Eintrag weiter verarbeiten
Effectiveness of non-medical health worker-led counselling on psychological distress: a randomized controlled trial in rural Nepal
Gespeichert in:
| Zeitschriftentitel: | Global Mental Health |
|---|---|
| Personen und Körperschaften: | , , , , , , , , |
| In: | Global Mental Health, 6, 2019 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Cambridge University Press (CUP)
|
| Schlagwörter: |
| author_facet |
Markkula, N. Lehti, V. Adhikari, P. Peña, S. Heliste, J. Mikkonen, E. Rautanen, M. Salama, E. Guragain, B. Markkula, N. Lehti, V. Adhikari, P. Peña, S. Heliste, J. Mikkonen, E. Rautanen, M. Salama, E. Guragain, B. |
|---|---|
| author |
Markkula, N. Lehti, V. Adhikari, P. Peña, S. Heliste, J. Mikkonen, E. Rautanen, M. Salama, E. Guragain, B. |
| spellingShingle |
Markkula, N. Lehti, V. Adhikari, P. Peña, S. Heliste, J. Mikkonen, E. Rautanen, M. Salama, E. Guragain, B. Global Mental Health Effectiveness of non-medical health worker-led counselling on psychological distress: a randomized controlled trial in rural Nepal General Medicine |
| author_sort |
markkula, n. |
| spelling |
Markkula, N. Lehti, V. Adhikari, P. Peña, S. Heliste, J. Mikkonen, E. Rautanen, M. Salama, E. Guragain, B. 2054-4251 Cambridge University Press (CUP) General Medicine http://dx.doi.org/10.1017/gmh.2019.15 <jats:sec id="S2054425119000153_sec_a1"> <jats:title>Background.</jats:title> <jats:p>An essential strategy to increase coverage of psychosocial treatments globally is task shifting to non-medical counsellors, but evidence on its effectiveness is still scarce. This study evaluates the effectiveness of lay psychosocial counselling among persons with psychological distress in a primary health care setting in rural Nepal.</jats:p> </jats:sec> <jats:sec id="S2054425119000153_sec_a2" sec-type="methods"> <jats:title>Methods.</jats:title> <jats:p>A parallel randomized controlled trial in Dang, rural Nepal (NCT03544450). Persons aged 16 and older attending primary care and with a General Health Questionnaire (GHQ-12) score of 6 or more were randomized (1:1) to receive either non-medical psychosocial counselling (PSY) or enhanced usual care (EUC). PSY was provided by lay persons with a 6-month training and consisted of 5-weekly counselling sessions of 35–60 min with a culturally adapted solution-focused approach. EUC was provided by trained primary health workers. Participants were followed up at 1 (T1) and 6 months (T2). The primary outcome, response to treatment, was the reduction of minimum 50% in the Beck Depression Inventory (BDI) score.</jats:p> </jats:sec> <jats:sec id="S2054425119000153_sec_a3" sec-type="results"> <jats:title>Results.</jats:title> <jats:p>A total of 141 participants, predominantly socially disadvantaged women, were randomized to receive PSY and 146 to EUC. In the PSY, 123 participants and 134 in the EUC were analysed. In PSY, 101 participants (81.4%) had a response compared with 57 participants (42.5%) in EUC [percentage difference 39.4% (95% CI 28.4–50.4)]. The difference in BDI scores at T2 between PSY and EUC was −7.43 (95% CI −9.71 to −5.14).</jats:p> </jats:sec> <jats:sec id="S2054425119000153_sec_a4" sec-type="conclusion"> <jats:title>Conclusions.</jats:title> <jats:p>Non-medical (lay) psychosocial counselling appears effective in reducing depressive symptoms, and its inclusion in mental health care should be considered in low-resource settings.</jats:p> </jats:sec> Effectiveness of non-medical health worker-led counselling on psychological distress: a randomized controlled trial in rural Nepal Global Mental Health |
| doi_str_mv |
10.1017/gmh.2019.15 |
| facet_avail |
Online Free |
| format |
ElectronicArticle |
| fullrecord |
blob:ai-49-aHR0cDovL2R4LmRvaS5vcmcvMTAuMTAxNy9nbWguMjAxOS4xNQ |
| id |
ai-49-aHR0cDovL2R4LmRvaS5vcmcvMTAuMTAxNy9nbWguMjAxOS4xNQ |
| institution |
DE-Gla1 DE-Zi4 DE-15 DE-Pl11 DE-Rs1 DE-105 DE-14 DE-Ch1 DE-L229 DE-D275 DE-Bn3 DE-Brt1 DE-Zwi2 DE-D161 |
| imprint |
Cambridge University Press (CUP), 2019 |
| imprint_str_mv |
Cambridge University Press (CUP), 2019 |
| issn |
2054-4251 |
| issn_str_mv |
2054-4251 |
| language |
English |
| mega_collection |
Cambridge University Press (CUP) (CrossRef) |
| match_str |
markkula2019effectivenessofnonmedicalhealthworkerledcounsellingonpsychologicaldistressarandomizedcontrolledtrialinruralnepal |
