Evidence map›Paper›PMID 27414470›Full record

Trial reportPsychological trauma : theory, research, practice and policy2017

The art and skill of delivering culturally responsive trauma-focused cognitive behavioral therapy in Tanzania and Kenya.

Briana A Woods-Jaeger, Christine M Kava, Christopher F Akiba, Leah Lucid, Shannon Dorsey

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychological trauma : theory, research, practice and policy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03243396 (Building and Sustaining Interventions for Children), which is not on this map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03243396 nacompletednot on this mapstarted 2018, after this paper: background citation

Building and Sustaining Interventions for Children (BASIC): Task-sharing Mental Health Care in Low-resource Settings

TypeinterventionalSponsorDuke UniversityRan2018 to 2024Enrolled956ConditionsGrief, Post Traumatic Stress Disorder, DepressionArmsTrauma-Focused Cognitive Behavioral Therapy
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  20. Implementing Task-Shared Child and Adolescent Psychological Interventions in Low- and Middle-Income Countries: A Scoping Review.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Briana A Woods-JaegerChildren's Mercy Hospital.
Christine M KavaDepartment of Community and Behavioral Health, University of Iowa College of Public Health.
Christopher F AkibaDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health.
Leah LucidDepartment of Psychology, University of Washington.
Shannon DorseyDepartment of Psychology, University of Washington.

Funding

Improving Health Outcomes for Orphans by Preventing HIV/STD Risk.R01MH096633 · NIMH · DUKE UNIVERSITY · PI DORSEY, SHANNON, WHETTEN, KATHRYN · 2012 to 2016
$2.2M
NIMH NIH HHS R01 MH096633
6 · The paper itself

Abstract

objectiveThis study explored the facilitators, barriers, and strategies used to deliver a child mental health evidence-based treatment (EBT), trauma-focused cognitive behavioral therapy (TF-CBT), in a culturally responsive manner. In low- and middle-income countries most individuals with mental health problems do not receive treatment due to a shortage of mental health professionals. One approach to addressing this problem is task-sharing, in which lay counselors are trained to deliver mental health treatment. Combining this approach with a focus on EBT provides a strategy for bridging the mental health treatment gap. However, little is known about how western-developed EBTs are delivered in a culturally responsive manner.

methodSemistructured qualitative interviews were conducted with 12 TF-CBT lay counselors involved in a large randomized controlled trial of TF-CBT in Kenya and Tanzania. An inductive approach was used to analyze the data.

resultsLay counselors described the importance of being responsive to TF-CBT participants' customs, beliefs, and socioeconomic conditions and highlighted the value of TF-CBT for their community. They also discussed the importance of partnering with other organizations to address unmet socioeconomic needs.

conclusionThe findings from this study provide support for the acceptability and appropriateness of TF-CBT as a treatment approach for improving child mental health. Having a better understanding of the strategies used by lay counselors to ensure that treatment is relevant to the cultural and socioeconomic context of participants can help to inform the implementation of future EBTs. (PsycINFO Database Record

Indexed as

Community Health WorkersBereavementChildCognitive Behavioral TherapyCulturally Competent CareCultureDelivery of Health CareEvidence-Based MedicineFemaleHumansInterviews as TopicKenyaMaleMental Health ServicesParentsPediatrics

Identifiers

PMID27414470
PMCPMC5237406

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.