The proposed study in Nepal will evaluate if non-specialists participating in Equip-based Problem Management Plus training show greater competencies compared to non-specialists participating in standard Problem Management Plus training. The proposed study is a randomized controlled trial with mixed-methods components evaluating both quantitative outcomes and qualitative outcomes among non-specialists participating in the training and their trainers.
There is increasing recognition of the high burden of psychological distress among populations around the world. Increasingly, non-specialists (persons who do not have expertise in formal mental health training) are being used to deliver psychological services. There is a long history of successful implementation of psychological services by non-specialists in Nepal. Recently, a cluster randomized controlled trial of Problem Management Plus showed modest benefit over enhanced care as usual in southeastern Nepal. A recent initiative by the World Health Organization is being rolled out to improve the competencies of non-specialists participating in Problem Management Plus and similar trainings. This initiative is Ensuring Quality in Psychological Services (Equip). The proposed study in Nepal will evaluate if non-specialists participating in Equip-based Problem Management Plus training show greater competencies compared to non-specialists participating in standard Problem Management Plus training. The proposed study is a randomized controlled trial with mixed-methods components evaluating both quantitative outcomes and qualitative outcomes among non-specialists participating in the training and their trainers.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE
Enrollment
99
10-day training on Problem Management Plus.
Training and supervision for Problem Management Plus in which the trainers and supervisors use the EQUIP platform for competency assessment and feedback.
Transcultural Psychosocial Organization Nepal
Kathmandu, Nepal
Enhancing Assessment of Common Therapeutic Factors (unabbreviated title: Enhancing Assessment of Common Therapeutic Factors)
15-item tool with 4 response levels, range is 15 to 60, with higher scores equating to more competency
Time frame: Immediately after Problem Management Plus training (10-days post-baseline)
Enhancing Assessment of Common Therapeutic Factors (unabbreviated title: Enhancing Assessment of Common Therapeutic Factors)
15-item tool with 4 response levels, range is 15 to 60, with higher scores equating to more competency
Time frame: After Problem Management Plus supervision (approximately 45-days post-baseline)
Problem Management Plus Competency Assessment (unabbreviated title: Problem Management Plus Competency Assessment)
12-item tool with 4 response levels, range is 12 to 48, with higher scores equating to more competency
Time frame: Immediately after Problem Management Plus training (10-days post-baseline)
Problem Management Plus Competency Assessment (unabbreviated title: Problem Management Plus Competency Assessment)
12-item tool with 4 response levels, range is 12 to 48, with higher scores equating to more competency
Time frame: After Problem Management Plus supervision (approximately 45-days post-baseline)
Group Facilitation Competency Assessment (unabbreviated title: Group Facilitation Competency Assessment)
8-item tool with 4 response levels, range is 8 to 32, with higher scores equating to more competency
Time frame: Immediately after Problem Management Plus training (10-days post-baseline)
Group Facilitation Competency Assessment (unabbreviated title: Group Facilitation Competency Assessment)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
8-item tool with 4 response levels, range is 8 to 32, with higher scores equating to more competency
Time frame: After Problem Management Plus supervision (approximately 45-days post-baseline)