Evidence map›Paper›PMID 28596909›Full record

ArticleGlobal mental health (Cambridge, England)2017

Developing a scalable training model in global mental health: pilot study of a video-assisted training Program for Generalist Clinicians in Rural Nepal.

B Acharya, J Tenpa, M Basnet, S Hirachan, P Rimal, N Choudhury, P Thapa, D Citrin, S Halliday, S B Swar and 5 more

Abstract read
In one paragraph

Article in Global mental health (Cambridge, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

15 authors.

B AcharyaPossible, Bayalpata Hospital, Sanfebagar-10, Achham, Nepal.
J TenpaPossible, Bayalpata Hospital, Sanfebagar-10, Achham, Nepal.
M BasnetShared Minds, Boston, MA, USA.
S HirachanShared Minds, Boston, MA, USA.
P RimalPossible, Bayalpata Hospital, Sanfebagar-10, Achham, Nepal.
N ChoudhuryPossible, Bayalpata Hospital, Sanfebagar-10, Achham, Nepal.
P ThapaPossible, Bayalpata Hospital, Sanfebagar-10, Achham, Nepal.
D CitrinPossible, Bayalpata Hospital, Sanfebagar-10, Achham, Nepal.
S HallidayPossible, Bayalpata Hospital, Sanfebagar-10, Achham, Nepal.
S B SwarPossible, Bayalpata Hospital, Sanfebagar-10, Achham, Nepal.
C van DykeDepartment of Psychiatry, University of California, San Francisco, San Francisco, CA, USA.
B GauchanPossible, Bayalpata Hospital, Sanfebagar-10, Achham, Nepal.
B SharmaShared Minds, Boston, MA, USA.
E HungDepartment of Psychiatry, University of California, San Francisco, San Francisco, CA, USA.
M EkstrandDepartment of Medicine, University of California, San Francisco, San Francisco, CA, USA.

Funding

TRAINING THE NEXT GENERATION OF MENTAL HEALTH RESEARCHERSR25MH060482 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DANIEL H MATHALON, Susan M. Voglmaier · 2000 to 2026
$5.2M
Improving Mental Health through Integration with Primary Care in Rural KarnatakaR01MH100311 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI EKSTRAND, MARIA L., KRISHNAMACHARI, SRINIVASAN · 2014 to 2018
$1.9M
NIMH NIH HHS R01 MH100311NIMH NIH HHS R25 MH060482
6 · The paper itself

Abstract

backgroundIn low- and middle-income countries, mental health training often includes sending few generalist clinicians to specialist-led programs for several weeks. Our objective is to develop and test a video-assisted training model addressing the shortcomings of traditional programs that affect scalability: failing to train all clinicians, disrupting clinical services, and depending on specialists.

methodsWe implemented the program -video lectures and on-site skills training- for all clinicians at a rural Nepali hospital. We used Wilcoxon signed-rank tests to evaluate pre- and post-test change in knowledge (diagnostic criteria, differential diagnosis, and appropriate treatment). We used a series of 'Yes' or 'No' questions to assess attitudes about mental illness, and utilized exact McNemar's test to analyze the proportions of participants who held a specific belief before and after the training. We assessed acceptability and feasibility through key informant interviews and structured feedback.

resultsFor each topic except depression, there was a statistically significant increase (Δ) in median scores on knowledge questionnaires: Acute Stress Reaction (Δ = 20,

conclusionVideo lectures and on-site skills training can address the limitations of a conventional training model while being acceptable, feasible, and impactful toward improving knowledge and attitudes of the participants.

Indexed as

EducationLMICsMental healthNepalTraining

Identifiers

PMID28596909
PMCPMC5454786

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Registered trials

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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.