PDF(Pubmed)
Abstract：
BACKGROUND: Mental 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.
METHODS: This 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.
CONCLUSIONS: 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.
BACKGROUND: ClinicalTrials, NCT06275672, 28.12.2023, retrospectively registered.
METHODS: This 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.
CONCLUSIONS: 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.
BACKGROUND: ClinicalTrials, NCT06275672, 28.12.2023, retrospectively registered.
摘要：
背景：精神和神经心理障碍约占全球总健康负担的14%，80％的受影响人口生活在低收入和中等收入国家（LMICs），其中90％的人无法获得精神卫生服务。治疗相互作用研究的主要目的是适应，工具，评估小说的影响，跨部门的预防方法，identify,参考，并通过以用户为中心的任务共享实施治疗互动干预措施来治疗儿童的心理健康问题，受世界卫生组织（WHO）针对Mbale小学教职员工的心理健康差距行动计划干预指南（mhGAP-IG）的启发，乌干达。卫生保健人员将接受mhGAP-IG培训。
方法：这是一项实用的混合方法混合II型实施-有效性研究，采用共同设计方法。主要研究采用了具有六个起始序列的阶梯式楔形试验设计，在每个间隔随机分配三所学校进行干预，而其余的则充当“控件”。其他设计包括嵌套前瞻性队列研究，病例对照研究,横断面研究，和定性研究。主要参与者的成果包括教师的心理健康素养，污名,对学校儿童的暴力。实施成果包括检测，reach,可持续性和服务交付。儿童和照顾者的结果包括心理健康，心理健康素养,和寻求帮助的行为。
结论：根据结果，我们将制定关于精神卫生促进的可持续和可扩展的实施建议,并根据世卫组织现行指南起草实施指南.这个项目将产生关于结构的新知识，组织,delivery,以及LMIC环境中心理健康服务的成本，以及关于实施和提供新卫生服务的新知识。
背景：临床试验，NCT06275672，28.12.2023，回顾性注册。
方法：这是一项实用的混合方法混合II型实施-有效性研究，采用共同设计方法。主要研究采用了具有六个起始序列的阶梯式楔形试验设计，在每个间隔随机分配三所学校进行干预，而其余的则充当“控件”。其他设计包括嵌套前瞻性队列研究，病例对照研究,横断面研究，和定性研究。主要参与者的成果包括教师的心理健康素养，污名,对学校儿童的暴力。实施成果包括检测，reach,可持续性和服务交付。儿童和照顾者的结果包括心理健康，心理健康素养,和寻求帮助的行为。
结论：根据结果，我们将制定关于精神卫生促进的可持续和可扩展的实施建议,并根据世卫组织现行指南起草实施指南.这个项目将产生关于结构的新知识，组织,delivery,以及LMIC环境中心理健康服务的成本，以及关于实施和提供新卫生服务的新知识。
背景：临床试验，NCT06275672，28.12.2023，回顾性注册。
