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 |
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|
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 |
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|
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 |
|
|
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|
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 |