Evidence map›Paper›PMID 38871663›Full record

ArticleBMJ open2024

Scalable Transdiagnostic Early Assessment of Mental Health (STREAM): a study protocol.

Elin H Williams, Nicholas M Thompson, Gareth McCray, Maria M Crespo-Llado, Supriya Bhavnani, Diksha Gajria, Debarati Mukherjee, Teresa Del Bianco, Georgia Lockwood-Estrin, Luke Mason and 21 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

31 authors.

Elin H WilliamsCentre for Autism, School of Psychology and Clinical Language Sciences, University of Reading, Reading, UK.ORCID 0000-0002-3265-5904
Nicholas M ThompsonCentre for Autism, School of Psychology and Clinical Language Sciences, University of Reading, Reading, UK.
Gareth McCraySchool of Medicine, Keele University, Keele, UK.
Maria M Crespo-LladoDepartment of Women and Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.
Supriya BhavnaniChild Development Group, Sangath, India.
Diksha GajriaChild Development Group, Sangath, India.
Debarati MukherjeeIndian Institute of Public Health, Bengaluru, Public Health Foundation of India, Kamataka, India.ORCID 0000-0003-3473-6537
Teresa Del BiancoCentre for Brain & Cognitive Development, Birkbeck University of London, London, UK.
Georgia Lockwood-EstrinUniversity of East London, London, UK.
Luke MasonInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Vukiwe NgomaKamuzu University of Health Sciences, Blantyre, Malawi.
Chisomo NamathangaKamuzu University of Health Sciences, Blantyre, Malawi.
Richard NkhataKamuzu University of Health Sciences, Blantyre, Malawi.
Allan BennieKamuzu University of Health Sciences, Blantyre, Malawi.
Alok RanjanChild Development Group, Sangath, India.
Ulemu KawelamaKamuzu University of Health Sciences, Blantyre, Malawi.
Naina MidhaChild Development Group, Sangath, India.
Anindita SinghChild Development Group, Sangath, India.
Innocent MpakizaKamuzu University of Health Sciences, Blantyre, Malawi.
Akshat GautamIndian Institute of Technology Bombay, Mumbai, Maharashtra, India.
Sheffali GulatiCenter of Excellence & Advanced Research for Childhood Neurodevelopmental Disorders, Child Neurology Division, Department of Paediatrics, All India Institute of Medical Sciences, New Delhi, India.
Mark H JohnsonDepartment of Psychology, University of Cambridge, Cambridge, UK.
Gillian LancasterPrimary Care & Health Sciences, Keele University, Keele, UK.
Matthew K BelmonteThe Com DEALL Trust, Bengaluru, Karnataka, India.ORCID 0000-0002-4633-9400
Emily JonesCentre for Brain & Cognitive Development, Birkbeck University of London, London, UK.
Vikram PatelDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0003-1066-8584
Sharat ChandranIndian Institute of Technology Bombay, Mumbai, Maharashtra, India.
Emmie MbaleDepartment of Paediatrics, Kamuzu University of Health Sciences, Blantyre, Malawi.
Gauri DivanChild Development Group, Sangath, India.
Melissa GladstoneDepartment of Women and Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.
Bhismadev ChakrabartiCentre for Autism, School of Psychology and Clinical Language Sciences, University of Reading, Reading, UK b.chakrabarti@reading.ac.uk.ORCID 0000-0002-6649-7895

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEarly childhood development forms the foundations for functioning later in life. Thus, accurate monitoring of developmental trajectories is critical. However, such monitoring often relies on time-intensive assessments which necessitate administration by skilled professionals. This difficulty is exacerbated in low-resource settings where such professionals are predominantly concentrated in urban and often private clinics, making them inaccessible to many. This geographic and economic inaccessibility contributes to a significant 'detection gap' where many children who might benefit from support remain undetected. The Scalable Transdiagnostic Early Assessment of Mental Health (STREAM) project aims to bridge this gap by developing an open-source, scalable, tablet-based platform administered by non-specialist workers to assess motor, social and cognitive developmental status. The goal is to deploy STREAM through public health initiatives, maximising opportunities for effective early interventions. METHODS AND ANALYSIS: The STREAM project will enrol and assess 4000 children aged 0-6 years from Malawi (n=2000) and India (n=2000). It integrates three established developmental assessment tools measuring motor, social and cognitive functioning using gamified tasks, observation checklists, parent-report and audio-video recordings. Domain scores for motor, social and cognitive functioning will be developed and assessed for their validity and reliability. These domain scores will then be used to construct age-adjusted developmental reference curves. ETHICS AND DISSEMINATION: Ethical approval has been obtained from local review boards at each site (India: Sangath Institutional Review Board; All India Institute of Medical Science (AIIMS) Ethics Committee; Indian Council of Medical Research-Health Ministry Screening Committee; Malawi: College of Medicine Research and Ethics Committee; Malawi Ministry of Health-Blantyre District Health Office). The study adheres to Good Clinical Practice standards and the ethical guidelines of the 6th (2008) Declaration of Helsinki. Findings from STREAM will be disseminated to participating families, healthcare professionals, policymakers, educators and researchers, at local, national and international levels through meetings, academic journals and conferences.

Indexed as

Child DevelopmentMental HealthChildChild, PreschoolFemaleHumansIndiaInfantInfant, NewbornMalawiMaleReproducibility of ResultsResearch Designchild & adolescent psychiatrycognitioncommunity child healthmachine learningmental healthpublic health

Identifiers

PMID38871663
PMCPMC11177698

What OpenQuestion holds

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LicenceCC BY
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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.