ArticleBMC research notes2020
Lessons learned through piloting a community-based SMS referral system for common mental health disorders used by female community health volunteers in rural Nepal.
Article in BMC research notes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 18 citations in OpenAlex.
- Equitable partnership: patient and public involvement and engagement and community engagement in mental health research in Pakistan.Research involvement and engagement · 2026Article
- A scoping review of barriers and facilitators to implementing tele-mental health solutions for rural, remote and underserved populations in low- and middle-income countries.PLOS digital health · 2026Article
- Understanding community health workers' readiness to provide hyperlipidemia-related self-management support in rural Nepal: a biphasic mixed-methods evaluation.BMC health services research · 2025Article
- Optimizing people's movement across the health system: a scoping review of referral systems within a primary health care approach.Primary health care research & development · 2025Article
- Practitioners' perspectives on preparing for and delivering remote psychological support in Nepal, Perú and the United States during COVID-19.Psychology and psychotherapy · 2023Article
- Interventions to increase help-seeking for mental health care in low- and middle-income countries: A systematic review.PLOS global public health · 2023Article
- Mobile technology and task shifting to improve access to alcohol treatment services in Mozambique.Journal of substance abuse treatment · 2022Article
- Digital Solutions for Community and Primary Health Workers: Lessons From Implementations in Africa.Frontiers in digital health · 2022Review
- Perception of healthcare workers on mobile app-based clinical guideline for the detection and treatment of mental health problems in primary care: a qualitative study in Nepal.BMC medical informatics and decision making · 2021Article
- Feasibility of implementing a culturally adapted Prolonged Grief Disorder scale in the mental healthcare system in Nepal.Global mental health (Cambridge, England) · 2021Article
- Co-creation and Evaluation of Nationwide Remote Training Service for Mental Health Education of Community Health Workers in Rwanda.Frontiers in public health · 2021Article
- Cultural Adaptation of Community Informant Tool for Detection of Maternal Depression in Rural Pakistan.Frontiers in psychiatry · 2021Article
- Culturally and developmentally adapting group interpersonal therapy for adolescents with depression in rural Nepal.BMC psychology · 2020Article
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe Community Informant Detection Tool (CIDT) is a paper-based proactive case detection strategy with evidence for improving help-seeking behavior for mental healthcare. Key implementation barriers for the paper-based CIDT include delayed reporting of cases and lack of active follow up. We used mobile phones and structured text messages to improve timeliness of case reporting, encouraging follow up, and case record keeping. 36 female community health volunteers piloted this mobile phone CIDT (mCIDT) for three months in 2017 in rural Nepal.
resultsOnly 8 cases were identified by health volunteers using mCIDT, and only two of these cases engaged with health services post-referral. Accuracy with the mCIDT was considerably lower than paper-based CIDT, especially among older health volunteers, those with lower education, and those having difficulties sending text messages. Qualitative findings revealed implementation challenges including cases not following through on referrals due to perceived lack of staff at health facilities, assumptions among health volunteers that all earthquake-related mental health needs had been met, and lack of financial incentives for use of mCIDT. Based on study findings, we provide 5 recommendations-in particular attitudinal and system preparedness changes-to effectively introduce new mental healthcare technology in low resource health systems.
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