| publishDateSort |
2019 |
| publisher |
Cambridge University Press (CUP) |
| recordtype |
ai |
| record_format |
ai |
| series |
Global Mental Health |
| source_id |
49 |
| title |
Effectiveness of non-medical health worker-led counselling on psychological distress: a randomized controlled trial in rural Nepal |
| title_unstemmed |
Effectiveness of non-medical health worker-led counselling on psychological distress: a randomized controlled trial in rural Nepal |
| title_full |
Effectiveness of non-medical health worker-led counselling on psychological distress: a randomized controlled trial in rural Nepal |
| title_fullStr |
Effectiveness of non-medical health worker-led counselling on psychological distress: a randomized controlled trial in rural Nepal |
| title_full_unstemmed |
Effectiveness of non-medical health worker-led counselling on psychological distress: a randomized controlled trial in rural Nepal |
| title_short |
Effectiveness of non-medical health worker-led counselling on psychological distress: a randomized controlled trial in rural Nepal |
| title_sort |
effectiveness of non-medical health worker-led counselling on psychological distress: a randomized controlled trial in rural nepal |
| topic |
General Medicine |
| url |
http://dx.doi.org/10.1017/gmh.2019.15 |
| publishDate |
2019 |
| physical |
|
| description |
<jats:sec id="S2054425119000153_sec_a1">
<jats:title>Background.</jats:title>
<jats:p>An essential strategy to increase coverage of psychosocial treatments globally is task shifting to non-medical counsellors, but evidence on its effectiveness is still scarce. This study evaluates the effectiveness of lay psychosocial counselling among persons with psychological distress in a primary health care setting in rural Nepal.</jats:p>
</jats:sec>
<jats:sec id="S2054425119000153_sec_a2" sec-type="methods">
<jats:title>Methods.</jats:title>
<jats:p>A parallel randomized controlled trial in Dang, rural Nepal (NCT03544450). Persons aged 16 and older attending primary care and with a General Health Questionnaire (GHQ-12) score of 6 or more were randomized (1:1) to receive either non-medical psychosocial counselling (PSY) or enhanced usual care (EUC). PSY was provided by lay persons with a 6-month training and consisted of 5-weekly counselling sessions of 35–60 min with a culturally adapted solution-focused approach. EUC was provided by trained primary health workers. Participants were followed up at 1 (T1) and 6 months (T2). The primary outcome, response to treatment, was the reduction of minimum 50% in the Beck Depression Inventory (BDI) score.</jats:p>
</jats:sec>
<jats:sec id="S2054425119000153_sec_a3" sec-type="results">
<jats:title>Results.</jats:title>
<jats:p>A total of 141 participants, predominantly socially disadvantaged women, were randomized to receive PSY and 146 to EUC. In the PSY, 123 participants and 134 in the EUC were analysed. In PSY, 101 participants (81.4%) had a response compared with 57 participants (42.5%) in EUC [percentage difference 39.4% (95% CI 28.4–50.4)]. The difference in BDI scores at T2 between PSY and EUC was −7.43 (95% CI −9.71 to −5.14).</jats:p>
</jats:sec>
<jats:sec id="S2054425119000153_sec_a4" sec-type="conclusion">
<jats:title>Conclusions.</jats:title>
<jats:p>Non-medical (lay) psychosocial counselling appears effective in reducing depressive symptoms, and its inclusion in mental health care should be considered in low-resource settings.</jats:p>
</jats:sec> |
| container_start_page |
0 |
| container_title |
Global Mental Health |
| container_volume |
6 |
| format_de105 |
Article, E-Article |
| format_de14 |
Article, E-Article |
| format_de15 |
Article, E-Article |
| format_de520 |
Article, E-Article |
| format_de540 |
Article, E-Article |
| format_dech1 |
Article, E-Article |
| format_ded117 |
Article, E-Article |
| format_degla1 |
E-Article |
| format_del152 |
Buch |
| format_del189 |
Article, E-Article |
| format_dezi4 |
Article |
| format_dezwi2 |
Article, E-Article |
| format_finc |
Article, E-Article |
| format_nrw |
Article, E-Article |
| _version_ |
1792339678850973700 |
| geogr_code |
not assigned |
| last_indexed |
2024-03-01T15:51:56.811Z |
| geogr_code_person |
not assigned |
| openURL |
