Evidence map›Paper›PMID 32742674›Full record

ArticleGlobal mental health (Cambridge, England)2020

Barriers and facilitators of child and guardian attendance in task-shifted mental health services in schools in western Kenya.

Rosemary D Meza, Sharon Kiche, Caroline Soi, Alya N Khairuzzaman, Cristian J Rivera Nales, Kathryn Whetten, Augustine I Wasonga, Cyrilla Amanya, Shannon Dorsey

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

Article in Global mental health (Cambridge, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.4field-weighted citation impact, top 24% 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

7 citing papers in PubMed, 9 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

9 authors at 3 institutions in 2 countries.

Rosemary D MezaDepartment of Psychology, University of Washington, Guthrie Hall 119A, Box 351525, Seattle, WA 98195, USA.ORCID https://orcid.org/0000-0002-4849-7250
Sharon KicheSMART Center, Psychiatry and Behavioral Sciences, University of Washington, 6200 NE 74th Street, Suite 110, Seattle, WA 98115, USA.
Caroline SoiDepartment of Global Health, Harris Hydraulics Laboratory, University of Washington, 1510 San Juan Road, Seattle, WA 98195, USA.
Alya N KhairuzzamanDepartment of Psychology, University of Washington, Guthrie Hall 119A, Box 351525, Seattle, WA 98195, USA.
Cristian J Rivera NalesDepartment of Psychology, University of Washington, Guthrie Hall 119A, Box 351525, Seattle, WA 98195, USA.
Kathryn WhettenCenter for Health Policy and Inequalities Research, Duke Global Health Institute, Duke University, Box 90519, Durham, NC 27708, USA.
Augustine I WasongaResearch Department, Ace Africa Kenya, P.O. Box 1185, 50200 Bungoma, Kenya.
Cyrilla AmanyaResearch Department, Ace Africa Kenya, P.O. Box 1185, 50200 Bungoma, Kenya.
Shannon DorseyDepartment of Psychology, University of Washington, Guthrie Hall 119A, Box 351525, Seattle, WA 98195, USA.
University of Washington · USAction in the Community Environment · KEPublic Policy Institute of California · US

Funding

Supplement - BASICR01MH112633 · NIMH · DUKE UNIVERSITY · PI DORSEY, SHANNON, WHETTEN, KATHRYN · 2017 to 2021
$3.5M
NIMH NIH HHS R01 MH112633
6 · The paper itself

Abstract

backgroundGlobally, nearly 140 million children have experienced the death of one or both parents, and as a result many experience higher rates of mental health problems. Trauma-focused cognitive behavioral therapy (TF-CBT) delivered by lay counselors has been shown to improve mental health outcomes for children experiencing traumatic grief due to parental loss; however, challenges with treatment attendance limit the public health impact of mental health services. This study used qualitative methods to assess barriers and facilitators of child and guardian attendance of school-based lay counselor delivered TF-CBT.

methodsSemi-structured interviews were conducted with 36 lay counselors (18 teachers; 18 community health volunteers) who delivered TF-CBT to explore their perceptions of barriers of facilitators of child and guardian attendance of group-based sessions delivered in schools.

resultsCounselors identified attendance barriers and facilitators related to the delivery setting, resources, participant characteristics, intervention characteristics and counselor behaviors. The findings revealed a greater number of facilitators than barriers. Common facilitators included participant and counselor resources, counselor commitment behaviors and communication efforts to encourage attendance. Barriers were less frequently endorsed, with participant resources, child or guardian illness and communication challenges most commonly mentioned.

conclusionsAttention to barriers and facilitators of attendance in the context in which mental health interventions are delivered allows for identification of ways to improve attendance and treatment engagement and achieve the potential promise of providing accessible mental health services.

Indexed as

Kenyamental healthschooltask-shiftingtreatment attendance

Identifiers

PMID32742674
PMCPMC7379319
OpenAlexW3039348628

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.