E-MhGAP Intervention guide in Low and middle income countries: proof-of-concept for Impact and Acceptability (Emilia project)

低收入和中等收入国家的 E-MhGAP 干预指南：影响和可接受性的概念验证（艾米利亚项目）

• 批准号: MR/S001255/1
• 负责人: Graham Thornicroft
• 金额: $ 129.63万
• 依托单位: King's College London
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2018
• 资助国家: 英国
• 起止时间: 2018 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FS001255%2F1
• 关键词: MhGAP; Intervention; guide; Low; middle

Layperson summaryThe context for the Emilia proposal is the 'mental health treatment gap'. This is the difference between the number of people with mental illness needing treatment and care, and the number who actually receive help. At present this gap is huge. Over 80% of people with severe mental disorders in low and middle income countries (LMICs) receive no treatment at all. The aim of the Emilia project is to assess if it is possible to produce a version of the World Health Organisation (WHO) Mental Health Global Action Programme Intervention Guide that is easily usable on smart phones and tablet devices, for use in this project by primary care staff in Nepal and Nigeria. We intend to assess if this electronic form of guidance is suitable for use in other LMICs, where over 85% of the world's population live.We will compare the training, support and supervision given to primary health care using the paper version and the electronic versionof the WHO Mental Health Global Action Programme Intervention Guide (mhGAP IG).We will assess if the electronic version is more practical to use (ie more feasible) by answering the following questions. Is theelectronic version more feasible to use in terms of:1. greater staff acceptability2. more often leading to an evidence-based intervention3. a greater proportion of patients with depression are identified by primary care staff4. being affordable and cost-effective5. delivering better clinical support and supervision to primary care staff6. leading to less stigma related to people with mental illness among primary care staff

Emilia提案的背景是“心理健康治疗差距”。这是需要治疗和护理的精神疾病患者人数与实际得到帮助的人数之间的差异。目前这一差距是巨大的。在低收入和中等收入国家，80%以上的严重精神障碍患者根本没有得到治疗。Emilia项目的目的是评估是否有可能制作一个便于在智能手机和平板设备上使用的世界卫生组织（世卫组织）《精神卫生全球行动方案干预指南》版本，供尼泊尔和尼日利亚的初级保健工作人员在该项目中使用。我们打算评估这种电子形式的指南是否适合在占世界人口85%以上的其他中低收入国家使用。我们将比较使用《世卫组织精神卫生全球行动规划干预指南》纸质版和电子版对初级卫生保健提供的培训、支持和监督。我们将通过回答以下问题来评估电子版是否更实用（即更可行）。电子版本是否在以下方面更可行：员工接受度更高。更常见的是导致以证据为基础的干预。更大比例的抑郁症患者是由初级保健人员确诊的。价格合理，性价比高。为初级保健人员提供更好的临床支持和监督。导致初级保健工作人员对精神疾病患者的耻辱感减少

项目成果

MOESM1 of Mental health of people detained within the justice system in Africa: systematic review and meta-analysis

MOESM1 非洲司法系统内被拘留者的心理健康：系统回顾和荟萃分析

• DOI: 10.6084/m9.figshare.8087966
• 发表时间: 2019
• 作者: Aish Lovett

Evaluation of a new set of indicators for mental health care implemented in Madhya Pradesh, India: a mixed methods study.

印度中央邦实施的一套新的精神卫生保健指标的评估：一项混合方法研究。

• DOI: 10.1186/s13033-020-0341-4
• 发表时间: 2020
• 期刊: International journal of mental health systems
• 影响因子: 3.6
• 作者: Ahuja S

Mental health stigma at primary health care centres in Lebanon: qualitative study.

• DOI: 10.1186/s13033-022-00533-y
• 发表时间: 2022-05-07
• 期刊: INTERNATIONAL JOURNAL OF MENTAL HEALTH SYSTEMS
• 影响因子: 3.6
• 作者: Hana, Racha Abi;Arnous, Maguy;Heim, Eva;Aeschlimann, Anais;Koschorke, Mirja;Hamadeh, Randa S.;Thornicroft, Graham;Kohrt, Brandon A.;Sijbrandij, Marit;Cuijpers, Pim;El-Chammay, Rabih
• 通讯作者: El-Chammay, Rabih

Treatment gap for anxiety disorders is global: Results of the World Mental Health Surveys in 21 countries.

• DOI: 10.1002/da.22711
• 发表时间: 2018-03
• 期刊: Depression and anxiety
• 影响因子: 7.4
• 作者: Alonso J;Liu Z;Evans-Lacko S;Sadikova E;Sampson N;Chatterji S;Abdulmalik J;Aguilar-Gaxiola S;Al-Hamzawi A;Andrade LH;Bruffaerts R;Cardoso G;Cia A;Florescu S;de Girolamo G;Gureje O;Haro JM;He Y;de Jonge P;Karam EG;Kawakami N;Kovess-Masfety V;Lee S;Levinson D;Medina-Mora ME;Navarro-Mateu F;Pennell BE;Piazza M;Posada-Villa J;Ten Have M;Zarkov Z;Kessler RC;Thornicroft G;WHO World Mental Health Survey Collaborators
• 通讯作者: WHO World Mental Health Survey Collaborators

Development of mental health indicators at the district level in Madhya Pradesh, India: mixed methods study.

• DOI: 10.1186/s12913-018-3695-4
• 发表时间: 2018-11-19
• 期刊: BMC health services research
• 影响因子: 2.8
• 作者: Ahuja S;Gronholm PC;Shidhaye R;Jordans M;Thornicroft G
• 通讯作者: Thornicroft G