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| Name | Class |
|---|---|
| Universita di Verona | OTHER |
| Gadjah Mada University | OTHER |
This study is a cluster randomised controlled trial, which aims to examine the short-term strategy of addressing treatment gap through increasing primary mental health service capacity. This study aims to compare after 6 months and 12 months, the effectiveness of a specialist model of mental health care and an enhanced usual care (task-sharing) framework, in terms of reducing mental health symptoms, reducing disability, and improving quality of life, as well as the health services costs (and potentially societal costs) associated with these outcomes in 400 patients.
Two primary mental health service frameworks in Yogyakarta are compared: the specialist framework and the enhanced usual care framework. Both frameworks have not been evaluated in the Indonesian context, despite their potential to be the framework of choice for other provincial and district governments to adopt. Extension to existing services has been planned, which provides us with the opportunity to implement in a random manner the enhanced usual care framework in new areas.
This study aims to compare after 6 months and 12 months, the effectiveness of a specialist model of mental health care and an enhanced usual care (task-sharing) framework, in terms of reducing mental health symptoms, reducing disability, and improving quality of life, as well as the health services costs (and potentially societal costs) associated with these outcomes in 400 patients. This study receives ground-level support from the Centre for Public Mental Health, Universitas Gadjah Mada, which manages the specialist primary mental health framework in Yogyakarta province, regional and national-level support from the Ministry of Health of Indonesia, and will be hopefully funded by the LPDP, Ministry of Finance of Indonesia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Specialist | Active Comparator | Assessment and treatment of common mental disorders by a clinical psychologist in primary care facilities. |
|
| Enhanced Usual Care | Experimental | Assessment and treatment of common mental disorders by a general practitioner and nurse practitioner, who have been trained in the WHO mhGap manual, in primary care facilities. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Psychotherapy | Behavioral | Behaviour Therapy or Cognitive Behaviour Therapy which forms "service as usual" in primary care centres in Indonesia. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Health of Nations Outcomes Scale (HoNOS) score from baseline | Measures health and social functioning of participants | Baseline, 6 months and 12 months |
| Change in Clinical Interview Schedule Revised (CIS-R) score from baseline | Measures the presence and severity of psychiatric symptoms | Baseline, 6 months and 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change in WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) score from baseline | Measures type and extent of disability of participants | Baseline, 6 months and 12 months |
| Change in European Quality of Life Scale (EQ-5D) score from baseline |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Tine Van Bortel | University of Cambridge | Study Director |
| Carol Brayne | University of Cambridge | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre for Public Mental Health | Yogyakarta | D.I Yogyakarta | Indonesia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31697724 | Derived | Anjara SG, Bonetto C, Ganguli P, Setiyawati D, Mahendradhata Y, Yoga BH, Trisnantoro L, Brayne C, Van Bortel T. Can General Practitioners manage mental disorders in primary care? A partially randomised, pragmatic, cluster trial. PLoS One. 2019 Nov 7;14(11):e0224724. doi: 10.1371/journal.pone.0224724. eCollection 2019. |
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| ID | Type | URL | Comment |
|---|---|---|---|
| 10.17863/CAM.43399 | Complete Data Set | View IPD |
Data will be made available through the University of Cambridge data repository.
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| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D011613 | Psychotherapy |
| ID | Term |
|---|---|
| D004191 | Behavioral Disciplines and Activities |
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Measures quality of life of participants
| Baseline, 6 months and 12 months |
| Utility of service as measured by Client Service Receipt Inventory (CSRI) | Measures service utility within the time frame | Baseline, 6 months and 12 months |