Evidence map›Paper›PMID 29403650›Full record

ArticlePilot and feasibility studies2018

Reducing stigma among healthcare providers to improve mental health services (RESHAPE): protocol for a pilot cluster randomized controlled trial of a stigma reduction intervention for training primary healthcare workers in Nepal.

Brandon A Kohrt, Mark J D Jordans, Elizabeth L Turner, Kathleen J Sikkema, Nagendra P Luitel, Sauharda Rai, Daisy R Singla, Jagannath Lamichhane, Crick Lund, Vikram Patel

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02793271 (Reducing Stigma Among Healthcare Providers to Improve Mental Health Services), which is not on this map. Cited by 53 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 3 pooled it
19.9field-weighted citation impact, top 1% of its field
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.

NCT02793271 nacompletednot on this map

Reducing Stigma Among Healthcare Providers to Improve Mental Health Services: RESHAPE-mh Protocol for a Feasibility and Acceptability Pilot Cluster Randomized Control Trial

TypeinterventionalSponsorBrandon A Kohrt, MD, PhDRan2016 to 2018Enrolled88ConditionsMental DisordersArmsRESHAPE, PRIME/mhGAP
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 3 syntheses or guidelines pooled it, 135 citations in OpenAlex.

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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

10 authors at 5 institutions in 4 countries.

Brandon A Kohrt1Duke Global Health Institute, Duke University, Durham, USA.
Mark J D JordansTranscultural Psychosocial Organization Nepal, Baluwatar, Nepal.
Elizabeth L Turner1Duke Global Health Institute, Duke University, Durham, USA.
Kathleen J Sikkema1Duke Global Health Institute, Duke University, Durham, USA.
Nagendra P LuitelTranscultural Psychosocial Organization Nepal, Baluwatar, Nepal.
Sauharda Rai1Duke Global Health Institute, Duke University, Durham, USA.
Daisy R Singla7Department of Psychiatry, Sinai Health System and University of Toronto, Toronto, ON Canada.
Jagannath LamichhaneIndependent Citizens Coalition Nepal, Kathmandu, Nepal.
Crick Lund4King's College London, Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
Vikram Patel11Sangath, Porvorim, Goa India.
Duke University · USDuke Institute for Health Innovation · USKing's College London · GBSangath · INUniversity of Toronto · CA

Funding

Reducing Barriers to Mental Health Task SharingK01MH104310 · NIMH · GEORGE WASHINGTON UNIVERSITY · PI KOHRT, BRANDON ALAN · 2014 to 2018
$908k
NIMH NIH HHS K01 MH104310
6 · The paper itself

Abstract

backgroundNon-specialist healthcare providers, including primary and community healthcare workers, in low- and middle-income countries can effectively treat mental illness. However, scaling-up mental health services within existing health systems has been limited by barriers such as stigma against people with mental illness. Therefore, interventions are needed to address attitudes and behaviors among non-specialists. Aimed at addressing this gap,

methodsThis protocol describes a mixed methods pilot and feasibility study in primary care centers in Chitwan, Nepal. The qualitative component will include key informant interviews and focus group discussions. The quantitative component consists of a pilot cluster randomized controlled trial (c-RCT), which will establish parameters for a future effectiveness study of RESHAPE compared to training as usual (TAU). Primary healthcare facilities (the cluster unit, DISCUSSION: The pilot and feasibility study will contribute to refining recommendations for implementation of mhGAP and other mental health services in primary healthcare settings in low-resource health systems. The pilot c-RCT findings will inform an effectiveness trial of RESHAPE to advance the evidence-base for optimal approaches to training and supervision for non-specialist providers.

trial registrationClinicalTrials.gov identifier, NCT02793271.

Indexed as

AttitudesCompetenceLow- and middle-income countriesMental healthNon-specialistsPrimary careService usersStigmaTask-shiftingTraining

Identifiers

PMID29403650
PMCPMC5781273
OpenAlexW2786948863

What OpenQuestion holds

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LicenceCC BY
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.