Evidence map›Paper›PMID 28084667›Full record

SynthesisThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2018

Task-Sharing Approaches to Improve Mental Health Care in Rural and Other Low-Resource Settings: A Systematic Review.

Theresa J Hoeft, John C Fortney, Vikram Patel, Jürgen Unützer

2 registry-linked trialsAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 259 papers, 17 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
259citing papers in PubMed, 17 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.

NCT05545904 naunknown statusnot on this mapstarted 2023, after this paper: background citation

A Pilot Study to Evaluate the Feasibility & Acceptability of a Peer-mentor Delivered Substance Use Screening and Brief Intervention for Adolescents in Kenya

TypeinterventionalSponsorMoi UniversityRan2023 to 2024Enrolled60ConditionsSubstance UseArmsSubstance use brief intervention (BI), substance use education intervention
NCT05746767 naenrolling by invitationnot on this mapstarted 2024, after this paper: background citation

SUPERA: Supporting Peer Interactions to Expand Access to Digital Cognitive Behavioral Therapy for Spanish-speaking Safety-Net Patients in Primary Care

TypeinterventionalSponsorUniversity of California, IrvineRan2024 to 2028Enrolled426ConditionsDepression, AnxietyArmsSupported dCBT, Unsupported dCBT
3 · Its place in the literature

Who cites it

259 citing papers in PubMed, 17 syntheses or guidelines pooled it.

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199 more citing papers are in PubMed but not listed here.

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

4 authors.

Theresa J HoeftDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington.
John C FortneyDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington.
Vikram PatelCentre for Global Mental Health, London School of Hygiene & Tropical Medicine and Centre for Chronic Conditions and Injuries, Public Health Foundation of India, Gurgaon, India.
Jürgen UnützerDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington.

Funding

Training Geriatric Mental Health Services ResearchersT32MH073553 · NIMH · DARTMOUTH-HITCHCOCK CLINIC · PI BRUCE, MARTHA L · 2005 to 2019
$6.4M
NIMH NIH HHS T32 MH073553
6 · The paper itself

Abstract

purposeRural areas persistently face a shortage of mental health specialists. Task shifting, or task sharing, is an approach in global mental health that may help address unmet mental health needs in rural and other low-resource areas. This review focuses on task-shifting approaches and highlights future directions for research in this area.

methodsSystematic review on task sharing of mental health care in rural areas of high-income countries included: (1) PubMed, (2) gray literature for innovations not yet published in peer-reviewed journals, and (3) outreach to experts for additional articles. We included English language articles published before August 31, 2013, on interventions sharing mental health care tasks across a team in rural settings. We excluded literature: (1) from low- and middle-income countries, (2) involving direct transfer of care to another provider, and (3) describing clinical guidelines and shared decision-making tools.

findingsThe review identified approaches to task sharing focused mainly on community health workers and primary care providers. Technology was identified as a way to leverage mental health specialists to support care across settings both within primary care and out in the community. The review also highlighted how provider education, supervision, and partnerships with local communities can support task sharing. Challenges, such as confidentiality, are often not addressed in the literature.

conclusionsApproaches to task sharing may improve reach and effectiveness of mental health care in rural and other low-resource settings, though important questions remain. We recommend promising research directions to address these questions.

Indexed as

Cooperative BehaviorCommunity Health WorkersHumansMental Health ServicesQuality of Health Carehealth services researchlabor economicsmental healthtask sharingtask shifting

Identifiers

PMID28084667
PMCPMC5509535

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.