Evidence map›Paper›PMID 34256810›Full record

ArticleTrials2021

The effectiveness of a psycho-education intervention on mental health literacy in communities affected by the COVID-19 pandemic-a cluster randomized trial of 24 villages in central Uganda-a research protocol.

Dickens Akena, Ronald Kiguba, Wilson W Muhwezi, Brendan Kwesiga, Gwendolyne Kigozi, Noeline Nakasujja, Hafsa Lukwata

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04616989 (Integration of Mental Health Care in Communities Affected by the COVID-19 Pandemic in Central Uganda), 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
3.1field-weighted citation impact, top 9% 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.

NCT04616989 nacompletednot on this map

Integration of Mental Health Care in Communities Affected by the COVID-19 Pandemic in Central Uganda

TypeinterventionalSponsorMakerere UniversityRan2020 to 2021Enrolled814ConditionsCommunity Mental HealthArmsPsycho-education, Comparator
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 16 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

7 authors at 2 institutions in 1 country.

Dickens AkenaDepartment of Psychiatry, Makerere University College of Health Sciences, Kampala, Uganda. akendickens@yahoo.co.uk.
Ronald KigubaDepartment of Pharmacology, Makerere University College of Health Sciences, Kampala, Uganda.
Wilson W MuhweziDepartment of Psychiatry, Makerere University College of Health Sciences, Kampala, Uganda.
Brendan KwesigaHealth Systems Strengthening Cluster, World Health Organization, Kenya Country Office, Nairobi, Kenya.
Gwendolyne KigoziGrants office, Makerere University College of Health Sciences, Kampala, Uganda.
Noeline NakasujjaDepartment of Psychiatry, Makerere University College of Health Sciences, Kampala, Uganda.
Hafsa LukwataDepartment of Mental Health, Ministry of Health of Uganda, Kampala, Uganda.
Makerere University · UGMinistry of Health · UG

Funding

Makerere University MAK/DVCFA/113/20World Health Organization 001
6 · The paper itself

Abstract

backgroundLiterature shows a high prevalence of psychological distress (PD) as well as common mental disorders (CMD) such as major depressive disorders (MDD), generalized anxiety disorders (GAD), post-traumatic stress disorders (PTSD), and substance misuse disorders (SUD) among people exposed to disasters and pandemics like the COVID-19. Moreover, CMD are associated with increased mortality (mainly through suicide) and morbidity (loss of productivity). A number of countries have made deliberate efforts to identify and manage CMD in light of COVID-19. However, low levels of mental health literacy (MHL) manifested by the individual's unawareness of CMD symptoms, limited human and mental health infrastructure resources, and high levels of mental illness stigma (MIS) are barriers to integration of mental health care in general health care during pandemics and epidemics such as the COVID-19.

objectivesFor the proposed study, we will determine effectiveness of a psycho-education intervention delivered by village health team (VHT) members.

methodsWe will employ a cluster randomized trial design in 24 villages in central Uganda. We will collect baseline data to and document the prevalence of MHL, PD, MDD, PTSD, GAD, and SUD. We will distribute information education and communication materials (IEC) aimed at improving MHL to 420 adult individuals in the intervention arm (n = 12 villages). In the control arm (n = 12 villages), VHTs will distribute ministry of health COVID-19 information leaflets to 420 participants. Within 7 days of distributing the materials, research assistants will conduct a follow-up interview and assess for the same parameters (MHL, PD, MDD, PTSD, GAD, and SUD). We will use an intention to treat analysis to estimate the effectiveness of the psycho-education intervention. DISCUSSION: Findings from this research will guide policy and practice regarding the integration of mental health services in the community in the context of epidemic preparedness and response.

trial registrationClinicalTrials.gov NCT04616989 . Registered on 05 November 2020.

Indexed as

COVID-19Health LiteracyMajor Depressive DisorderAdultHumansMental HealthPandemicsRandomized Controlled Trials as TopicSARS-CoV-2UgandaCommon mental disordersMental health literacySub-Saharan Africa

Identifiers

PMID34256810
PMCPMC8276200
OpenAlexW3178957972

What OpenQuestion holds

Textmetadata
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.