of CAMH into PHC and traditional medicine

Conditions

Community Mental Health Services

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Study Groups

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

Group Type: EXPERIMENTAL

CAMH training

Intervention Type: OTHER

Training of PHC workers included in the study for 5 days to screen children and adolescents for CAMH conditions, based in the mhGAP curriculum for non-specialist health providers.

No CAMH training

Clinics will continue to provide the standard of care.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

CAMH training

Training of PHC workers included in the study for 5 days to screen children and adolescents for CAMH conditions, based in the mhGAP curriculum for non-specialist health providers.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• 1. Public (government health system) 2. No psychiatric nurse allocated

Exclusion Criteria

• mhGAP training in the previous 3 years

• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

University of Bergen

OTHER

Sponsor Role: lead

Responsible Party

Angela Akol

PhD candidate

Responsibility Role: PRINCIPAL_INVESTIGATOR

References

Akol A, Makumbi F, Babirye JN, Nalugya JS, Nshemereirwe S, Engebretsen IMS. Does mhGAP training of primary health care providers improve the identification of child- and adolescent mental, neurological or substance use disorders? Results from a randomized controlled trial in Uganda. Glob Ment Health (Camb). 2018 Sep 10;5:e29. doi: 10.1017/gmh.2018.18. eCollection 2018.

Reference Type: DERIVED

PMID: 30455964 (View on PubMed)

Other Identifiers

HS 1874

Identifier Type: -

Identifier Source: org_study_id