Status:

COMPLETED

Evaluating Implementation Strategies to Scale-up Transdiagnostic Evidence-based Mental Health Care in Zambia

Lead Sponsor:

Centre for Infectious Disease Research in Zambia

Collaborating Sponsors:

Johns Hopkins University

University of Alabama at Birmingham

Conditions:

Depression

Post-traumatic Stress Disorder

Eligibility:

All Genders

15+ years

Phase:

NA

Brief Summary

This study utilizes a Hybrid Type 1 multi-arm parallel group randomized control design to compare the effectiveness of an evidence-based treatment (CETA) delivered either in-person or via telephone, c...

Detailed Description

The overall objective of this study is to evaluate implementation and service delivery strategies that can reduce the science-to-practice gap of evidence-based treatments (EBT) for mental health. Alth...

Eligibility Criteria

Inclusion

  • CETA Counselors
  • Inclusion:
  • 18 years of age or older
  • Interest in providing CETA
  • Time/availability to participate in the study
  • Minimal education level is comparable to a high school education
  • Ability to speak English fluently and speak at least 1 local language (Nyanja or Bemba)
  • Completion of an in-person interview with study team investigators demonstrating strong communication skills
  • Planning to stay in study area (Lusaka) to provide treatment to clients
  • Exclusion:
  • 1\. If previously trained in CETA
  • CETA Trainers
  • Inclusion:
  • All eligibility criteria for CETA counselors
  • Interest in teaching CETA
  • Completion of the CETA training
  • Completion of a minimum of 3 CETA cases under supervision
  • Adolescent/Young Adult (AYA) Clients
  • Inclusion:
  • 15-29 years of age
  • Attend or be referred to study site
  • Live in the area served by a study site (i.e., not staying temporarily)
  • Ability to speak one of the study languages (English, Bemba, or Nyanja)
  • Screening: Present with one or more common mental/behavioral health problems based on validated screening tools included in the audio computer assisted self-interviewing (ACASI) system. Specifically, the following screening tools and cut-off values:
  • Youth Self Report Internalizing Scale (≥14)
  • Youth Self Report Externalizing Scale (≥8)
  • Child PTSD Symptom Scale (≥11.5)
  • Exclusion:
  • Currently on unstable psychiatric drug regimen (e.g., altered in past two months)
  • Suicide attempt or active and severe self-harm in past month
  • Psychotic disorder or severe mental illness
  • Research/Organizational Staff
  • Inclusion:
  • 1\. Involved in development and/or implementation of the technology training platform, including clinical, research, and web development staff.

Exclusion

    Key Trial Info

    Start Date :

    February 25 2020

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    February 29 2024

    Estimated Enrollment :

    456 Patients enrolled

    Trial Details

    Trial ID

    NCT03458039

    Start Date

    February 25 2020

    End Date

    February 29 2024

    Last Update

    June 7 2024

    Active Locations (1)

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    Centre for Infectious Disease Research in Zambia

    Lusaka, Zambia