Evidence map›Paper›PMID 30271123›Full record

ArticlePatient preference and adherence2018

Patient preferences for the integration of mental health counseling and chronic disease care in South Africa.

Bronwyn Myers, John A Joska, Crick Lund, Naomi S Levitt, Christopher C Butler, Tracey Naledi, Peter Milligan, Dan J Stein, Katherine Sorsdahl

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Patient preference and adherence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
6.0field-weighted citation impact, top 4% 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.

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

36 citing papers in PubMed, 56 citations in OpenAlex.

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  20. COVID 19-impact on substance use treatment utilization and provision in South Africa.Substance abuse treatment, prevention, and policy · 2022
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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

9 authors at 4 institutions in 4 countries.

Bronwyn MyersAlcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Cape Town, South Africa, bmyers@mrc.ac.za.
John A JoskaHIV and Mental Health Research Unit, Division of Neuropsychiatry, Department of Psychiatry and Mental Health.
Crick LundAlan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
Naomi S LevittDivision for Diabetes and Endocrinology, Department of Medicine, University of Cape Town, Cape Town, South Africa.
Christopher C ButlerNuffield Department of Primary Care Health Services, Oxford University, Oxford, UK.
Tracey NalediWestern Cape Department of Health, Cape Town, South Africa.
Peter MilliganKwaZulu-Natal Department of Health, KwaZulu-Natal, South Africa.
Dan J SteinDepartment of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
Katherine SorsdahlAlan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
University of Cape Town · ZAWestern Cape Department of Health · ZASouth African Medical Research Council · ZAUniversity of Oxford · GB

Funding

Medical Research Council MR/M014290/1Wellcome Trust
6 · The paper itself

Abstract

purposeTo describe patient perceptions of the acceptability of integrating mental health counseling within primary care facilities in the Western Cape province of South Africa and their preferences for the way in which this care is delivered. PATIENTS AND

methodsQualitative interviews with 30 purposively selected patients receiving treatment for HIV or diabetes within primary care facilities who screened positive for depression using the Center for Epidemiological Studies Depression Scale or hazardous alcohol use through the Alcohol Use Disorders Identification Test.

resultsParticipants articulated high levels of unmet need for mental health services and strong associations between poor mental health and the challenges of living with a chronic disease. Consequently, they considered it acceptable to offer screening and mental health counseling within the context of chronic disease care. They thought counseling would be highly relevant if it helped patients develop adaptive strategies for coping with stress and negative emotions. Irrespective of chronic disease, patients indicated a preference for lay counselors rather than existing clinicians as potential delivery agents, supporting a task-shared approach to mental health counseling delivery in primary care settings. Some expressed concern about the feasibility of using lay counselors already present in facilities to deliver this service, suggesting that additional counselors might be needed.

conclusionFindings demonstrate a need for mental health counseling within the context of chronic disease care in South Africa. Task-shared approaches, using lay counselors, seem acceptable to patients - provided counselors are selected to ensure they possess the qualities associated with effective counselors. Findings have informed the design of a task-shared mental health program that is responsive to the preferences of patients with chronic diseases.

Indexed as

alcoholchronic disease carecounseling preferencesdepressionglobal mental healthintegrationmental healthprimary health careSouth Africatask sharing

Identifiers

PMID30271123
PMCPMC6154740
OpenAlexW2890740703

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.