The Effect of Integrating CAMH Into PHC and Traditional Healers' Practice in Uganda: a Randomized Controlled Trial

Sponsor

University of Bergen (Other)

Overall Status

Completed

CT.gov ID

NCT02552056

Collaborator

(none)

Enrollment

Arms

Duration (Months)

Study Details

Study Description

Brief Summary

This randomized controlled trial will compare the effect of a CAMH integration package on yield of CAMH cases compared to non-CAMH integrated sites. It will be conducted among nurses, midwives and clinical officers who provide PHC services to children and adolescents in 42 health centers; and eligible traditional healers.

Condition or Disease	Intervention/Treatment	Phase
Community Mental Health Services	Other: CAMH training	N/A

Detailed Description

The overall goal of the study is to increase access to mental health services for children and adolescents in Uganda by improving entry through primary health care workers and traditional healers.

The main objective of the study is to measure the effect of integrating child and adolescent mental health (CAMH) into primary health care (PHC) and into traditional healers' services on CAMH case identification in 2 districts in Eastern Uganda, so as to improve entry into mental health services.

The specific objectives are:

To estimate the effect of CAMH integration into PHC on case identification, measured by the number of new non- epilepsy CAMH diagnoses.
To assess the feasibility and effect of integrating CAMH into traditional healers practice, measured by the number of CAMH referrals from community to clinics per month.
To assess the acceptability of CAMH integration among PHC workers and traditional healers
To estimate the costs associated with the integration of CAMH into PHC and traditional medicine

Study Design

Study Type:

Interventional

Actual Enrollment :

36 participants

Allocation:

Randomized

Intervention Model:

Single Group Assignment

Masking:

None (Open Label)

Primary Purpose:

Health Services Research

Official Title:

The Effect of Integrating Child and Adolescent Mental Health Into Primary Health Care and Traditional Healers' Practice: a Randomized Controlled Trial in Eastern Uganda

Study Start Date :

Oct 1, 2015

Actual Primary Completion Date :

Feb 1, 2016

Actual Study Completion Date :

Feb 1, 2016

Arms and Interventions

Arm	Intervention/Treatment
Experimental: CAMH training Intervention clinics will receive a CAMH integration package comprising of: Training PHC workers (midwives, nurses and/or clinical officers) on how to screen and refer for CAMH, based on WHO mhGAP implementation guide. Support supervision in the clinics to reinforce training and provide on-job support to PHC staff. Provision of job aids and training materials	Other: CAMH training Training of PHC workers included in the study for 5 days to screen children and adolescents for CAMH conditions, based in the mhGAP curriculum for non-specialist health providers.
No Intervention: No CAMH training Clinics will continue to provide the standard of care.

Arm

Intervention/Treatment

Experimental: CAMH training

Intervention clinics will receive a CAMH integration package comprising of: Training PHC workers (midwives, nurses and/or clinical officers) on how to screen and refer for CAMH, based on WHO mhGAP implementation guide. Support supervision in the clinics to reinforce training and provide on-job support to PHC staff. Provision of job aids and training materials

Other: CAMH training

Training of PHC workers included in the study for 5 days to screen children and adolescents for CAMH conditions, based in the mhGAP curriculum for non-specialist health providers.

No Intervention: No CAMH training

Clinics will continue to provide the standard of care.

Outcome Measures

Primary Outcome Measures

Proportion of clinics which recorded at least one non-epilepsy CAMH diagnosis in the intervention compared to the control group. [3 months]

Other Outcome Measures

Change in CAMH knowledge pre-and post-training [5 days]

Eligibility Criteria

Criteria

Ages Eligible for Study:

N/A and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

1. Public (government health system) 2. No psychiatric nurse allocated

Exclusion Criteria:

mhGAP training in the previous 3 years

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

University of Bergen

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Angela Akol, PhD candidate, University of Bergen

ClinicalTrials.gov Identifier:

NCT02552056

Other Study ID Numbers:

HS 1874

First Posted:

Sep 16, 2015

Last Update Posted:

May 13, 2016

Last Verified:

May 1, 2016

Keywords provided by Angela Akol, PhD candidate, University of Bergen

Child Adolescent Mental Integration PHC Traditional Healers

Study Results

No Results Posted as of May 13, 2016