Evidence map›Paper›PMID 30455964›Full record

ArticleGlobal mental health (Cambridge, England)2018

Does mhGAP training of primary health care providers improve the identification of child- and adolescent mental, neurological or substance use disorders? Results from a randomized controlled trial in Uganda.

A Akol, F Makumbi, J N Babirye, J S Nalugya, S Nshemereirwe, I M S Engebretsen

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Global mental health (Cambridge, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04743024 (TREAT Child Alcohol Use Disorder), which is not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 6% 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.

NCT04743024 unknown statusnot on this mapstarted 2020, after this paper: background citation

TREAT Child Alcohol Use Disorder (C-AUD) in Eastern Uganda: Screening, Diagnostics, Risk Factors and Handling of Children Drinking Alcohol

TypeobservationalSponsorUniversity of BergenRan2020 to 2025Enrolled7,188ConditionsAlcohol Abuse, Alcohol Drinking, Alcoholism, Alcohol Use Disorder
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  10. Mental health crisis in Somalia: a review and a way forward.International journal of mental health systems · 2022
    Review
  11. Child and adolescent mental health services in Uganda.International journal of mental health systems · 2021
    Review
  12. Psychological care in low-resource settings for adolescents.Clinical child psychology and psychiatry · 2020
    Article
  13. Article
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 4 institutions in 2 countries.

A AkolCentre for International Health, University of Bergen, Bergen, Norway.ORCID 0000-0003-4594-3478
F MakumbiSchool of Public Health, Makerere University College of Health Sciences, Kampala, Uganda.
J N BabiryeSchool of Public Health, Makerere University College of Health Sciences, Kampala, Uganda.
J S NalugyaDepartment of Psychiatry, Mulago Hospital Kampala, Kampala, Uganda.
S NshemereirweButabika National Mental Referral Hospital, Kampala, Uganda.
I M S EngebretsenCentre for International Health, University of Bergen, Bergen, Norway.
Makerere University · UGUniversity of Bergen · NOButabika Hospital · UGMulago Hospital · UG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntegrating child and adolescent mental health (CAMH) into primary health care (PHC) using the WHO mental health gap action program (mhGAP) is recommended for closing a mental health treatment gap in low- and middle-income countries, but PHC providers have limited ability to detect CAMH disorders. We aimed to evaluate the effect of PHC provider mhGAP training on CAMH disorder identification in Eastern Uganda.

methodsThirty-six PHC clinics participated in a randomized controlled trial which compared the proportion of intervention (

resultsNearly two thirds (63.8%, 23/36) of all clinics identified and recorded at least one non-epilepsy CAMH diagnosis from 40 692 clinic visits of patients aged 1-18 recorded over 4 months. The proportion of clinics with a non-epilepsy CAMH diagnosis prior to training was 27.7% (10/36, similar between study arms). Training did not significantly improve intervention clinics' non-epilepsy CAMH diagnosis (13/18, 72.2%) relative to the control (7/18, 38.9%) arm,

conclusionIn this setting, mhGAP CAMH training of PHC providers increases PHC clinics' identification and reporting of non-epilepsy CAMH cases but this increase did not reach statistical significance.

Indexed as

AdolescentAfricachildmental healthmhGAPprimary care

Identifiers

PMID30455964
PMCPMC6236215
OpenAlexW2891873617

What OpenQuestion holds

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LicenceCC BY
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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.