Feasibility of using WHO's e-mhGAP-IG Mobile Application for Child and Adolescent Mental/Behavioral Disorders and Substance Use in Indian Setting: Protocol paper
DOI:
https://doi.org/10.55489/njcm.150420243586Keywords:
Substance Dependence, Digital Technology, Adolescent Health, Community Mental Health, Health care personnel, Primary health careAbstract
Background: The treatment gap for people with common mental disorders is large, estimated to be 75–95% in India; the reasons are multi-factorial. It was found that 89% of the primary health centers are not providing mental health care services. Technology like the electronic-mental Health Global Action Program-Intervention Guide (e-mhGAP-IG) is necessary to fill this gap, which in turn helps to attain one of the aims of National Mental Health Program-1982. Hence, the study is planned to understand the feasibility and adaptability of WHO’s e-mhGAP-IG by the primary health workers in the delivery of mental health care for child and adolescent mental/behavioral disorders (CMH) and substance use disorders (SUB).
Methods: It is an open-label randomized control trial planned to conduct at primary healthcare centers, Chittoor district. Primary health care staff working at PHCs/Sub-centers having one year experience, and being able to handle smart phones will be included in the study. Data will be collected using a self-structured case report form (CRF) and analyzed by applying per protocol analysis using JAMOVI software. The cost of intervention and the impact on disease outcomes will be taken concurrently to estimate the cost-effectiveness of the intervention.
Trial registration: CTRI/2023/04/051899 dated 24/04/2023 under the clinical trials registry-India
Protocol version: 1.0 dated 24/04/2023
References
National Mental Health Programme (NMHP) :: National Health Mission [Internet]. [cited 2021 Sep 21]. Available from: https://www.nhm.gov.in/index1.php?lang=1&level=2&sublinkid=1043&lid=359
Tewari A, Kallakuri S, Devarapalli S, Peiris D, Patel A, Maulik PK. SMART Mental Health Project: process evaluation to understand the barriers and facilitators for implementation of multifaceted intervention in rural India. Int J Ment Health Syst. 2021 Feb 1;15(1):15. Doi: https://doi.org/10.1186/s13033-021-00438-2 PMid:33557902 PMCid:PMC7871593
Shah N, Mehta R, Dave K. The Impact Of Mental Health Education On The Knowledge And Attitude Of The Peripheral Health Workers Of Dang. Natl J Integr Res Med. 2015 Dec 1;6.
mhGAP Intervention Guide - Version 2.0 [Internet]. [cited 2021 Sep 21]. Available from: https://www.who.int/publications-detail-redirect/9789241549790
Taylor Salisbury T, Kohrt BA, Bakolis I, Jordans MJ, Hull L, Luitel NP, et al. Adaptation of the World Health Organization Electronic Mental Health Gap Action Programme Intervention Guide App for Mobile Devices in Nepal and Nigeria: Protocol for a Feasibility Cluster Randomized Controlled Trial. JMIR Res Protoc. 2021 Jun 15;10(6):e24115. Doi: https://doi.org/10.2196/24115 PMid:34128819 PMCid:PMC8277329
Keynejad RC, Dua T, Barbui C, Thornicroft G. WHO Mental Health Gap Action Programme (mhGAP) Intervention Guide: a systematic review of evidence from low and middle-income countries. Evid Based Ment Health. 2018 Feb;21(1):30-4. Doi: https://doi.org/10.1136/eb-2017-102750 PMid:28903977 PMCid:PMC10283403
Keynejad R, Spagnolo J, Thornicroft G. WHO mental health gap action programme (mhGAP) intervention guide: updated systematic review on evidence and impact. Evid Based Ment Health. 2021 Apr 26;ebmental-2021-300254. Doi: https://doi.org/10.1136/ebmental-2021-300254 PMid:33903119 PMCid:PMC8311089
Spagnolo J, Lal S. Implementation and use of the Mental Health Gap Action Programme Intervention Guide (mhGAP-IG): A review of the grey literature. J Glob Health. 11:04022. Doi: https://doi.org/10.7189/jogh.11.04022 PMid:33884192 PMCid:PMC8053394
Using mhGAP-IG on mobile phones for front line healthcare workers to manage depression in Kenya [Internet]. Mental Health Innovation Network. 2015 [cited 2023 May 15]. Available from: https://www.mhinnovation.net/innovations/using-mhgap-ig-mobile-phones-frontline-healthcare-workers-manage-depression-kenya
Weiner BJ, Lewis CC, Stanick C, Powell BJ, Dorsey CN, Clary AS, et al. Psychometric assessment of three newly developed implementation outcome measures. Implementation Sci. 2017 Dec;12(1):1-12. Doi: https://doi.org/10.1186/s13012-017-0635-3 PMid:28851459 PMCid:PMC5576104
Siddaiah A, Srinivasan K, Satyanarayana V, Ekstrand ML. Feasibility and preliminary efficacy of training health workers in detecting Priority Mental Health Conditions among adolescents in rural South India. Pilot Feasibility Stud. 2022 Dec 1;8(1):267. Doi: https://doi.org/10.1186/s40814-022-01215-9 PMid:36587228 PMCid:PMC9805108
Mental Health Innovation Network [Internet]. 2015 [cited 2023 May 15]. Using mhGAP-IG on mobile phones for frontline healthcare workers to manage depression in Kenya. Available from: https://www.mhinnovation.net/innovations/using-mhgap-ig-mobile-phones-frontline-healthcare-workers-manage-depression-kenya
Bruni A. Assessing the efficacy of the Mental Health Gap Action Programme (mhGAP) training for non-specialized health workers in Ethiopia. In 2014 [cited 2023 Nov 12]. Available from: https://www.semanticscholar.org/paper/Assessing-the-efficacy-of-the-Mental-Health-Gap-for-Bruni/c5dca564eace8d38ba09a8a55fad 540122e27e21
MHIN [Internet]. [cited 2023 Nov 12]. mhGAP Implementation in Kashmir. Available from: https://www.mhinnovation.net/mhgap-implementation-kashmir
Psychosocial support during childbirth: Development and adaptation of WHO's Mental Health Gap Action Programme (mhGAP) for maternity care settings - PubMed [Internet]. [cited 2023 Nov 12]. Available from: https://pubmed.ncbi.nlm. nih.gov/37216373/
Petagna M, Marley C, Guerra C, Calia C, Reid C. Mental Health Gap Action Programme Intervention Guide (mhGAP-IG) for Child and Adolescent Mental Health in Low- and Middle-Income Countries (LMIC): A Systematic Review. Community Ment Health J. 2023 Jan;59(1):192-204. Doi: https://doi.org/10.1007/s10597-022-00981-3 PMid:35579725 PMCid:PMC9813022
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Kiranmayi Koni, Jayanthi Tarugu, Sirshendu Chaudhuri, Muthuvenkatachalam Srinivasan, Krishna AM
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The authors retain the copyright of their article, with first publication rights granted to Medsci Publications.