Evidence map›Paper›PMID 37021040›Full record

ArticleFocus (American Psychiatric Publishing)2022

EMPOWER: Toward the Global Dissemination of Psychosocial Interventions.

Vikram Patel, John A Naslund, Sheena Wood, Anushka Patel, Joshua J Chauvin, Ravindra Agrawal, Anant Bhan, Udita Joshi, Margaux Amara, Brandon A Kohrt and 2 more

Abstract read
In one paragraph

Article in Focus (American Psychiatric Publishing), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

12 authors.

Vikram PatelDepartment of Global Health and Social Medicine, Harvard Medical School (V. Patel, Naslund, Wood, Chauvin, Amara) and Harvard T. H. Chan School of Public Health (V. Patel, A. Patel), Harvard University, Boston; Sangath, Bhopal, Madhya Pradesh, India (Bhan, Agrawal, Joshi); Division of Global Mental Health, George Washington University, Washington, DC (Kohrt); Centre for Complex Interventions, Centre for Addiction and Mental Health, and Department of Psychiatry, University of Toronto, Toronto (Singla); Lunenfeld Tanenbaum Research Institute, Sinai Health, Toronto (Singla); Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, UK (Fairburn).
John A NaslundDepartment of Global Health and Social Medicine, Harvard Medical School (V. Patel, Naslund, Wood, Chauvin, Amara) and Harvard T. H. Chan School of Public Health (V. Patel, A. Patel), Harvard University, Boston; Sangath, Bhopal, Madhya Pradesh, India (Bhan, Agrawal, Joshi); Division of Global Mental Health, George Washington University, Washington, DC (Kohrt); Centre for Complex Interventions, Centre for Addiction and Mental Health, and Department of Psychiatry, University of Toronto, Toronto (Singla); Lunenfeld Tanenbaum Research Institute, Sinai Health, Toronto (Singla); Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, UK (Fairburn).
Sheena WoodDepartment of Global Health and Social Medicine, Harvard Medical School (V. Patel, Naslund, Wood, Chauvin, Amara) and Harvard T. H. Chan School of Public Health (V. Patel, A. Patel), Harvard University, Boston; Sangath, Bhopal, Madhya Pradesh, India (Bhan, Agrawal, Joshi); Division of Global Mental Health, George Washington University, Washington, DC (Kohrt); Centre for Complex Interventions, Centre for Addiction and Mental Health, and Department of Psychiatry, University of Toronto, Toronto (Singla); Lunenfeld Tanenbaum Research Institute, Sinai Health, Toronto (Singla); Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, UK (Fairburn).
Anushka PatelDepartment of Global Health and Social Medicine, Harvard Medical School (V. Patel, Naslund, Wood, Chauvin, Amara) and Harvard T. H. Chan School of Public Health (V. Patel, A. Patel), Harvard University, Boston; Sangath, Bhopal, Madhya Pradesh, India (Bhan, Agrawal, Joshi); Division of Global Mental Health, George Washington University, Washington, DC (Kohrt); Centre for Complex Interventions, Centre for Addiction and Mental Health, and Department of Psychiatry, University of Toronto, Toronto (Singla); Lunenfeld Tanenbaum Research Institute, Sinai Health, Toronto (Singla); Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, UK (Fairburn).
Joshua J ChauvinDepartment of Global Health and Social Medicine, Harvard Medical School (V. Patel, Naslund, Wood, Chauvin, Amara) and Harvard T. H. Chan School of Public Health (V. Patel, A. Patel), Harvard University, Boston; Sangath, Bhopal, Madhya Pradesh, India (Bhan, Agrawal, Joshi); Division of Global Mental Health, George Washington University, Washington, DC (Kohrt); Centre for Complex Interventions, Centre for Addiction and Mental Health, and Department of Psychiatry, University of Toronto, Toronto (Singla); Lunenfeld Tanenbaum Research Institute, Sinai Health, Toronto (Singla); Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, UK (Fairburn).
Ravindra AgrawalDepartment of Global Health and Social Medicine, Harvard Medical School (V. Patel, Naslund, Wood, Chauvin, Amara) and Harvard T. H. Chan School of Public Health (V. Patel, A. Patel), Harvard University, Boston; Sangath, Bhopal, Madhya Pradesh, India (Bhan, Agrawal, Joshi); Division of Global Mental Health, George Washington University, Washington, DC (Kohrt); Centre for Complex Interventions, Centre for Addiction and Mental Health, and Department of Psychiatry, University of Toronto, Toronto (Singla); Lunenfeld Tanenbaum Research Institute, Sinai Health, Toronto (Singla); Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, UK (Fairburn).
Anant BhanDepartment of Global Health and Social Medicine, Harvard Medical School (V. Patel, Naslund, Wood, Chauvin, Amara) and Harvard T. H. Chan School of Public Health (V. Patel, A. Patel), Harvard University, Boston; Sangath, Bhopal, Madhya Pradesh, India (Bhan, Agrawal, Joshi); Division of Global Mental Health, George Washington University, Washington, DC (Kohrt); Centre for Complex Interventions, Centre for Addiction and Mental Health, and Department of Psychiatry, University of Toronto, Toronto (Singla); Lunenfeld Tanenbaum Research Institute, Sinai Health, Toronto (Singla); Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, UK (Fairburn).
Udita JoshiDepartment of Global Health and Social Medicine, Harvard Medical School (V. Patel, Naslund, Wood, Chauvin, Amara) and Harvard T. H. Chan School of Public Health (V. Patel, A. Patel), Harvard University, Boston; Sangath, Bhopal, Madhya Pradesh, India (Bhan, Agrawal, Joshi); Division of Global Mental Health, George Washington University, Washington, DC (Kohrt); Centre for Complex Interventions, Centre for Addiction and Mental Health, and Department of Psychiatry, University of Toronto, Toronto (Singla); Lunenfeld Tanenbaum Research Institute, Sinai Health, Toronto (Singla); Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, UK (Fairburn).
Margaux AmaraDepartment of Global Health and Social Medicine, Harvard Medical School (V. Patel, Naslund, Wood, Chauvin, Amara) and Harvard T. H. Chan School of Public Health (V. Patel, A. Patel), Harvard University, Boston; Sangath, Bhopal, Madhya Pradesh, India (Bhan, Agrawal, Joshi); Division of Global Mental Health, George Washington University, Washington, DC (Kohrt); Centre for Complex Interventions, Centre for Addiction and Mental Health, and Department of Psychiatry, University of Toronto, Toronto (Singla); Lunenfeld Tanenbaum Research Institute, Sinai Health, Toronto (Singla); Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, UK (Fairburn).
Brandon A KohrtDepartment of Global Health and Social Medicine, Harvard Medical School (V. Patel, Naslund, Wood, Chauvin, Amara) and Harvard T. H. Chan School of Public Health (V. Patel, A. Patel), Harvard University, Boston; Sangath, Bhopal, Madhya Pradesh, India (Bhan, Agrawal, Joshi); Division of Global Mental Health, George Washington University, Washington, DC (Kohrt); Centre for Complex Interventions, Centre for Addiction and Mental Health, and Department of Psychiatry, University of Toronto, Toronto (Singla); Lunenfeld Tanenbaum Research Institute, Sinai Health, Toronto (Singla); Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, UK (Fairburn).
Daisy R SinglaDepartment of Global Health and Social Medicine, Harvard Medical School (V. Patel, Naslund, Wood, Chauvin, Amara) and Harvard T. H. Chan School of Public Health (V. Patel, A. Patel), Harvard University, Boston; Sangath, Bhopal, Madhya Pradesh, India (Bhan, Agrawal, Joshi); Division of Global Mental Health, George Washington University, Washington, DC (Kohrt); Centre for Complex Interventions, Centre for Addiction and Mental Health, and Department of Psychiatry, University of Toronto, Toronto (Singla); Lunenfeld Tanenbaum Research Institute, Sinai Health, Toronto (Singla); Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, UK (Fairburn).
Christopher G FairburnDepartment of Global Health and Social Medicine, Harvard Medical School (V. Patel, Naslund, Wood, Chauvin, Amara) and Harvard T. H. Chan School of Public Health (V. Patel, A. Patel), Harvard University, Boston; Sangath, Bhopal, Madhya Pradesh, India (Bhan, Agrawal, Joshi); Division of Global Mental Health, George Washington University, Washington, DC (Kohrt); Centre for Complex Interventions, Centre for Addiction and Mental Health, and Department of Psychiatry, University of Toronto, Toronto (Singla); Lunenfeld Tanenbaum Research Institute, Sinai Health, Toronto (Singla); Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, UK (Fairburn).

