دورية أكاديمية
أعرض في EDS

Mobile Mental Health in Women's Community-Based Organizations: Protocol for a Pilot Randomized Controlled Trial.

التفاصيل البيبلوغرافية
العنوان: Mobile Mental Health in Women's Community-Based Organizations: Protocol for a Pilot Randomized Controlled Trial.
المؤلفون: Bhat A; Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, United States., Goud BR; St John's Medical College, Bengaluru, India., Kalidindi B; St John's Research Institute, Bengaluru, India., Ruben JP; St John's Medical College, Bengaluru, India.; St John's Research Institute, Bengaluru, India., Devadass D; St John's Research Institute, Bengaluru, India., Waghmare A; St John's Research Institute, Bengaluru, India., Collins PY; Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, United States.; Department of Global Health, University of Washington, Seattle, WA, United States., Raj T; St John's Research Institute, Bengaluru, India., Srinivasan K; St John's Medical College, Bengaluru, India.; St John's Research Institute, Bengaluru, India.
المصدر: JMIR research protocols [JMIR Res Protoc] 2023 Feb 08; Vol. 12, pp. e42919. Date of Electronic Publication: 2023 Feb 08.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: JMIR Publications Country of Publication: Canada NLM ID: 101599504 Publication Model: Electronic Cited Medium: Print ISSN: 1929-0748 (Print) Linking ISSN: 19290748 NLM ISO Abbreviation: JMIR Res Protoc Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Toronto : JMIR Publications
مستخلص: Background: Of every 10 women in rural India, 1 suffers from a common mental disorder such as depression, and untreated depression is associated with significant morbidity and mortality. Several factors lead to a large treatment gap, specifically for women in rural India, including stigma, lack of provider mental health workforce, and travel times. There is an urgent need to improve the rates of detection and treatment of depression among women in rural India without overburdening the scarce mental health resources.
Objective: We propose to develop, test, and deploy a mental health app, MITHRA (Multiuser Interactive Health Response Application), for depression screening and brief intervention, designed for use in women's self-help groups (SHGs) in rural India.
Methods: We will use focus groups with SHG members and community health workers to guide the initial development of the app, followed by iterative modification based on input from a participatory design group consisting of proposed end users of the app (SHG members). The final version of the app will then be deployed for testing in a pilot cluster randomized trial, with 3 SHGs randomized to receive the app and 3 to receive enhanced care as usual.
Results: This study was funded in June 2021. As of September 2022, we have completed both focus groups, 1 participatory design group, and app development.
Conclusions: Delivering app-based depression screening and treatment in community settings such as SHGs can address stigma and transportation-related barriers to access to depression care and overcome cultural and contextual barriers to mobile health use. It can also address the mental health workforce shortage. If we find that the MITHRA approach is feasible, we will test the implementation and effectiveness of MITHRA in multiple SHGs across India in a larger randomized controlled trial. This approach of leveraging community-based organizations to improve the reach of depression screening and treatment is applicable in rural and underserved areas across the globe.
International Registered Report Identifier (irrid): DERR1-10.2196/42919.
(©Amritha Bhat, B Ramakrishna Goud, Bharat Kalidindi, Johnson Pradeep Ruben, Dhinagaran Devadass, Abijeet Waghmare, Pamela Y Collins, Tony Raj, Krishnamachari Srinivasan. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 08.02.2023.)
References: Lancet. 2013 Nov 9;382(9904):1575-86. (PMID: 23993280)
Biol Psychiatry. 2003 Sep 1;54(5):573-83. (PMID: 12946886)
Indian J Med Res. 2015 Oct;142(4):359-61. (PMID: 26609025)
Asian J Psychiatr. 2018 Oct;37:161-166. (PMID: 30278379)
Lancet. 2007 Sep 15;370(9591):991-1005. (PMID: 17804058)
PLoS One. 2014 Aug 18;9(8):e104895. (PMID: 25133610)
JAMA. 2010 May 19;303(19):1976-7. (PMID: 20483977)
PLoS Med. 2012;9(5):e1001222. (PMID: 22666181)
Cult Med Psychiatry. 2020 Dec;44(4):461-478. (PMID: 31916181)
Lancet. 2017 Jan 14;389(10065):176-185. (PMID: 27988143)
Arch Gen Psychiatry. 1999 Dec;56(12):1109-15. (PMID: 10591288)
PLoS Med. 2022 Feb 15;19(2):e1003901. (PMID: 35167593)
Soc Sci Med. 2020 Feb;246:112741. (PMID: 31918347)
Lancet. 2012 Jun 23;379(9834):2343-51. (PMID: 22726517)
Br J Psychiatry. 2014 Oct;205(4):268-74. (PMID: 25274315)
Soc Psychiatry Psychiatr Epidemiol. 2016 Nov;51(11):1525-1537. (PMID: 27667656)
Annu Rev Clin Psychol. 2011;7:1-38. (PMID: 21275642)
J Gen Intern Med. 2011 Nov;26 Suppl 2:639-47. (PMID: 21989616)
Soc Psychiatry Psychiatr Epidemiol. 2017 Jun;52(6):737-748. (PMID: 28393283)
Anthropol Med. 2017 Apr;24(1):1-16. (PMID: 28292206)
Lancet. 2010 Apr 3;375(9721):1182-92. (PMID: 20207411)
BMC Health Serv Res. 2017 Jan 26;17(1):88. (PMID: 28126032)
J Cogn Psychother. 2014 Aug;28(3):168-185. (PMID: 31602096)
BMC Health Serv Res. 2016 Feb 16;16:53. (PMID: 26880075)
Int J Environ Res Public Health. 2018 Jun 16;15(6):. (PMID: 29914185)
J Clin Psychol. 2003 Mar;59(3):341-9. (PMID: 12579549)
Int J Epidemiol. 2010 Dec;39(6):1510-21. (PMID: 21037247)
Qual Life Res. 2009 Jun;18(5):585-95. (PMID: 19396572)
J Occup Environ Med. 2013 Mar;55(3):252-8. (PMID: 23439268)
Indian J Med Res. 2014 Feb;139(2):236-45. (PMID: 24718398)
معلومات مُعتمدة: P30 MH123248 United States MH NIMH NIH HHS
فهرسة مساهمة: Keywords: community-based; depression; mobile mental health; rural; stepped care; women
تواريخ الأحداث: Date Created: 20230208 Latest Revision: 20231214
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC9947759
DOI: 10.2196/42919
PMID: 36753310
قاعدة البيانات: MEDLINE
الوصف
تدمد:1929-0748
DOI:10.2196/42919