Evidence map›Paper›PMID 38982328›Full record

ArticleTrials2024

Study protocol for a stepped-wedge implementation study investigating the intersectoral collaboration of implementering the TREAT INTERACT intervention for primary school teachers and the mhGAP for health care workers for child mental health promotion in Uganda.

Ane-Marthe Solheim Skar, Ingunn Marie S Engebretsen, Nora Braathu, Harriet Aber, Harald Bækkelund, Melf-Jakob Kühl, Marjorie Mukisa, Joyce Sserunjogi Nalugya, Norbert Skokauskas, Vilde Skylstad and 3 more

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06275672 (TREAT INTERACT), 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
–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.

NCT06275672 naunknown statusnot on this map

TREAT INTERACT: Implementing a User Involved Education- and Health System Interactive Task-shifting Approach for Child Mental Health Promotion in Uganda

TypeinterventionalSponsorNorwegian Center for Violence and Traumatic Stress StudiesRan2023 to 2025Enrolled180ConditionsMental Health Issue, Stigma, Social, Child Development, Child AbuseArmsAdapted version of the mhGAP-IG
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

13 authors.

Ane-Marthe Solheim SkarNorwegian Center for Violence and Traumatic Stress Studies, Gullhaugveien 1, Oslo, 0484, Norway. a.m.s.skar@nkvts.no.ORCID http://orcid.org/0000-0003-4135-430X
Ingunn Marie S EngebretsenDepartment of Global Public Health and Primary Care, Centre for International Health, University of Bergen, Bergen, Norway.
Nora BraathuNorwegian Center for Violence and Traumatic Stress Studies, Gullhaugveien 1, Oslo, 0484, Norway.
Harriet AberSchool of Public Health, Makerere University College of Health Sciences, MakSPH, Kampala, Uganda.
Harald BækkelundNorwegian Center for Violence and Traumatic Stress Studies, Gullhaugveien 1, Oslo, 0484, Norway.
Melf-Jakob KühlDepartment of Global Public Health and Primary Care, Centre for International Health, University of Bergen, Bergen, Norway.
Marjorie MukisaSchool of Public Health, Makerere University College of Health Sciences, MakSPH, Kampala, Uganda.
Joyce Sserunjogi NalugyaSchool of Public Health, Makerere University College of Health Sciences, MakSPH, Kampala, Uganda.
Norbert SkokauskasRegional Centre for Child and Youth Mental Health and Child Welfare, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway.
Vilde SkylstadDepartment of Global Public Health and Primary Care, Centre for International Health, University of Bergen, Bergen, Norway.
Tore Wentzel-LarsenNorwegian Center for Violence and Traumatic Stress Studies, Gullhaugveien 1, Oslo, 0484, Norway.
TREAT research consortium
Juliet Ndimwibo BabiryeSchool of Public Health, Makerere University College of Health Sciences, MakSPH, Kampala, Uganda.

Funding

Norges Forskningsråd 316317/H30
6 · The paper itself

Abstract

backgroundMental and neuropsychological disorders make up approximately 14% of the total health burden globally, with 80% of the affected living in low- and middle-income countries (LMICs) of whom 90% cannot access mental health services. The main objective of the TREAT INTERACT study is to adapt, implement, and evaluate the impact of a novel, intersectoral approach to prevent, identify, refer, and treat mental health problems in children through a user centred task-sharing implementation of the TREAT INTERACT intervention, inspired by the World Health Organization (WHO) Mental Health Gap Action Programme Intervention Guide (mhGAP-IG) for primary school staff in Mbale, Uganda. Health care personell will be trained in the mhGAP-IG.

methodsThis is a pragmatic mixed-methods hybrid Type II implementation-effectiveness study utilizing a co-design approach. The main study utilize a stepped-wedged trial design with six starting sequences, randomizing three schools to the intervention at each interval, while the remaining act as "controls". Other designs include a nested prospective cohort study, case control studies, cross-sectional studies, and qualitative research. Main participants' outcomes include teachers' mental health literacy, stigma, and violence towards the school children. Implementation outcomes include detection, reach, sustainability, and service delivery. Child and caregiver outcomes include mental health, mental health literacy, and help-seeking behaviour. DISCUSSION: Based on the results, we will develop sustainable and scalable implementation advice on mental health promotion and draft implementation guidelines in line with current WHO guidelines. This project will generate new knowledge on the structure, organization, delivery, and costs of mental health services in a LMIC setting, as well as new knowledge on the implementation and delivery of new health services.

trial registrationClinicalTrials, NCT06275672, 28.12.2023, retrospectively registered.

Indexed as

Mental HealthSchool TeachersChildHealth LiteracyHealth PersonnelHealth PromotionHumansIntersectoral CollaborationMental DisordersMental Health ServicesMulticenter Studies as TopicPragmatic Clinical Trials as TopicSchool Health ServicesSchool Mental Health ServicesUgandaAdolescentsChildrenGlobal mental healthImplementationLow- and middle-income countriesPrimary schoolsTask-sharingTeachersUganda

Identifiers

PMID38982328
PMCPMC11234609

What OpenQuestion holds

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LicenceCC BY
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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.