Funding

ESSENCE (Enabling translation of Science to Service to ENhance Depression CarE) Scale-UpU19MH113211 · NIMH · HARVARD MEDICAL SCHOOL · PI PATEL, VIKRAM H · 2017 to 2023
$3.7M
NIMH NIH HHS U19 MH113211Wellcome Trust
6 · The paper itself

Abstract

Even before the COVID-19 pandemic, the needs for care of persons with mental illness remained largely unmet worldwide, testifying to the inadequacy of current approaches to mental health care and their unsuitability for the rising demand. One hurdle to improved access to quality care is the reliance on expensive specialist providers, particularly for the delivery of psychosocial interventions. This article describes EMPOWER, a not-for-profit program that builds on the clinical science demonstrating the effectiveness of brief psychosocial interventions for a range of psychiatric conditions; implementation science demonstrating the effectiveness of delivery of these interventions by non-specialist providers (NSPs); and pedagogical science demonstrating the effectiveness of digital approaches for training and quality assurance. The EMPOWER program leverages digital tools for training and supervising NSPs, designing competency-based curricula, assessing treatment-specific competencies, implementing measurement-based peer supervision for support and quality assurance, and evaluating impacts to enhance the effectiveness of the delivery system.

Identifiers

PMID37021040
PMCPMC10071408

What OpenQuestion holds

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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.