Protocol for process evaluation of SMART Mental Health cluster randomised control trial: an intervention for management of common mental disorders in India

Mukherjee, Ankita, Daniel, Mercian, Kallakuri, Sudha, Kaur, Amanpreet, Devarapalli, Siddhardha, Raman, Usha, Thornicroft, Graham, Essue, Beverley M, Praveen, D, Sagar, Rajesh, Kant, Shashi and Saxena, Shekhar (2022) Protocol for process evaluation of SMART Mental Health cluster randomised control trial: an intervention for management of common mental disorders in India. BMJ Open, 12 (6): e058669. pp. 1-10. ISSN 2044-6055

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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

Item Type: Article
Keywords: Clinical Trials | Depression & Mood Disorders | Mental Health | Primary Care Protocols & Guidelines | Suicide & Self-Harm
Subjects: Social Sciences and humanities > Social Sciences > Social Sciences (General)
JGU School/Centre: Jindal School of Psychology & Counselling
Depositing User: Amees Mohammad
Date Deposited: 10 May 2023 04:44
Last Modified: 10 May 2023 07:20
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