Evidence map›Paper›PMID 34051848›Full record

ArticleInternational journal of mental health systems2021

Lay social workers implementing a task-sharing approach to managing depression in Vietnam.

Leena W Chau, Jill Murphy, Vu Cong Nguyen, Hayami Lou, Huyen Khanh, Trang Thu, Harry Minas, John O'Neil

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in International journal of mental health systems, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06456775 (Tele-SSM), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.0field-weighted citation impact, top 14% 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.

NCT06456775 nacompletednot on this map

Tele-SSM: A Telephone Technology Innovation in the Intervention on Supported Self-management for Depression in Vietnam

TypeinterventionalSponsorInstitute for Social Development Studies, VietnamRan2021 to 2023Enrolled75ConditionsDepressionArmsTele-SSM
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 12 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

8 authors at 4 institutions in 3 countries.

Leena W ChauFaculty of Health Sciences, Centre for Applied Research in Mental Health and Addiction, Simon Fraser University, 515 West Hastings Street, Vancouver, BC, V6B 5K3, Canada.
Jill MurphyDepartment of Psychiatry, Faculty of Medicine, University of British Columbia, Mood Disorders Centre, 2255 Wesbrook Mall, Vancouver, BC, V6T 2A1, Canada.
Vu Cong NguyenInstitute of Population, Health and Development, 14th level, ICON4 Tower, 3 Cau Giay Street, Hanoi, Vietnam.
Hayami LouFaculty of Health Sciences, Centre for Applied Research in Mental Health and Addiction, Simon Fraser University, 515 West Hastings Street, Vancouver, BC, V6B 5K3, Canada.
Huyen KhanhInstitute of Population, Health and Development, 14th level, ICON4 Tower, 3 Cau Giay Street, Hanoi, Vietnam.
Trang ThuInstitute of Population, Health and Development, 14th level, ICON4 Tower, 3 Cau Giay Street, Hanoi, Vietnam.
Harry MinasGlobal and Cultural Mental Health Unit, Centre for Mental Health, Melbourne School of Population and Global Health, 207 Bouverie Street, Carlton, VIC, 3053, Australia.
John O'NeilFaculty of Health Sciences, Centre for Applied Research in Mental Health and Addiction, Simon Fraser University, 515 West Hastings Street, Vancouver, BC, V6B 5K3, Canada. joneil@sfu.ca.ORCID http://orcid.org/0000-0001-6370-4564
Institute of Population, Health and Development · VNSimon Fraser University · CACooperative Research Centre for Mental Health · AUUniversity of British Columbia · CA

Funding

CIHR 156161Grand Challenges Canada TTS-TTS-0802-05
6 · The paper itself

Abstract

backgroundWhile depression is a leading contributor to burden of disease in Vietnam, there is a critical gap in depression care due to the shortage of mental health specialists and extremely limited mental health services in general health care settings. We have previously reported the effectiveness of a supported self-management (SSM) task-sharing intervention for depression, delivered by social collaborators (lay social workers). The purpose of this study was to identify factors influencing the effectiveness of delivery of SSM by social collaborators and delineate areas for further attention that are relevant for scale-up.

methodsA hundred and ten (110) key informant interviews were conducted with three stakeholder groups (patients, social collaborators, experts) from eight provinces in Vietnam. Participants were identified through records from a recently completed randomized trial that showed the effectiveness of SSM in community-based settings in Vietnam. Qualitative descriptive methods and thematic analysis were used to examine the interviews. A coding framework and corresponding themes were developed deductively, based on the findings from the randomized trial and the literature, and through inductive analysis, to describe the contextual factors that impacted the social collaborators' role in successfully implementing the SSM intervention.

resultsOur analysis identified the following benefits of working with social collaborators: (1) increased awareness of mental health in the family and community; (2) reduced stigma; (3) a better understanding that depression is treatable; (4) increased help-seeking; and (5) improved access to care. There were also significant challenges, including social collaborator characteristics (age, education, pre-existing training and skills) and contextual factors influencing their work (roles and responsibilities, training, compensation, support from government).

conclusionsEngaging social collaborators in the delivery of SSM in the community can help fill a critical gap in depression care in Vietnam. However, several contextual challenges that are an impediment to increased engagement and sustainable integration into health and social systems need to be resolved through policy change to regulate their practice, define their scope of work, and provide adequate remuneration.

Indexed as

DepressionLay social workersTask-sharingVietnam

Identifiers

PMID34051848
PMCPMC8164490
OpenAlexW3164489384

What OpenQuestion holds

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LicenceCC BY
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.