The Effect of Integrating CAMH Into PHC and Traditional Healers' Practice in Uganda: a Randomized Controlled Trial
The Effect of Integrating Child and Adolescent Mental Health Into Primary Health Care and Traditional Healers' Practice: a Randomized Controlled Trial in Eastern Uganda
1 other identifier
interventional
36
0 countries
N/A
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Oct 2015
Shorter than P25 for not_applicable
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 14, 2015
CompletedFirst Posted
Study publicly available on registry
September 16, 2015
CompletedStudy Start
First participant enrolled
October 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2016
CompletedMay 13, 2016
May 1, 2016
4 months
September 14, 2015
May 12, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Proportion of clinics which recorded at least one non-epilepsy CAMH diagnosis in the intervention compared to the control group.
3 months
Other Outcomes (1)
Change in CAMH knowledge pre-and post-training
5 days
Study Arms (2)
CAMH training
EXPERIMENTALIntervention 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
No CAMH training
NO INTERVENTIONClinics will continue to provide the standard of care.
Interventions
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.
Eligibility Criteria
You may qualify if:
- \. Public (government health system) 2. No psychiatric nurse allocated
You may not qualify if:
- mhGAP training in the previous 3 years
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Related Publications (1)
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.
PMID: 30455964DERIVED
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- PhD candidate
Study Record Dates
First Submitted
September 14, 2015
First Posted
September 16, 2015
Study Start
October 1, 2015
Primary Completion
February 1, 2016
Study Completion
February 1, 2016
Last Updated
May 13, 2016
Record last verified: 2016-05