Impact of treatment attendance on mental health outcomes within task-shared psychological treatments: a causal analysis from the PRIME India study
Task-shared psychological treatments play a critical role in addressing the global mental health treatment gap, yet their integration into routine care requires further study. This study evaluated the causal association between an implementation factor of a task-shared psychological treatment and pa...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2025-01-01
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| Series: | Cambridge Prisms: Global Mental Health |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S2054425125000366/type/journal_article |
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| author | Saloni Dev John Griffith Collette Ncube Vikram Patel Alisa Lincoln |
| author_facet | Saloni Dev John Griffith Collette Ncube Vikram Patel Alisa Lincoln |
| author_sort | Saloni Dev |
| collection | DOAJ |
| description | Task-shared psychological treatments play a critical role in addressing the global mental health treatment gap, yet their integration into routine care requires further study. This study evaluated the causal association between an implementation factor of a task-shared psychological treatment and participant outcomes to strengthen the implementation-to-outcome link within global mental health. This secondary analysis utilized cohort data from the Program for Improving Mental Health Care (PRIME) implemented in Sehore, India where trained non-specialist health workers delivered treatment for depression and alcohol use disorder (AUD). Propensity scores and inverse probability of treatment weights examined the impact of mental health service users’ treatment attendance on users’ symptom severity (PHQ-9 scores for depression; AUDIT scores for AUD) at 3 and 12-month follow-ups. Among the 240 patients with depression, higher treatment session attendance led to 1.3 points lower PHQ-9 scores (vs. no attendance) and 2.4 points lower PHQ-9 scores (vs. low attendance) at 3 months, with no significant effects at 12 months. Among the 190 AUD patients, treatment session attendance did not have a significant impact on AUDIT scores. Our findings have implications for enhancing treatment session attendance among those with depression within task-shared psychological treatments. |
| format | Article |
| id | doaj-art-ec0e0a57a85c417c9255cb6149f97e63 |
| institution | OA Journals |
| issn | 2054-4251 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Cambridge Prisms: Global Mental Health |
| spelling | doaj-art-ec0e0a57a85c417c9255cb6149f97e632025-08-20T02:12:07ZengCambridge University PressCambridge Prisms: Global Mental Health2054-42512025-01-011210.1017/gmh.2025.36Impact of treatment attendance on mental health outcomes within task-shared psychological treatments: a causal analysis from the PRIME India studySaloni Dev0https://orcid.org/0000-0003-3385-7249John Griffith1Collette Ncube2Vikram Patel3https://orcid.org/0000-0003-1066-8584Alisa Lincoln4Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA, USA Institute for Health Equity and Social Justice Research, Northeastern University, Boston, MA, USADepartment of Public Health and Health Sciences, Northeastern University, Boston, MA, USADepartment of Epidemiology, Boston University School of Public Health, Boston, MA, USADepartment of Global Health and Social Medicine, Harvard Medical School, Boston, USA Department of Global Health and Population, Harvard TH Chan School of Public Health, Boston, MA, USAInstitute for Health Equity and Social Justice Research, Northeastern University, Boston, MA, USATask-shared psychological treatments play a critical role in addressing the global mental health treatment gap, yet their integration into routine care requires further study. This study evaluated the causal association between an implementation factor of a task-shared psychological treatment and participant outcomes to strengthen the implementation-to-outcome link within global mental health. This secondary analysis utilized cohort data from the Program for Improving Mental Health Care (PRIME) implemented in Sehore, India where trained non-specialist health workers delivered treatment for depression and alcohol use disorder (AUD). Propensity scores and inverse probability of treatment weights examined the impact of mental health service users’ treatment attendance on users’ symptom severity (PHQ-9 scores for depression; AUDIT scores for AUD) at 3 and 12-month follow-ups. Among the 240 patients with depression, higher treatment session attendance led to 1.3 points lower PHQ-9 scores (vs. no attendance) and 2.4 points lower PHQ-9 scores (vs. low attendance) at 3 months, with no significant effects at 12 months. Among the 190 AUD patients, treatment session attendance did not have a significant impact on AUDIT scores. Our findings have implications for enhancing treatment session attendance among those with depression within task-shared psychological treatments.https://www.cambridge.org/core/product/identifier/S2054425125000366/type/journal_articleglobal mental healthimplementationtreatment attendanceinverse probability of treatment weights |
| spellingShingle | Saloni Dev John Griffith Collette Ncube Vikram Patel Alisa Lincoln Impact of treatment attendance on mental health outcomes within task-shared psychological treatments: a causal analysis from the PRIME India study Cambridge Prisms: Global Mental Health global mental health implementation treatment attendance inverse probability of treatment weights |
| title | Impact of treatment attendance on mental health outcomes within task-shared psychological treatments: a causal analysis from the PRIME India study |
| title_full | Impact of treatment attendance on mental health outcomes within task-shared psychological treatments: a causal analysis from the PRIME India study |
| title_fullStr | Impact of treatment attendance on mental health outcomes within task-shared psychological treatments: a causal analysis from the PRIME India study |
| title_full_unstemmed | Impact of treatment attendance on mental health outcomes within task-shared psychological treatments: a causal analysis from the PRIME India study |
| title_short | Impact of treatment attendance on mental health outcomes within task-shared psychological treatments: a causal analysis from the PRIME India study |
| title_sort | impact of treatment attendance on mental health outcomes within task shared psychological treatments a causal analysis from the prime india study |
| topic | global mental health implementation treatment attendance inverse probability of treatment weights |
| url | https://www.cambridge.org/core/product/identifier/S2054425125000366/type/journal_article |
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