url_ver=Z39.88-2004&ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fvufind.svn.sourceforge.net%3Agenerator&rft.title=Effectiveness+of+non-medical+health+worker-led+counselling+on+psychological+distress%3A+a+randomized+controlled+trial+in+rural+Nepal&rft.date=2019-01-01&genre=article&issn=2054-4251&volume=6&jtitle=Global+Mental+Health&atitle=Effectiveness+of+non-medical+health+worker-led+counselling+on+psychological+distress%3A+a+randomized+controlled+trial+in+rural+Nepal&aulast=Guragain&aufirst=B.&rft_id=info%3Adoi%2F10.1017%2Fgmh.2019.15&rft.language%5B0%5D=eng |
| SOLR | |
| _version_ | 1792339678850973700 |
| author | Markkula, N., Lehti, V., Adhikari, P., Peña, S., Heliste, J., Mikkonen, E., Rautanen, M., Salama, E., Guragain, B. |
| author_facet | Markkula, N., Lehti, V., Adhikari, P., Peña, S., Heliste, J., Mikkonen, E., Rautanen, M., Salama, E., Guragain, B., Markkula, N., Lehti, V., Adhikari, P., Peña, S., Heliste, J., Mikkonen, E., Rautanen, M., Salama, E., Guragain, B. |
| author_sort | markkula, n. |
| container_start_page | 0 |
| container_title | Global Mental Health |
| container_volume | 6 |
| description | <jats:sec id="S2054425119000153_sec_a1"> <jats:title>Background.</jats:title> <jats:p>An essential strategy to increase coverage of psychosocial treatments globally is task shifting to non-medical counsellors, but evidence on its effectiveness is still scarce. This study evaluates the effectiveness of lay psychosocial counselling among persons with psychological distress in a primary health care setting in rural Nepal.</jats:p> </jats:sec> <jats:sec id="S2054425119000153_sec_a2" sec-type="methods"> <jats:title>Methods.</jats:title> <jats:p>A parallel randomized controlled trial in Dang, rural Nepal (NCT03544450). Persons aged 16 and older attending primary care and with a General Health Questionnaire (GHQ-12) score of 6 or more were randomized (1:1) to receive either non-medical psychosocial counselling (PSY) or enhanced usual care (EUC). PSY was provided by lay persons with a 6-month training and consisted of 5-weekly counselling sessions of 35–60 min with a culturally adapted solution-focused approach. EUC was provided by trained primary health workers. Participants were followed up at 1 (T1) and 6 months (T2). The primary outcome, response to treatment, was the reduction of minimum 50% in the Beck Depression Inventory (BDI) score.</jats:p> </jats:sec> <jats:sec id="S2054425119000153_sec_a3" sec-type="results"> <jats:title>Results.</jats:title> <jats:p>A total of 141 participants, predominantly socially disadvantaged women, were randomized to receive PSY and 146 to EUC. In the PSY, 123 participants and 134 in the EUC were analysed. In PSY, 101 participants (81.4%) had a response compared with 57 participants (42.5%) in EUC [percentage difference 39.4% (95% CI 28.4–50.4)]. The difference in BDI scores at T2 between PSY and EUC was −7.43 (95% CI −9.71 to −5.14).</jats:p> </jats:sec> <jats:sec id="S2054425119000153_sec_a4" sec-type="conclusion"> <jats:title>Conclusions.</jats:title> <jats:p>Non-medical (lay) psychosocial counselling appears effective in reducing depressive symptoms, and its inclusion in mental health care should be considered in low-resource settings.</jats:p> </jats:sec> |
| doi_str_mv | 10.1017/gmh.2019.15 |
| facet_avail | Online, Free |
| format | ElectronicArticle |
| format_de105 | Article, E-Article |
| format_de14 | Article, E-Article |
| format_de15 | Article, E-Article |
| format_de520 | Article, E-Article |
| format_de540 | Article, E-Article |
| format_dech1 | Article, E-Article |
| format_ded117 | Article, E-Article |
| format_degla1 | E-Article |
| format_del152 | Buch |
| format_del189 | Article, E-Article |
| format_dezi4 | Article |
| format_dezwi2 | Article, E-Article |
| format_finc | Article, E-Article |
| format_nrw | Article, E-Article |
| geogr_code | not assigned |
| geogr_code_person | not assigned |
| id | ai-49-aHR0cDovL2R4LmRvaS5vcmcvMTAuMTAxNy9nbWguMjAxOS4xNQ |
| imprint | Cambridge University Press (CUP), 2019 |
| imprint_str_mv | Cambridge University Press (CUP), 2019 |
| institution | DE-Gla1, DE-Zi4, DE-15, DE-Pl11, DE-Rs1, DE-105, DE-14, DE-Ch1, DE-L229, DE-D275, DE-Bn3, DE-Brt1, DE-Zwi2, DE-D161 |
| issn | 2054-4251 |
| issn_str_mv | 2054-4251 |
| language | English |
| last_indexed | 2024-03-01T15:51:56.811Z |
