Evidence map›Paper›PMID 36311612›Full record

ArticleFrontiers in public health2022

Experiences and Perceptions of Telephone-delivery of the Common Elements Treatment Approach for Mental Health Needs Among Young People in Zambia During the COVID-19 Pandemic.

Saphira Munthali-Mulemba, Caleb J Figge, Kristina Metz, Jeremy C Kane, Stephanie Skavenski, Mwamba Mwenge, Brandon A Kohrt, Gloria A Pedersen, Izukanji Sikazwe, Laura K Murray

Abstract read
In one paragraph

Article in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

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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

10 authors.

Saphira Munthali-MulembaCentre for Infectious Disease Research in Zambia (CIDRZ), Lusaka, Zambia.
Caleb J FiggeDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Kristina MetzDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Jeremy C KaneDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, United States.
Stephanie SkavenskiDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Mwamba MwengeCentre for Infectious Disease Research in Zambia (CIDRZ), Lusaka, Zambia.
Brandon A KohrtDepartment of Psychiatry, George Washington University School of Medicine and Health Sciences, Washington, DC, United States.
Gloria A PedersenDepartment of Psychiatry, George Washington University School of Medicine and Health Sciences, Washington, DC, United States.
Izukanji SikazweCentre for Infectious Disease Research in Zambia (CIDRZ), Lusaka, Zambia.
Laura K MurrayDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.

Funding

Evaluating Implementation Strategies to Scale-up Transdiagnostic Evidence-based Mental Health Care in ZambiaR01MH115495 · NIMH · CENTRE FOR INFECTIOUS DISEASE RESEARCH · PI MURRAY, LAURA KAY, SHARMA, ANJALI · 2019 to 2022
$2.5M
NIMH NIH HHS R01 MH115495
6 · The paper itself

Abstract

Background: Mental and behavioral health needs are immense in low-to-middle income countries (LMIC), particularly for adolescents and young adults (AYA). However, access to mental health services is limited in LMIC due to barriers such as distance to a health care site, low number of providers, and other structural and logistical challenges. During the COVID-19 pandemic, these barriers were significantly exacerbated and, thus, mental health services were severely disrupted. A potential solution to some of these barriers is remote delivery of such services via technology. Exploration of AYA experiences is needed to understand the benefits and challenges when shifting to remotely delivered services. Methods: Participants included 16 AYA (15-29 years) residing in Lusaka, Zambia who met criteria for a mental or behavioral health concern and received telehealth delivery of the Common Elements Treatment Approach (CETA). AYA participated in semi-structured qualitative interviews to explore feasibility, acceptability, and barriers to telephone-delivered treatment in this context. Thematic coding analysis was conducted to identify key themes. Findings: Three major response themes emerged: 1) Advantages of telehealth delivery of CETA, Disadvantages or barriers to telehealth delivery of CETA, 3) AYA recommendations for optimizing telehealth (ways to improve telehealth delivery in Zambia. Results indicate that logistical and sociocultural barriers i.e., providing AYA with phones to use for sessions, facilitating one face-to-face meeting with providers) need to be addressed for success of remotely delivered services. Conclusion: AYA in this sample reported telehealth delivery reduces some access barriers to engaging in mental health care provision in Zambia. Addressing logistical and sociocultural challenges identified in this study will optimize feasibility of telehealth delivery and will support the integration of virtual mental health services in the Zambian health system.

Indexed as

COVID-19AdolescentHumansMental HealthPandemicsTelephoneYoung AdultZambiaadolescents and young adultsCETACOVID-19mental healthtelehealth

Identifiers

PMID36311612
PMCPMC9610836

What OpenQuestion holds

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Registered trials

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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.