NCT03231761

Brief Summary

This is a randomized controlled trial examining the impact of videos on medical students' implicit and explicit attitudes and knowledge related to mental illness in Nepal. Medical students are randomized to one of three conditions: (a) no video, (b) a didactic video based on the mental health Gap Action Programme (mhGAP) modules for depression and psychosis; and (c) videos with personal testimonials from mental health service users with depression and psychosis.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
300

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Aug 2017

Geographic Reach
1 country

2 active sites

Status
completed

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

July 21, 2017

Completed
6 days until next milestone

First Posted

Study publicly available on registry

July 27, 2017

Completed
25 days until next milestone

Study Start

First participant enrolled

August 21, 2017

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 31, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 31, 2018

Completed
Last Updated

January 3, 2019

Status Verified

January 1, 2019

Enrollment Period

1 year

First QC Date

July 21, 2017

Last Update Submit

January 2, 2019

Conditions

Outcome Measures

Primary Outcomes (1)

  • Social Distance Scale

    Likert rating scale with items referring to level of social distance from persons with mental illness

    Immediately after presentation of experimental, active comparator, or no intervention condition (duration of experimental and active comparator conditions is 15-20 minutes)

Secondary Outcomes (2)

  • Implicit Association Test (IAT)

    Immediately after presentation of experimental, active comparator, or no intervention condition (duration of experimental and active comparator conditions is 15-20 minutes)

  • Modified Community Informant Detection Tool (CIDT) vignettes for diagnostic and treatment knowledge assessment

    Immediately after presentation of experimental, active comparator, or no intervention condition (duration of experimental and active comparator conditions is 15-20 minutes)

Study Arms (3)

Service user testimonial videos

EXPERIMENTAL

Videos with service user testimonials about depression and psychosis

Other: Service user testimonial videos

mhGAP didactic video

ACTIVE COMPARATOR

The intervention in the active comparator arm includes two didactic videos with instruction about depression and psychosis based on the World Health Organization mental health Gap Action Programme (mhGAP) modules for those conditions

Other: mhGAP didactic video

No video

NO INTERVENTION

Participants do not observe any videos prior to the assessment

Interventions

Service users describe their personal experiences receiving care for depression or psychosis and the impact of the treatment on their quality of life

Service user testimonial videos

Video with a narrated slide presentation describing diagnosis and treatment of depression and psychosis

mhGAP didactic video

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Medical students in universities in Nepal

You may not qualify if:

  • Medical students are excluded if they have already completed their psychiatric clinical rotation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Tribhuvan University Institute of Medicine

Maharajgunj, Kathmandu, Nepal

Location

Kathmandu University School of Medicine

Dhulikhel, Nepal

Location

Related Publications (1)

  • Tergesen CL, Gurung D, Dhungana S, Risal A, Basel P, Tamrakar D, Amatya A, Park LP, Kohrt BA. Impact of Service User Video Presentations on Explicit and Implicit Stigma toward Mental Illness among Medical Students in Nepal: A Randomized Controlled Trial. Int J Environ Res Public Health. 2021 Feb 22;18(4):2143. doi: 10.3390/ijerph18042143.

MeSH Terms

Conditions

StereotypingDepressionPsychotic Disorders

Condition Hierarchy (Ancestors)

Social BehaviorBehaviorBehavioral SymptomsSchizophrenia Spectrum and Other Psychotic DisordersMental Disorders

Study Officials

  • Brandon Kohrt, MD, PhD

    George Washington University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor of Psychiatry

Study Record Dates

First Submitted

July 21, 2017

First Posted

July 27, 2017

Study Start

August 21, 2017

Primary Completion

August 31, 2018

Study Completion

August 31, 2018

Last Updated

January 3, 2019

Record last verified: 2019-01

Locations