Evidence map›Paper›PMID 35206331›Full record

Trial reportInternational journal of environmental research and public health2022

Treatment Preferences for Pharmacological versus Psychological Interventions among Primary Care Providers in Nepal: Mixed Methods Analysis of a Pilot Cluster Randomized Controlled Trial.

Anvita Bhardwaj, Dristy Gurung, Sauharda Rai, Bonnie N Kaiser, Cori L Cafaro, Kathleen J Sikkema, Crick Lund, Nagendra P Luitel, Brandon A Kohrt

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of environmental research and public health, 2022. 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
2.9field-weighted citation impact, top 10% 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, 14 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 5 institutions in 3 countries.

Anvita BhardwajDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.ORCID 0000-0001-5622-9128
Dristy GurungCentre for Global Mental Health, Health Services and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London SE5 8AF, UK.
Sauharda RaiDuke Global Health Institute, Duke University, Durham, NC 27710, USA.
Bonnie N KaiserDuke Global Health Institute, Duke University, Durham, NC 27710, USA.ORCID 0000-0003-0742-1302
Cori L CafaroDuke Global Health Institute, Duke University, Durham, NC 27710, USA.
Kathleen J SikkemaDuke Global Health Institute, Duke University, Durham, NC 27710, USA.
Crick LundCentre for Global Mental Health, Health Services and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London SE5 8AF, UK.
Nagendra P LuitelTranscultural Psychosocial Organization (TPO) Nepal, Baluwatar 44616, Nepal.ORCID 0000-0002-8291-0205
Brandon A KohrtDuke Global Health Institute, Duke University, Durham, NC 27710, USA.ORCID 0000-0002-3829-4820
Duke University · USDePaul University · USJohns Hopkins University · USKing's College London · GBUniversity of Cape Town · ZA

Funding

RESHAPE Diversity SupplementR01MH120649 · NIMH · GEORGE WASHINGTON UNIVERSITY · PI KOHRT, BRANDON ALAN · 2019 to 2023
$3.5M
Reducing Barriers to Mental Health Task SharingK01MH104310 · NIMH · GEORGE WASHINGTON UNIVERSITY · PI KOHRT, BRANDON ALAN · 2014 to 2018
$908k
Community-sourced Interventions for Global Mental HealthF32MH113288 · NIMH · DUKE UNIVERSITY · PI KAISER, BONNIE NICOLE · 2017 to 2017
$58k
NIMH NIH HHS F32MH113288NIMH NIH HHS K01 MH104310NIMH NIH HHS K01MH104310NIMH NIH HHS R01 MH120649
6 · The paper itself

Abstract

There is increasing evidence supporting the effectiveness of psychological interventions in low- and middle-income countries. However, primary care providers (PCPs) may prefer treating patients with medication. A secondary exploratory analysis of a pilot cluster randomized controlled trial was conducted to evaluate psychological vs. pharmacological treatment preferences among PCPs. Thirty-four health facilities, including 205 PCPs, participated in the study, with PCPs in 17 facilities assigned to a standard version of the mental health Gap Action Programme (mhGAP) training delivered by mental health specialists. PCPs in the other 17 facilities received mhGAP instruction delivered by specialists and people with lived experience of mental illness (PWLE), using a training strategy entitled Reducing Stigma among HealthcAre ProvidErs (RESHAPE). Pre- and post- intervention attitudes were measured through quantitative and qualitative tools. Qualitative interviews with 49 participants revealed that PCPs in both arms endorsed counseling's benefits and collaboration within the health system to provide counseling. In the RESHAPE arm, PCPs were more likely to increase endorsement of statements such as "depression improves without medication" (

Indexed as

Mental HealthPsychosocial InterventionHumansNepalPrimary Health CareSocial Stigmaattitudesdepressiondeveloping countriesmental healthprimary carepsychological treatmentsstigmatraining

Identifiers

PMID35206331
PMCPMC8871897
OpenAlexW4213274776

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.