| match_str | markkula2019effectivenessofnonmedicalhealthworkerledcounsellingonpsychologicaldistressarandomizedcontrolledtrialinruralnepal |
| mega_collection | Cambridge University Press (CUP) (CrossRef) |
| physical | |
| publishDate | 2019 |
| publishDateSort | 2019 |
| publisher | Cambridge University Press (CUP) |
| record_format | ai |
| recordtype | ai |
| series | Global Mental Health |
| source_id | 49 |
| spelling | Markkula, N. Lehti, V. Adhikari, P. Peña, S. Heliste, J. Mikkonen, E. Rautanen, M. Salama, E. Guragain, B. 2054-4251 Cambridge University Press (CUP) General Medicine http://dx.doi.org/10.1017/gmh.2019.15 <jats:sec id="S2054425119000153_sec_a1"> <jats:title>Background.</jats:title> <jats:p>An essential strategy to increase coverage of psychosocial treatments globally is task shifting to non-medical counsellors, but evidence on its effectiveness is still scarce. This study evaluates the effectiveness of lay psychosocial counselling among persons with psychological distress in a primary health care setting in rural Nepal.</jats:p> </jats:sec> <jats:sec id="S2054425119000153_sec_a2" sec-type="methods"> <jats:title>Methods.</jats:title> <jats:p>A parallel randomized controlled trial in Dang, rural Nepal (NCT03544450). Persons aged 16 and older attending primary care and with a General Health Questionnaire (GHQ-12) score of 6 or more were randomized (1:1) to receive either non-medical psychosocial counselling (PSY) or enhanced usual care (EUC). PSY was provided by lay persons with a 6-month training and consisted of 5-weekly counselling sessions of 35–60 min with a culturally adapted solution-focused approach. EUC was provided by trained primary health workers. Participants were followed up at 1 (T1) and 6 months (T2). The primary outcome, response to treatment, was the reduction of minimum 50% in the Beck Depression Inventory (BDI) score.</jats:p> </jats:sec> <jats:sec id="S2054425119000153_sec_a3" sec-type="results"> <jats:title>Results.</jats:title> <jats:p>A total of 141 participants, predominantly socially disadvantaged women, were randomized to receive PSY and 146 to EUC. In the PSY, 123 participants and 134 in the EUC were analysed. In PSY, 101 participants (81.4%) had a response compared with 57 participants (42.5%) in EUC [percentage difference 39.4% (95% CI 28.4–50.4)]. The difference in BDI scores at T2 between PSY and EUC was −7.43 (95% CI −9.71 to −5.14).</jats:p> </jats:sec> <jats:sec id="S2054425119000153_sec_a4" sec-type="conclusion"> <jats:title>Conclusions.</jats:title> <jats:p>Non-medical (lay) psychosocial counselling appears effective in reducing depressive symptoms, and its inclusion in mental health care should be considered in low-resource settings.</jats:p> </jats:sec> Effectiveness of non-medical health worker-led counselling on psychological distress: a randomized controlled trial in rural Nepal Global Mental Health |
| spellingShingle | Markkula, N., Lehti, V., Adhikari, P., Peña, S., Heliste, J., Mikkonen, E., Rautanen, M., Salama, E., Guragain, B., Global Mental Health, Effectiveness of non-medical health worker-led counselling on psychological distress: a randomized controlled trial in rural Nepal, General Medicine |
| title | Effectiveness of non-medical health worker-led counselling on psychological distress: a randomized controlled trial in rural Nepal |
| title_full | Effectiveness of non-medical health worker-led counselling on psychological distress: a randomized controlled trial in rural Nepal |
| title_fullStr | Effectiveness of non-medical health worker-led counselling on psychological distress: a randomized controlled trial in rural Nepal |
| title_full_unstemmed | Effectiveness of non-medical health worker-led counselling on psychological distress: a randomized controlled trial in rural Nepal |
| title_short | Effectiveness of non-medical health worker-led counselling on psychological distress: a randomized controlled trial in rural Nepal |
| title_sort | effectiveness of non-medical health worker-led counselling on psychological distress: a randomized controlled trial in rural nepal |
| title_unstemmed | Effectiveness of non-medical health worker-led counselling on psychological distress: a randomized controlled trial in rural Nepal |
| topic | General Medicine |
| url | http://dx.doi.org/10.1017/gmh.2019.15 |