Status:
COMPLETED
Reducing Stigma Among Healthcare Providers (RESHAPE-cRCT)
Lead Sponsor:
George Washington University
Collaborating Sponsors:
Duke University
Transcultural Psychosocial Organization Nepal
Conditions:
Mental Disorder
Depressive Disorder
Eligibility:
All Genders
16+ years
Phase:
NA
Brief Summary
A growing number of trials have demonstrated treatment effectiveness for mental illness by non-specialist providers, such as primary care providers, in low-resource settings. A barrier to scaling up t...
Detailed Description
There continues to be a major gap between the global burden of persons with mental illness and the number of patients receiving adequate treatment. In the U.S. and other high-income countries, approxi...
Eligibility Criteria
Inclusion
- \*\*Primary Care Providers\*\*
- All health workers from the facilities included in the study will be invited to participate
- Health workers will be between 18 and 65 years of age based on employment criteria
- within the government health system.
- All participants will need to have Nepali language competency,
- be actively engaged in care provision in their health cluster,
- have a valid certificate of practice from the Ministry of Health
- Health workers will need to have permission from their health supervisor to attend the entire duration of the training,
Exclusion
- any prior citations on their clinical practice licensure or any other government credentialing violations.
- \*\*Patients\*\*
- Inclusion Criteria:
- All patients (with non-emergency medical needs) presenting to the primary care
- any of the following groups:
- (a) any mental illness diagnosis including depression, psychosis (bipolar disorder with a manic episode, schizophrenia, major depressive disorder with psychotic features, and alcohol use disorder with psychosis) and alcohol use disorder; plus the other conditions included in Nepal's mental health Gap Action Programme: anxiety, conversion, epilepsy, dementia, child and adolescent, other substance abuse (these patients are included because misdiagnosis is common with regard to missing or overdiagnosing one condition in place of another mental illness); comorbid conditions are also acceptable;
- (b) any patients screening above cut-off scores on the tools; and
- (c) 10% of patients who are negative on all of the above criteria.
- any patients previously treated for mental illness would be included
- age range will be 16 years or older, with no upper age limit (mental health Gap Action Programme training covers child and adolescent through mental illnesses affecting elderly population).
- all participants will be able to speak Nepali
- able to complete the research interview with the research assistants who will read all of the assessment tools.
Key Trial Info
Start Date :
February 22 2022
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
March 3 2025
Estimated Enrollment :
8705 Patients enrolled
Trial Details
Trial ID
NCT04282915
Start Date
February 22 2022
End Date
March 3 2025
Last Update
June 22 2025
Active Locations (1)
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1
Transcultural Psychosocial Organization Nepal
Pokhara, Gandaki, Nepal