ArticleJournal of behavioral and cognitive therapy2020
Common factors in psychological treatments delivered by non-specialists in low- and middle-income countries: Manual review of competencies.
Article in Journal of behavioral and cognitive therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Behavioral Activation Disseminated by Non-Mental Health Professionals, Paraprofessionals, and Peers: A Systematic Review.Behavior therapy · 2023Pooled it
- A psychosocial intervention for prenatal anxiety decreases functional disability among pregnant Pakistani women: A moderated mediation approach using data from a randomized controlled trial.Journal of psychosomatic research · 2025Trial
- The CARE implementation study: scaling group-based psychoeducational trauma therapy across healthcare organizations in Canada.European journal of psychotraumatology · 2026Article
- Technology-assisted platform (TAP) for training and supervision of task-shared psychosocial interventions to ensure competency during scale-up in low-resource settings.Global mental health (Cambridge, England) · 2026Article
- An evaluation of non-specialist training and delivery of a brief cognitive-behavioral therapy-based transdiagnostic intervention for adolescents with depression and anxiety in Nairobi, Kenya.Global mental health (Cambridge, England) · 2026Article
- Complex Intervention Programs Integrating Multiple Intervention Strategies Were Not More Effective than Active Control Groups: Evidence from Randomized Controlled Trials.Behavioral sciences (Basel, Switzerland) · 2025Article
- Towards person-centered care in global mental health: implications for meta-analyses and clinical trials.Epidemiology and psychiatric sciences · 2025Article
- A guide to selecting psychological interventions that can be delivered by people who are not mental health specialists in low-resource settings.PLOS global public health · 2025Review
- Receipt of a psychosocial intervention for prenatal anxiety and risk of perinatal intimate partner violence in Pakistani women.PLOS global public health · 2025Article
- Competency-based training and supervision: development of the WHO-UNICEF Ensuring Quality in Psychosocial and Mental Health Care (EQUIP) initiative.The lancet. Psychiatry · 2025Article
- Piloting competency assessments for an evidence-based brief psychological intervention with Arabic-speaking non-specialists in Switzerland.Global mental health (Cambridge, England) · 2025Article
- RCT of post-conflict trauma interventions in the Central African Republic.Global mental health (Cambridge, England) · 2025Article
- Barriers and Facilitators to Implementing a Community-Based Psychosocial Support Intervention Conducted In-Person and Remotely: A Qualitative Study in Quibdó, Colombia.Global health, science and practice · 2024Article
- Integrating EQUIP competency-based training into a university curriculum: a qualitative inquiry with students and faculty at Makerere University in Uganda.Frontiers in education · 2024Article
- Practitioners' perspectives on preparing for and delivering remote psychological support in Nepal, Perú and the United States during COVID-19.Psychology and psychotherapy · 2023Article
- Article
- Identifying Core Competencies for Remote Delivery of Psychological Interventions: A Rapid Review.Psychiatric services (Washington, D.C.) · 2023Review
- A mixed methods evaluation of a World Health Organization competency-based training package for foundational helping skills among pre-service and in-service health workers in Nepal, Peru and Uganda.Global mental health (Cambridge, England) · 2023Article
- Effective training practices for non-specialist providers to promote high-quality mental health intervention delivery: A narrative review with four case studies from Kenya, Ethiopia, and the United States.Global mental health (Cambridge, England) · 2023Review
- Competency-based mental health supervision: evidence-based tool needs for the humanitarian context.Global mental health (Cambridge, England) · 2022Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
Delivery of psychological and psychosocial treatments by non-specialists in low-and middle-income countries (LMIC) is a growing strategy to address the global mental health treatment gap. However, little is known about which competencies are essential for non-specialists to effectively deliver treatment. Psychotherapy research in high-income countries suggests that effective treatment requires competency in common factors. Therefore, our objective was to identify how common factors are described in evidence-supported non-specialist interventions in LMICs. To meet this objective, we identified and coded common factors by reviewing 16 evidence-supported manuals for psychological treatments delivered by non-specialists in LMICs. World Health Organization (WHO) manuals and other non-proprietary manuals, with positive randomized control outcomes, were included in the review. Fifteen common factors were identified and described in most manuals: 'promoting hope and realistic expectancy of change' and 'confidentiality' were described in 15 manuals (94%), followed by 'giving praise' and 'psychoeducation' (88% of manuals), and 'rapport building' (81% of manuals). Descriptions of common factors were similar across manuals, suggesting that training and competency evaluation approaches can be harmonized across interventions. Compiling these descriptions from the manuals can inform foundational training in common factors for diverse cadres of non-specialists around the world.
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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.