NCT06275672|Recruiting

Implementing an Education- and Health System Task-shifting Approach for Child Mental Health Promotion in Uganda

TREAT

TREAT INTERACT: Implementing a User Involved Education- and Health System Interactive Task-shifting Approach for Child Mental Health Promotion in Uganda

Norwegian Center for Violence and Traumatic Stress Studies ClinicalTrials.gov

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TREAT INTERACT

Study Type

interventional

Target

180

Locations

1 country

Sites

Timeline

RegisteredFeb 2024

StartedAug 2023

CompletionDec 2025

Brief Summary

This study will adapt a school version (mhGAP-IGs) of the World Health Organization´s (WHO) "Mental Health Gap Action Programme Intervention Guide" (mhGAP). Both teachers and health workers will receive training in mhGAP, and systems for collaboration between the school and health sector as well as other relevant stakeholders will be developed and integrated. The project is conducted in close collaboration with key stakeholders from the Ministry, the health and education sector, the police, and religious leaders. The aim is to increase mental health literacy among school staff, facilitate a healthy school environment, and increase detection of mental health needs among primary school aged children.

Trial Health

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Trial Health Score

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

Trial has exceeded expected completion date

Enrollment

180

participants targeted

Target at P75+ for not_applicable

Timeline

Completed

Started Aug 2023

Typical duration for not_applicable

Geographic Reach

1 country

1 active site

Status

recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

2.3 years study duration

Study Start

First participant enrolled

August 1, 2023

Completed

5 months until next milestone

First Submitted

Initial submission to the registry

December 28, 2023

Completed

2 months until next milestone

First Posted

Study publicly available on registry

February 23, 2024

Completed

1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2025

Completed

7 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2025

Completed

Last Updated

February 23, 2024

Status Verified

February 1, 2024

Enrollment Period

1.8 years

First QC Date

December 28, 2023

Last Update Submit

February 16, 2024

Conditions

Mental Health Issue Stigma, Social Child Development Child Abuse

Keywords

AdolescentChildGlobal mental healthImplementationLow- and middle income countriesPrimary schoolsTask shiftingTeachersUganda

Outcome Measures

Primary Outcomes (6)

Reach questionnaire, developed by the project group
For teachers. Proportion of children reached by the program. Consist of one question: "Have you ever referred a child at school to the health system?" If no (scored 0), no further questions are asked. If yes (scored 1), an additional 5 questions follows (e.g., "If yes, have any of these referrals to the health system been because of a mental health problem?")
Through study completion, an average of 1.5 years
The Program Sustainability tool (Finch et al., 2013)
For teachers. 22 items measuring the following: * Financial stability * Organizational Support * Staff Retention: * Program Integration * Stakeholder Perceptions * Program Outcomes and Impact It is scored from 0 (little to no extent) to 7 (to a very great extent). A summed score is created (a minimum score of 0 and a maximum score of 154, where a higher score mean a better outcome)
Through study completion, an average of 1.5 years
Service measure on access to mental health care, developed by the project group
For teachers. 21 items measuring the following dimention of Service Utilization will be created during the mapping process: * Wait Times * Geographical Accessibility * Affordability * Equity and Disparities * Satisfaction and Perceived Access * Referral Patterns * Availability of Services Scored 0 (never) to 4 (at least once a year). A summed score is created (a minimum score of 0 and a maximum score of 105, where a higher score mean a better outcome)
Through study completion, an average of 1.5 years
Attitudes about Child Mental Health (Perceived Discrimination-Devaluation (Link et al., 1987) questionnaire
For teachers. 10 items measuring stigma and mental health literacy. Scored from 1 (strongly disagree) to 7 (strongly agree). A summed score is created (a minimum score of 0 and a maximum score of 70, where a higher score mean a better outcome)
Through study completion, an average of 1.5 years
The dimensions of discipline inventory, school (DDI; Strauss & Faucher, 2007)
For children. 11 items measuring incidents of teacher violence. Scored from 0 (never) to 4 (at least once a year). A summed score is created (a minimum score of 0 and a maximum score of 44, where a higher score mean a worse outcome)
Through study completion, an average of 1.5 years
Treatment at home, developed by the project group, by inspiration from our siste project "TREAT C-AUD")
For children. 10 items measuring treatment at home. Scoring instructions will be deveoped during the mapping process.
Through study completion, an average of 1.5 years

Secondary Outcomes (20)

The Implementation Quality Questionnaire (Bogen, 2020)
Through study completion, an average of 1.5 years
Fidelity Scale, developed by the project group
Through study completion, an average of 1.5 years
General Health Questionnaire (GHQ; Goldberg, 1970)
Through study completion, an average of 1.5 years
Attitudes on Gender Norms (Waszak et al., 2000) questionnaire
Through study completion, an average of 1.5 years
Help-seeking behaviour, developed by the project group after inspiration from Yifeng et al., 2022
Through study completion, an average of 1.5 years
+15 more secondary outcomes

Study Arms (6)

Cohort 1

ACTIVE COMPARATOR

An Ugandan adapted version of the mhGAP-IG child and adolescent mental health module will be used for identification, assessment, and management of common mental disorders in children and adolescents at primary schools.