Technology Assisted Cascade Training and Supervision of Community Health Workers for Thinking Healthy Programme

NCT02644902 | Completed DMC

• 1 other identifier: GCC-THP-TACTS-2015
• Study Type: interventional
• Target: 80
• Locations: 0 countries
• Sites: N/A

Brief Summary

The Thinking Healthy Program is evidence based psychological intervention, delivered by non-specialists, with proven impact on maternal depression. A major challenge in the scale-up of this intervention, especially where health systems are weak, is providing quality training and supervision at scale. Women living in post-conflict areas are at a higher risk of depression than the general population.The key innovation proposed is the development and evaluation of a technology-assisted cascade training and supervision system to assist scale-up of the Thinking Healthy Programme in a post conflict area of Pakistan.

Conditions

Maternal Depression

Keywords

Avatar assisted cascade training and supervision; maternal depression; postconflict; THP

Outcome Measures

Primary Outcomes (1)

• Competency of health workers in THP skills measured using ENact assessment tool

  The competency of health workers in the two arms will be measured using ENact assessment tool.

  Immediately after intervention

Secondary Outcomes (1)

• Cost of intervention

  3 months after intervention

Study Arms (2)

Technology Arm

EXPERIMENTAL

5 days training of health workers in THP through avatar assisted cascade training and supervision

Other: Avatar assisted cascade training

Specialist Arm

ACTIVE COMPARATOR

5 days training and supervision of health workers in THP by specialists

Other: Specialist led training in THP

Interventions

Avatar assisted cascade training OTHER

Training of health workers in THP through tablets including avatar characters , and cascaded supervision model.

Technology Arm

Specialist led training in THP OTHER

Training and supervision of lady health workers by specialists as in original THP

Specialist Arm

Eligibility Criteria

• Sex: female
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Lady health workers currently working in Swat district

You may not qualify if:

• Physically unwell, lady health workers on leave

Sponsors & Collaborators

• Human Development Research Foundation, Pakistan: lead
• Duke University: collaborator
• University of Liverpool: collaborator

Related Publications (1)

• Zafar S, Sikander S, Hamdani SU, Atif N, Akhtar P, Nazir H, Maselko J, Rahman A. The effectiveness of Technology-assisted Cascade Training and Supervision of community health workers in delivering the Thinking Healthy Program for perinatal depression in a post-conflict area of Pakistan - study protocol for a randomized controlled trial. Trials. 2016 Apr 6;17:188. doi: 10.1186/s13063-016-1308-2.

  PMID: 27048477 DERIVED

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 28, 2015
• First Posted: January 1, 2016
• Study Start: March 1, 2016
• Primary Completion: September 1, 2016
• Study Completion: October 1, 2016
• Last Updated: February 24, 2017

Record last verified: 2017-02

Data Sharing

• IPD Sharing: Will not share