Evidence map›Paper›PMID 36495728›Full record

ArticleAsian journal of psychiatry2023

Impact of incentivizing ASHAs on the outcome of persons with severe mental illness in a rural South Indian community amidst the COVID-19 pandemic.

Thanapal Sivakumar, Chethan Basavarajappa, Mariamma Philip, C Naveen Kumar, Jagadisha Thirthalli, Rajani Parthasarathy

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Asian journal of psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 19% 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, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. From Chains to Care: EndingClinical practice and epidemiology in mental health : CP & EMH · 2025
    Review
  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

6 authors at 2 institutions in 1 country.

Thanapal SivakumarDepartment of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru 560029, India. Electronic address: drt.sivakumar@yahoo.co.in.
Chethan BasavarajappaDepartment of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru 560029, India.
Mariamma PhilipDepartment of Biostatistics, National Institute of Mental Health and Neurosciences, Bengaluru 560029, India.
C Naveen KumarDepartment of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru 560029, India.
Jagadisha ThirthalliDepartment of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru 560029, India.
Rajani ParthasarathyDepartment of Health and Family Welfare, Government of Karnataka, Bengaluru 560009, India.
National Institute of Mental Health and Neurosciences · INGovernment of Karnataka · IN

Funding

Psychiatric research infrastructure for intervention and implementation in India – TEAMSD43TW009114 · FIC · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Smita N Deshpande, Mary Elizabeth Hawk · 2014 to 2026
$3.2M
FIC NIH HHS D43 TW009114
6 · The paper itself

Abstract

BACKGROUND &

objectivesTask shifting has been recommended as a strategy to reach out to persons with mental illness and bridge the treatment gap. There is a need to explore task-shifting using existing health staff like Accredited Social Health Activists (ASHAs). We examined the impact of incentivizing ASHAs on the outcome of persons with severe mental illness (SMI) amidst the pandemic.

methodsOne hundred eighty-four adults with SMI from Jagaluru taluk were enrolled and followed up for a year. They were assessed for disability, work performance, internalized stigma, and illness severity at baseline, six months, and 12 months follow-up. ASHA workers were incentivized to ensure follow-up consultations, address concerns regarding illness/ medication side effects and monitor medication adherence.

resultsOut of the 184 recruited patients, 7 died (non-COVID-19 causes), 22 stopped treatment and did not report for follow-up consultations, 11 shifted to treatment from other centers, and in 1 case, there was a change in diagnosis. 143 (78%) patients with SMI completed the study amidst the COVID-19 pandemic. At one year follow-up, there was a significant reduction in disability, illness severity, self-stigma, and improved work performance.

conclusionIncentivization of ASHAs helped ensure continuity of care to persons with SMI despite lockdowns and COVID-19 exigencies. It is feasible to involve ASHAs in the treatment of persons with SMI.

Indexed as

COVID-19Mental DisordersAdultCommunicable Disease ControlCommunity Health WorkersHumansIndiaMotivationPandemicsASHACommunity-based rehabilitationIndiaRuralSevere mental illnessTask-shiftingTelepsychiatry

Identifiers

PMID36495728
PMCPMC9722235
OpenAlexW4311091153

What OpenQuestion holds

Textmetadata
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.