ReviewInternational journal of mental health systems2025
Characterizing modifications to the mental health gap action programme (mhGAP) intervention guide during implementation in low- and middle-income countries using the framework for reporting adaptations and modifications to evidence-based interventions: a systematic review of reviews.
Review in International journal of mental health systems, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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Who cites it
5 citing papers in PubMed.
- Transforming public mental health: a review on global trends, challenges, and pathways to change.Health care analysis : HCA : journal of health philosophy and policy · 2026Review
- Psychometric validation and optimal cut-point determination of the Hausa WHO-5 well-being index for depression screening among internally displaced persons.Global mental health (Cambridge, England) · 2026Article
- Community advisory boards to inform behavioural health research in primary care: protocol for a scoping review.BMJ open · 2025Article
- Impact of an online WHO mental health guideline-based training on stigma and clinical confidence among non-psychiatrist physicians in Mexico: a pre-experimental pilot study.Frontiers in public health · 2025Article
- Somatic symptom and related disorders in the Arab world: a narrative review of clinical features and care implications.Frontiers in psychiatry · 2025Review
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundLow- and middle-income countries (LMICs) allocate a disproportionately small fraction of their healthcare budgets to mental health, leading to a treatment gap exceeding 75%. To address this disparity, the World Health Organization (WHO) introduced the Mental Health Gap Action Programme (mhGAP), aiming to integrate mental healthcare into primary and community care settings. Central to this initiative is task-sharing: empowering non-specialist healthcare providers to detect and treat mental disorders. Adaptation and modification of mhGAP to the national and local contexts is an integral aspect of the guidelines.
methodsThis systematic review of reviews employs the Framework for Reporting Adaptations and Modifications-Expanded (FRAME) to document and characterize modifications to mhGAP implementation in LMICs. The databases searched included Embase, PubMed, PsycINFO, CINAHL, Google Scholar, Cochrane, and Web of Science. Reviews selected in stage 1 were used to find empirical studies from which relevant data was extracted.
resultsNarrative synthesis suggests that modifications primarily focus on content, delivery, and training methods, with limited attention to scaling up. Modifications adopt top down, yet consultative and participatory approaches. There is a notable lack of reporting on challenges, processes, and outcomes. Recommendations have been made to expand FRAME, namely, sources of knowledge, financial and temporal resources employed during the process of modification.
conclusionModifications are essential for adapting interventions to diverse settings, yet they are often researcher-led with limited stakeholder involvement. Better documentation-particularly on challenges and outcomes-is needed. Strengthening frameworks like FRAME can improve reporting, optimize resources, and enhance implementation and scale-up in similar contexts.
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