Evidence map›Paper›PMID 38551632›Full record

ArticleJMIR human factors2024

Preferences for mHealth Intervention to Address Mental Health Challenges Among Men Who Have Sex With Men in Nepal: Qualitative Study.

Kamal Gautam, Camille Aguilar, Kiran Paudel, Manisha Dhakal, Jeffrey A Wickersham, Bibhav Acharya, Sabitri Sapkota, Keshab Deuba, Roman Shrestha

Open access · goldAbstract read
In one paragraph

Article in JMIR human factors, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.8field-weighted citation impact, top 8% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. More than Marriages: How Nepal's Marriage Equality Law Shape Public Health?Health prospect : journal of public health · 2024
    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 at 6 institutions in 3 countries.

Kamal Gautam *Department of Allied Health Sciences, University of Connecticut, Storrs, CT, United States.ORCID 0000-0002-7121-7421
Camille Aguilar *School of Nursing and Health Studies, University of Miami, Miami, FL, United States.ORCID 0009-0008-5649-8262
Kiran PaudelDepartment of Allied Health Sciences, University of Connecticut, Storrs, CT, United States.ORCID 0000-0002-5590-4133
Manisha DhakalBlue Diamond Society, Dhumbarahi Height, Kathmandu, Nepal.ORCID 0000-0003-2229-8146
Jeffrey A WickershamDepartment of Internal Medicine, Section of Infectious Diseases, Yale School of Medicine, New Haven, CT, United States.ORCID 0000-0001-7701-9162
Bibhav AcharyaDepartment of Psychiatry and Behavioral Sciences, School of Medicine, UCSF Weill Institute for Neurosciences, San Francisco, CA, United States.ORCID 0000-0002-8555-7785
Sabitri SapkotaPossible, Kathmandu, Nepal.ORCID 0009-0000-2664-9172
Keshab DeubaDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-9933-2210
Roman ShresthaDepartment of Allied Health Sciences, University of Connecticut, Storrs, CT, United States.ORCID 0000-0003-4340-3101
University of Connecticut · USCalifornia Institute of Behavioral Neurosciences and Psychology (United States) · USKarolinska Institutet · SENepal Red Cross Society · NPUniversity of Miami · USYale University · US

Funding

Training in MHealth Prevention with MSMK01DA051346 · NIDA · YALE UNIVERSITY · PI SHRESTHA, ROMAN · 2020 to 2024
$862k
NIDA NIH HHS K01 DA051346
6 · The paper itself

Abstract

backgroundMen who have sex with men (MSM) are disproportionately burdened by poor mental health. Despite the increasing burden, evidence-based interventions for MSM are largely nonexistent in Nepal.

objectiveThis study explored mental health concerns, contributing factors, barriers to mental health care and support, and preferred interventions to improve access to and use of mental health support services among MSM in Nepal.

methodsWe conducted focus groups with MSM in Kathmandu, Nepal, in January 2023. In total, 28 participants took part in 5 focus group sessions. Participants discussed several topics related to the mental health issues they experienced, factors contributing to these issues, and their suggestions for potential interventions to address existing barriers. The discussions were recorded, transcribed, and analyzed using Dedoose (version 9.0.54; SocioCultural Research Consultants, LLC) software for thematic analysis.

resultsParticipants reported substantial mental health problems, including anxiety, depression, suicidal ideation, and behaviors. Contributing factors included family rejection, isolation, bullying, stigma, discrimination, and fear of HIV and other sexually transmitted infections. Barriers to accessing services included cost, lack of lesbian, gay, bisexual, transgender, intersex, queer, and asexual (LGBTIQA+)-friendly providers, and the stigma associated with mental health and sexuality. Participants suggested a smartphone app with features such as a mental health screening tool, digital consultation, helpline number, directory of LGBTIQA+-friendly providers, mental health resources, and a discussion forum for peer support as potential solutions. Participants emphasized the importance of privacy and confidentiality to ensure mobile apps are safe and accessible.

conclusionsThe findings of this study have potential transferability to other low-resource settings facing similar challenges. Intervention developers can use these findings to design tailored mobile apps to facilitate mental health care delivery and support for MSM and other marginalized groups.

Indexed as

HIV InfectionsSexual and Gender MinoritiesTelemedicineFemaleHomosexuality, MaleHumansMaleMental HealthNepalappapplicationsappsbarrierbarriersdigital healthfocus groupfocus groupsgayhomosexualhomosexualitymental healthmen who have sex with menmHealthmobile healthMSMNepalqualitativesmartphone appsthematic

Identifiers

PMID38551632
PMCPMC11015371
OpenAlexW4391922371

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.