Shared Research Project

项目总结（见说明）： 该共享研究项目的目的是开发一种创新和有效的基于移动的手机的应用程序，以帮助非专业卫生工作者检测和管理抑郁症（非专业卫生工作者的移动的健康- MOHAWK），最终目标是缩小治疗差距 通过提高mhGAP指南的准确性来治疗抑郁症。共同研究部分的具体目标是： 1.与我们的技术合作伙伴合作，进行MOHAWK的技术开发。 2.评估MOHAWK的可接受性和可行性，并提供其在每个中心环境中影响的初步证据。 3.根据这些经验教训，完善并最终确定MOHAWK应用程序，为将来在RCT中进行正式评估和扩大规模做好准备。 MOHAWK是建立在可扩展的，具有成本效益的移动的卫生技术，可用于任何资源贫乏的地区，在LMIC中的覆盖率迅速增加，在卫生保健应用中的适用性和可接受性不断增加，并可扩展到其他几种MNS疾病。它的目的是使用任何干部的非专业卫生工作者从初级保健医生和社区卫生工作者外行卫生工作者。它有可能为减少治疗差距和改善抑郁症患者的结局做出重大贡献，通过任务转移来改善筛查和诊断，启动基于mhGAP的循证治疗，并对抑郁症患者进行随访，以实现 最佳临床结果。MOHAWK将通过三个地点（每个中心一个）的三年合作工作计划分两个阶段实现其目标：（1）发展MOHAWK核心能力和形成性研究，以确保MOHAWK在三个中心地点的有效实施;（2）在这三个地点的探索性试验中评估MOHAWK，包括流程 评估和形成性研究，为扩大MOHAWK提供信息。

PROJECT SUMMARY (See instructions): The aim of the shared research project is to develop an innovative and effective mobile phone based application to aid non-specialist health workers in the detection and management of depression (Mobile Health for non-specialists health WorKers - MOHAWK) with the ultimate goal of reducing the treatment gap for depression by improving the fidelity with which mhGAP guidelines are delivered. The specific objectives of the shared research component are: 1. To carry out the technical development of MOHAWK in collaboration with our technology partners. 2. To evaluate the acceptability and feasibility of MOHAWK and to provide preliminary evidence of its impact in settings in each of the Hubs. 3. To refine and finalise the MOHAWK application based on these lessons in preparation for future formal evaluation in an RCT and scaling up. MOHAWK is built on scalable, cost-effective mobile health technology which can be used in any resource poor area, has a rapidly increasing coverage in LMIC, has growing applicability and acceptability in health care applications, and can be extended to several other MNS disorders. It is designed to be used by any cadre of non-specialist health worker from primary care physicians and CHWs to lay health workers. It has the potential to make a major contribution to reducing the treatment gap and improving outcomes for people suffering from depression by enabling task-shifting to improve the screening and diagnosis, initiation of evidence based treatments derived from mhGAP, and follow-up of patients with depression to achieve optimal clinical outcomes. MOHAWK will achieve its objectives through a three year collaborative programme of work in three sites (one from each Hub) in two phases: (1) the development of MOHAWK core capabilities and formative research to ensure effective implementation of MOHAWK to each of the three Hub sites; and (2) the evaluation of MOHAWK in exploratory trials in these three sites including process evaluation and formative research to inform the scale up of MOHAWK.