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

外行总结艾米莉亚提案的背景是“心理健康治疗缺口”。这就是需要治疗和护理的精神病患者人数与实际接受帮助的人数之间的差额。目前，这种差距是巨大的。在低收入和中等收入国家，超过80%的严重精神障碍患者根本不接受治疗。艾米莉亚项目的目的是评估是否有可能制作一种可在智能手机和平板电脑设备上使用的世界卫生组织(WHO)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用于世界上85%以上人口居住的其他LMIC。我们将比较纸质版和电子版《世界卫生组织精神卫生全球行动计划干预指南》(MhGAP IG)对初级卫生保健的培训、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)。电子版是否在以下方面更可行：1.工作人员接受度更高2.更多的时候会导致基于证据的干预3。更大比例的抑郁症患者是由初级保健人员确定的。价格实惠，性价比高。为初级保健人员提供更好的临床支持和监督。减少初级保健人员中与精神疾病患者有关的污名

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