Table 3.
Pilot c-RCT outcome measures
| Construct | Instrument | Description | Assessment time periods | |||||
|---|---|---|---|---|---|---|---|---|
| Pre-training (t1) | Immediate post-training (t2) | 4-month post-training (t3) | 16-month post-training (t4) | Patient baseline (t5) | Patient 6-month follow-up (t6) | |||
| Primary outcome (primary healthcare workers) | ||||||||
| Stigma | Social distance | Primary healthcare workers self-rate level of social distance related to interacting with persons with mental illness | X | X | X | X | ||
| Secondary outcomes (primary healthcare workers) | ||||||||
| Mental healthcare knowledge | mhGAP knowledge | Primary healthcare workers complete multiple choice and true/false questions reflecting knowledge of mental health diagnoses and treatment | X | X | X | X | ||
| Stigma | mhGAP attitudes | Primary healthcare workers complete questions regarding attitudes toward people with mental illness | X | X | X | X | ||
| Stigma | Implicit Association Test (IAT) | Primary healthcare workers complete a computer-based neuropsychological test assessing implicit biases related to mental illness and violence | X | X | X | |||
| Clinical competency | Enhancing Assessment of Common Therapeutic Factors (ENACT) | Competency is rated by observers through role plays between primary healthcare workers and standardized patients | X | X | X | |||
| Diagnostic and treatment fidelity | Psychiatrist administered Composite International Diagnostic Interview (CIDI) | Psychiatrists administer the CIDI to patients diagnosed by primary healthcare workers and compare with the diagnosis and treatment recommendations | X | |||||
| Secondary outcomes (patients) | ||||||||
| Stigma and care access | Barriers to Access to Care Evaluation (BACE) | Patients rate degree to which stigma is a barrier to care seeking | X | X | ||||
| Perceived clinical competency | Enhancing Assessment of Common Therapeutic Factors (ENACT)—patient rating version | Patients rate their primary healthcare workers on quality of common factors in care | X | X | ||||
| Daily functioning | WHO Disability Assessment Scale (WHODAS) | Patients rate ability to perform daily functioning | X | X | ||||
| Depression symptoms | Patient Health Questionnaire (PHQ-9) | Patient rate depression symptoms over past two weeks | X | X | ||||
| Alcohol use disorder | Alcohol Use Disorders Identification Test (AUDIT) | Patients rate alcohol use and associated behavior, as well as daily ethanol consumption | X | X | ||||