Evidence map›Paper›PMID 36426568›Full record

ArticleBJPsych open2022

Culturally adapted psychoeducation for bipolar disorder in a low-resource setting: protocol for a multicentre randomised controlled trial.

M Ishrat Husain, Madeha Umer, Muqaddas Asif, Ameer B Khoso, Tayyeba Kiran, Moin Ansari, Huma Aslam, Moti Ram Bhatia, Farasat A Dogar, M Omair Husain and 13 more

Erratum issued Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BJPsych open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05223959 (Culturally Adapted Psychoeducation for Bipolar Disorder in a Low-resource Setting), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 42% 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.

NCT05223959 nacompletednot on this map

Culturally Adapted Psychoeducation for Bipolar Disorder in a Low-resource Setting: A Randomized Controlled Trial

TypeinterventionalSponsorPakistan Institute of Living and LearningRan2022 to 2025Enrolled303ConditionsBipolar DisorderArmsCulturally adapted Psychoeducation
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 10 institutions in 3 countries.

M Ishrat HusainCampbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada; and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Madeha UmerCampbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada; and Pakistan Institute of Living and Learning, Karachi, Pakistan.ORCID https://orcid.org/0000-0003-0958-1211
Muqaddas AsifPakistan Institute of Living and Learning, Karachi, Pakistan.
Ameer B KhosoPakistan Institute of Living and Learning, Karachi, Pakistan.
Tayyeba KiranPakistan Institute of Living and Learning, Karachi, Pakistan.ORCID https://orcid.org/0000-0003-2478-4148
Moin AnsariDepartment of Psychiatry, Liaquat University of Medical and Health Sciences, Hyderabad, Pakistan.
Huma AslamDepartment of Psychiatry and Behavioral Sciences, Allama Iqbal Medical College/Jinnah Hospital, Lahore, Pakistan.
Moti Ram BhatiaDepartment of Psychiatry, Peoples University of Medical and Health Sciences for Women, Nawabshah-Shaheed Benazirabad, Pakistan.
Farasat A DogarPunjab Institute of Mental Health, Lahore, Pakistan.
M Omair HusainCampbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada; and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-8575-3364
Hazrat A KhanBalochistan Institute of Psychiatry and Behavioral Sciences, Quetta, Pakistan.
Ali A MuftiJinnah Medical College, Peshawar, Pakistan.
Benoit H MulsantCampbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada; and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Farooq NaeemCampbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada; and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Haider A NaqviDepartment of Psychiatry, DOW University of Health Sciences, Karachi, Pakistan.
Claire de OlivieraCampbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada; and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0003-3961-6008
M Sajjad SiddiquiNational Psychiatric Hospital, Multan, Pakistan.
Asad TamizuddinInstitute of Psychiatry, WHO Collaborating Centre for Mental Health Research and Training, Rawalpindi, Pakistan.
Wei WangCampbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Juveria ZaheerCampbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada; and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0001-5071-8078
Nusrat HusainDivision of Psychology and Mental Health, School of Health Sciences, University of Manchester, Manchester, UK; and Mersey Care NHS Foundation Trust, Liverpool, UK.
Nasim ChaudhryPakistan Institute of Living and Learning, Karachi, Pakistan.ORCID https://orcid.org/0000-0003-4142-868X
Imran B ChaudhryPakistan Institute of Living and Learning, Karachi, Pakistan; Division of Psychology and Mental Health, School of Health Sciences, University of Manchester, Manchester, UK; and Department of Psychiatry, Ziauddin University, Karachi, Pakistan.
Centre for Addiction and Mental Health · CAPakistan Institute of Learning and Living · PKDow University of Health Sciences · PKGreater Manchester Mental Health NHS Foundation Trust · GBJinnah Medical & Dental College · PKJinnah Postgraduate Medical Center · PKLiaquat University of Medical & Health Sciences · PKManchester Academic Health Science Centre · GBPunjab Institute of Cardiology · PKUniversity of Balochistan · PK

Funding

CIHR PJT-178003
6 · The paper itself

Abstract

backgroundBipolar disorder is a source of marked disability, morbidity and premature death. There is a paucity of research on personalised psychosocial interventions for bipolar disorder, especially in low-resource settings. A pilot randomised controlled trial (RCT) of a culturally adapted psychoeducation intervention for bipolar disorder (CaPE) in Pakistan reported higher patient satisfaction, enhanced medication adherence, knowledge and attitudes regarding bipolar disorder, and improvement in mood symptom scores and health-related quality of life measures compared with treatment as usual (TAU).

aimsThe current protocol describes a larger multicentre RCT to confirm the clinical and cost-effectiveness of CaPE in Pakistan. Trial registration: NCT05223959.

methodA multicentre individual, parallel-arm RCT of CaPE in 300 Pakistani adults with bipolar disorder. Participants over the age of 18, with a diagnosis of bipolar I or II disorder who are currently euthymic, will be recruited from seven sites: Karachi, Lahore, Multan, Rawalpindi, Peshawar, Hyderabad and Quetta. Time to recurrence will be the primary outcome assessed using the Longitudinal Interval Follow-up Evaluation (LIFE). Secondary measures will include mood symptoms, quality of life and functioning, adherence to psychotropic medications, and knowledge and attitudes regarding bipolar disorder.

resultsThis trial will assess the effectiveness of the CaPE intervention compared with TAU in reducing the time to recurrence for people with bipolar disorder currently in remission in Pakistan and determine the effect on clinical outcomes, quality of life and functioning.

conclusionsA successful trial might lead to rapid implementation of CaPE in clinical practice, not only in Pakistan, but also in other low-resource settings, including those in high-income countries, to improve clinical outcomes, social and occupational functioning, and quality of life in South Asian and other minority group patients with bipolar disorder.

Indexed as

Bipolar disorderclinical trialPakistanpsychoeducationpsychosocial interventions

Identifiers

PMID36426568
PMCPMC9707505
OpenAlexW4310045637

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.