Protocol for process evaluation of SMART Mental Health cluster randomised control trial: an intervention for management of common mental disorders in India
Introduction In India about 95% of individuals who need treatment for common mental disorders like depression, stress and anxiety and substance use are unable to access care. Stigma associated with help seeking and lack of trained mental health professionals are important barriers in accessing menta...
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BMJ Publishing Group
2022-06-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/6/e058669.full |
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| author | Anushka Patel David Peiris Pallab K Maulik Graham Thornicroft Shekhar Saxena Sudha Kallakuri Amanpreet Kaur Siddhardha Devarapalli Mercian Daniel Beverley M Essue Shashi Kant D Praveen Usha Raman Rajesh Sagar Ankita Mukherjee |
| author_facet | Anushka Patel David Peiris Pallab K Maulik Graham Thornicroft Shekhar Saxena Sudha Kallakuri Amanpreet Kaur Siddhardha Devarapalli Mercian Daniel Beverley M Essue Shashi Kant D Praveen Usha Raman Rajesh Sagar Ankita Mukherjee |
| author_sort | Anushka Patel |
| collection | DOAJ |
| description | Introduction In India about 95% of individuals who need treatment for common mental disorders like depression, stress and anxiety and substance use are unable to access care. Stigma associated with help seeking and lack of trained mental health professionals are important barriers in accessing mental healthcare. Systematic Medical Appraisal, Referral and Treatment (SMART) Mental Health integrates a community-level stigma reduction campaign and task sharing with the help of a mobile-enabled electronic decision support system (EDSS)—to reduce psychiatric morbidity due to stress, depression and self-harm in high-risk individuals. This paper presents and discusses the protocol for process evaluation of SMART Mental Health.Methods and analysis The process evaluation will use mixed quantitative and qualitative methods to evaluate implementation fidelity and identify facilitators of and barriers to implementation of the intervention. Case studies of six intervention and two control clusters will be used. Quantitative data sources will include usage analytics extracted from the mHealth platform for the trial. Qualitative data sources will include focus group discussions and interviews with recruited participants, primary health centre doctors, community health workers (Accredited Social Health Activits) who participated in the project and local community leaders. The design and analysis will be guided by Medical Research Council framework for process evaluations, the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework, and the normalisation process theory.Ethics and dissemination The study has been approved by the ethics committee of the George Institute for Global Health, India and the Institutional Ethics Committee, All India Institute of Medical Sciences (AIIMS), New Delhi. Findings of the study will be disseminated through peer-reviewed publications, stakeholder meetings, digital and social media platforms.Trial registration number CTRI/2018/08/015355. |
| format | Article |
| id | doaj-art-4c03532e577f4bd1bd456cda88a611c4 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-4c03532e577f4bd1bd456cda88a611c42025-01-28T01:15:14ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-058669Protocol for process evaluation of SMART Mental Health cluster randomised control trial: an intervention for management of common mental disorders in IndiaAnushka Patel0David Peiris1Pallab K Maulik2Graham Thornicroft3Shekhar Saxena4Sudha Kallakuri5Amanpreet Kaur6Siddhardha Devarapalli7Mercian Daniel8Beverley M Essue9Shashi Kant10D Praveen11Usha Raman12Rajesh Sagar13Ankita Mukherjee14The George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia9 The George Institute for Global Health, Sydney, New South Wales, AustraliaResearch, The George Institute for Global Health, New Delhi, IndiaCentre for Global Mental Health Centre for Implementation Science, Health Service and Population Research Department, King`s College London Institute of Psychiatry Psychology and Neuroscience, London, UKDepartment of Global Health and Population, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA2 The George Institute for Global Health, Hyderabad, India1 Research, The George Institute for Global Health India, New Delhi, IndiaThe George Institute for Global Health, Hyderabad, IndiaThe George Institute for Global Health, New Delhi, India6 Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, CanadaCentre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India6 Faculty of Medicine, UNSW, Sydney, New South Wales, AustraliaInternational Centre for Advancement of Rural Eye care, LV Prasad Eye Institute, Hyderabad, India7 Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India1 The George Institute for Global Health India, New Delhi, IndiaIntroduction In India about 95% of individuals who need treatment for common mental disorders like depression, stress and anxiety and substance use are unable to access care. Stigma associated with help seeking and lack of trained mental health professionals are important barriers in accessing mental healthcare. Systematic Medical Appraisal, Referral and Treatment (SMART) Mental Health integrates a community-level stigma reduction campaign and task sharing with the help of a mobile-enabled electronic decision support system (EDSS)—to reduce psychiatric morbidity due to stress, depression and self-harm in high-risk individuals. This paper presents and discusses the protocol for process evaluation of SMART Mental Health.Methods and analysis The process evaluation will use mixed quantitative and qualitative methods to evaluate implementation fidelity and identify facilitators of and barriers to implementation of the intervention. Case studies of six intervention and two control clusters will be used. Quantitative data sources will include usage analytics extracted from the mHealth platform for the trial. Qualitative data sources will include focus group discussions and interviews with recruited participants, primary health centre doctors, community health workers (Accredited Social Health Activits) who participated in the project and local community leaders. The design and analysis will be guided by Medical Research Council framework for process evaluations, the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework, and the normalisation process theory.Ethics and dissemination The study has been approved by the ethics committee of the George Institute for Global Health, India and the Institutional Ethics Committee, All India Institute of Medical Sciences (AIIMS), New Delhi. Findings of the study will be disseminated through peer-reviewed publications, stakeholder meetings, digital and social media platforms.Trial registration number CTRI/2018/08/015355.https://bmjopen.bmj.com/content/12/6/e058669.full |
| spellingShingle | Anushka Patel David Peiris Pallab K Maulik Graham Thornicroft Shekhar Saxena Sudha Kallakuri Amanpreet Kaur Siddhardha Devarapalli Mercian Daniel Beverley M Essue Shashi Kant D Praveen Usha Raman Rajesh Sagar Ankita Mukherjee Protocol for process evaluation of SMART Mental Health cluster randomised control trial: an intervention for management of common mental disorders in India BMJ Open |
| title | Protocol for process evaluation of SMART Mental Health cluster randomised control trial: an intervention for management of common mental disorders in India |
| title_full | Protocol for process evaluation of SMART Mental Health cluster randomised control trial: an intervention for management of common mental disorders in India |
| title_fullStr | Protocol for process evaluation of SMART Mental Health cluster randomised control trial: an intervention for management of common mental disorders in India |
| title_full_unstemmed | Protocol for process evaluation of SMART Mental Health cluster randomised control trial: an intervention for management of common mental disorders in India |
| title_short | Protocol for process evaluation of SMART Mental Health cluster randomised control trial: an intervention for management of common mental disorders in India |
| title_sort | protocol for process evaluation of smart mental health cluster randomised control trial an intervention for management of common mental disorders in india |
| url | https://bmjopen.bmj.com/content/12/6/e058669.full |
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