Evidence map›Paper›PMID 36243682›Full record

ArticleBMC primary care2022

Perception of providers on use of the WHO mental health Gap Action Programme-Intervention Guide (mhGAP-IG) electronic version and smartphone-based clinical guidance in Nigerian primary care settings.

Akin Ojagbemi, Stephanie Daley, Lola Kola, Tatiana Taylor Salisbury, Yvonne Feeney, Akerke Makhmud, Heidi Lempp, Graham Thornicroft, Oye Gureje

Abstract read
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In one paragraph

Article in BMC primary care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Digital psychiatry in Nigeria: A scoping review.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2024
    Article
  7. Article
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.

Akin OjagbemiWorld Health Organization Collaborating Centre For Research And Training In Mental Health, Neuroscience, And Substance Abuse, Department of Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Stephanie DaleyCentre for Dementia Studies, Brighton and Sussex Medical School, Brighton, UK.
Lola KolaWorld Health Organization Collaborating Centre For Research And Training In Mental Health, Neuroscience, And Substance Abuse, Department of Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Tatiana Taylor SalisburyCentre for Global Mental Health, Health Service and Population Research Department, Institute of Psychology, Psychiatry and Neuroscience, King's College London, London, UK. tatiana.salisbury@kcl.ac.uk.
Yvonne FeeneyCentre for Dementia Studies, Brighton and Sussex Medical School, Brighton, UK.
Akerke MakhmudCentre for Global Mental Health, Health Service and Population Research Department, Institute of Psychology, Psychiatry and Neuroscience, King's College London, London, UK.
Heidi LemppCentre for Rheumatic Diseases, Department of Inflammation Biology, School of Immunology and Microbial Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.
Graham ThornicroftCentre for Global Mental Health, Health Service and Population Research Department, Institute of Psychology, Psychiatry and Neuroscience, King's College London, London, UK.
Oye GurejeWorld Health Organization Collaborating Centre For Research And Training In Mental Health, Neuroscience, And Substance Abuse, Department of Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria.

Funding

Department of HealthMedical Research Council MR/R023697/1Medical Research Council MR/S001255/1Wellcome Trust
6 · The paper itself

Abstract

backgroundTaking advantage of the rapidly increasing access to digital technology in low- and middle-income countries, the World Health Organization has launched an electronic version of the mental health Gap Action Programme intervention guide (emhGAP-IG). This is suitable for use on smartphones or tablets by non-specialist primary healthcare providers (PHCWs) to deliver evidence-based intervention for priority mental, neurological and substance use disorders. We assessed the perceptions of PHCWs on the feasibility, acceptability, and benefits of using smartphone-based clinical guidance and the emhGAP-IG in the management of people with mental health conditions in Nigeria. 

methodsExploration of the views of PHCWs from 12 rural and urban primary health clinics (PHCs) in South-Western Nigeria were carried out using 34 in-depth key informant qualitative interviews with nurses (n = 10), community health officers (n = 13) and community health extension workers (n = 11). An additional two focus group discussions, each comprising eight participants drawn from across the range of characteristics of PHCWs, were also conducted. Thematic analysis was conducted using a three-staged constant comparison technique to refine and categorise the data.

resultsThree overall themes were identified around the use of clinical guidance and mobile applications (apps) in PHCs. Apps were deployed for purposes other than clinical consultation and decision making. Although paper-based guidance was the expected practice, its utilization is not fully embedded in routine care. An app-based decision-making tool was preferred to paper by PHCWs. Future usage of the emhGAP-IG would be facilitated by training and supporting of staff, helpful design features, and obtaining patients' buy-in.

conclusionOur findings suggest that the emhGAP-IG could be a viable way to embed clinical guidance and decision-making tools in the management of people with mental health conditions in Nigerian PHCs.

Indexed as

Mental HealthSmartphoneElectronicsHumansNigeriaPerceptionPrimary Health CareWorld Health OrganizationPsychosocial interventionsRemote supervisionSub-Saharan AfricaTask sharing

Identifiers

PMID36243682
PMCPMC9571457

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.