Evidence map›Paper›PMID 29444721›Full record

ArticlePsychological medicine2018

Psychological treatments delivered by community health workers in low-resource government health systems: effectiveness of group interpersonal psychotherapy for caregivers of children affected by nodding syndrome in Uganda.

Byamah B Mutamba, Jeremy C Kane, Joop T V M de Jong, James Okello, Seggane Musisi, Brandon A Kohrt

Registry-linked trialOpen access · greenAbstract readControlled Clinical Trial
In one paragraph

Article in Psychological medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05870384 (Effects of Group Interpersonal Psychotherapy), which is not on this map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
6.8field-weighted citation impact, top 3% 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.

NCT05870384 nawithdrawnnot on this mapstarted 2024, after this paper: background citation

Effects of Group Interpersonal Psychotherapy (IPT-G) Applied to Family Members Who Caregivers of Patients With Schizophrenia on Caregiver Burden, Social Support, Expression of Emotion, Stigma, and Adherence to Treatment

TypeinterventionalSponsorAbant Izzet Baysal UniversityRan2024 to 2025Enrolled0ConditionsInterpersonal Psychotherapy, Family CaregiversArmsGroup Interpersonal Psychotherapy
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

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  7. Looking at Global Mental Health Models to Prevent Youth Suicide in the United States.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024
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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

6 authors at 6 institutions in 3 countries.

Byamah B MutambaButabika National Mental Hospital,Kampala,Uganda.
Jeremy C KaneDepartment of Mental Health,Johns Hopkins Bloomberg School of Public Health,Baltimore, Maryland,USA.
Joop T V M de JongAmsterdam Institute of Social Science Research, Faculty of Social and Behavioural Sciences,University of Amsterdam,Amsterdam,The Netherlands.
James OkelloDepartment of Mental Health,Gulu University,Gulu,Uganda.
Seggane MusisiDepartment of Psychiatry,College of Health Sciences, Makerere University,Kampala,Uganda.
Brandon A KohrtDepartment of Psychiatry,George Washington University,Washington, DC,USA.
Butabika Hospital · UGGeorge Washington University · USGulu University · UGJohns Hopkins University · USMakerere University · UGUniversity of Amsterdam · NL

Funding

NIDA Epidemiology Training Program: Johns Hopkins UniversityT32DA007292 · NIDA · JOHNS HOPKINS UNIVERSITY · PI RENEE M. JOHNSON, Brion S Maher · 1993 to 2026
$17.7M
Reducing Barriers to Mental Health Task SharingK01MH104310 · NIMH · GEORGE WASHINGTON UNIVERSITY · PI KOHRT, BRANDON ALAN · 2014 to 2018
$908k
NIDA NIH HHS T32 DA007292NIMH NIH HHS K01 MH104310
6 · The paper itself

Abstract

backgroundDespite increasing evidence for the benefits of psychological treatments (PTs) in low- and middle-income countries, few national health systems have adopted PTs as standard care. We aimed to evaluate the effectiveness of a group interpersonal psychotherapy (IPT-G) intervention, when delivered by lay community health workers (LCHWs) in a low-resource government health system in Uganda. The intended outcome was reduction of depression among caregivers of children with nodding syndrome, a neuropsychiatric condition with high morbidity, mortality and social stigma.

methodsA non-randomized trial design was used. Caregivers in six villages (n = 69) received treatment as usual (TAU), according to government guidelines. Caregivers in seven villages (n = 73) received TAU as well as 12 sessions of IPT-G delivered by LCHWs. Primary outcomes were caregiver and child depression assessed at 1 and 6 months post-intervention.

resultsCaregivers who received IPT-G had a significantly greater reduction in the risk of depression from baseline to 1 month [risk ratio (RR) 0.25, 95% confidence interval (CI) 0.10-0.62] and 6 months (RR 0.33, 95% CI 0.11-0.95) post-intervention compared with caregivers who received TAU. Children of caregivers who received IPT-G had significantly greater reduction in depression scores than children of TAU caregivers at 1 month (Cohen's d = 0.57, p = 0.01) and 6 months (Cohen's d = 0.54, p = 0.03). Significant effects were also observed for psychological distress, stigma and social support among caregivers.

conclusionIPT-G delivered within a low-resource health system is an effective PT for common mental health problems in caregivers of children with a severe neuropsychiatric condition and has psychological benefits for the children as well. This supports national health policy initiatives to integrate PTs into primary health care services in Uganda.

Indexed as

CaregiversCommunity Health WorkersCommunity Mental Health ServicesInterpersonal RelationsOutcome and Process Assessment, Health CareParentsPsychotherapy, GroupAdolescentAdultChildFemaleHumansMaleMental DisordersMiddle AgedNodding SyndromeCaregiversdepressiongovernment health systemgroup interpersonal psychotherapyID ISRCTN11382067low- and middle-income countrynodding syndromeUganda

Identifiers

PMID29444721
PMCPMC6093795
OpenAlexW2792575174

What OpenQuestion holds

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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.