Reducing Stigma Among Healthcare Providers to Improve Mental Health Services

• Register: ClinicalTrials.gov
• Last refreshed on: 12 December 2020
• Main ID: NCT02793271
• Date of registration: 03/06/2016
• Prospective Registration: No
• Primary sponsor: Brandon A Kohrt, MD, PhD
• Public title: Reducing Stigma Among Healthcare Providers to Improve Mental Health Services RESHAPE-mh
• Scientific title: Reducing Stigma Among Healthcare Providers to Improve Mental Health Services: RESHAPE-mh Protocol for a Feasibility and Acceptability Pilot Cluster Randomized Control Trial
• Date of first enrolment: February 1, 2016
• Target sample size: 301
• Recruitment status: Completed
• URL: https://clinicaltrials.gov/show/NCT02793271
• Study type: Interventional
• Study design: Allocation: Randomized. Intervention model: Parallel Assignment. Primary purpose: Other. Masking: Triple (Participant, Care Provider, Outcomes Assessor).
• Phase: N/A

Countries of recruitment

Nepal

Contacts

• Name: Brandon A Kohrt, MD, PhD
• Affiliation: George Washington University

Key inclusion & exclusion criteria

Participant Types

- Primary care workers (primary beneficiary)

- Patients (indirect beneficiary)

Inclusion Criteria:

- All primary care workers participating in either the prescriber or non-prescriber
PRIME trainings will be invited to participate

- Primary care trainees will need to be 21-65 years of age

- Recruitment will attempt to balance gender distribution in the recruitment health
clusters

- All participants will need to have Nepali language competency, be actively engaged in
care provision in their health cluster, and have a valid certificate of practice from
the Ministry of Health

- Primary care trainees need to have permission from their health supervisor to attend
the entire duration of the training.

- Any patient receiving PRIME services will be invited to participate. This includes
persons with diagnoses of depression, psychosis, harmful drinking, or epilepsy.
Providers make the diagnosis based on mhGAP criteria.

- For patients, inclusion criteria will be 21-65 years of age and fluency in Nepali.

Exclusion Criteria:

- Primary care trainees will be excluded if they have any prior citations on their
clinical practice licensure.

- Patients who cannot provide consent will be excluded.



Age minimum: 21 Years
Age maximum: 65 Years
Gender: All

Health Condition(s) or Problem(s) studied

Mental Disorders

Intervention(s)

Behavioral: PRIME/mhGAP

Behavioral: RESHAPE

Primary Outcome(s)

Change in stigmatizing attitudes, as measured by the Social Distance questionnaire [Time Frame: Baseline, post-training (immediately after 10-day training curriculum), +4 months, + 16 months]

Secondary Outcome(s)

Change in clinical knowledge, as measured by the mhGAP knowledge assessment [Time Frame: Baseline, post-training (immediately after 10-day training curriculum), +4 months, + 16 months]

Change in clinical competence, as measured by Enhancing Assessment of Common Therapeutic factors [Time Frame: Baseline, +4 months, + 16 months]

Change in implicit attitudes, as measured by the Implicit Association Test (IAT) [Time Frame: Baseline, +4 months, + 16 months]

Change in stigmatizing attitudes, as measured by the mhGAP Attitudes Questionnaire [Time Frame: Baseline, post-training (immediately after 10-day training curriculum), +4 months, + 16 months]

Change in patient functioning, as measured by the World Health Organization Disability Assessment Scale (WHODAS) [Time Frame: Baseline, 6 months]

Change in patient depression, as measured by the Patient Health Questionnaire (PHQ-9) [Time Frame: Baseline, 6 months]

Change in patient perceived stigma as a barrier to accessing care, as measured by the Barriers to Access to Care Evaluation (BACE) [Time Frame: Baseline, 6 months]

Secondary ID(s)

Pro00055042

K01MH104310

Source(s) of Monetary Support

Please refer to primary and secondary sponsors

Secondary Sponsor(s)

Department for International Development, United Kingdom

National Institute of Mental Health (NIMH)