Table 2.
Attitudes, knowledge, and clinical competency of prescribers and non-prescribers in PRIME training with RESHAPE anti-stigma component.
| Pre-Training (T0) |
Post-Training (T1) |
4-month Follow-up (T2) |
16-month Follow-up (T3) |
||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| n | Median | IQR | n | Median | IQR | z-scorea (p-value) | n | Median | IQR | z-scorea (p-value) | n | Median | IQR | z-scorea (p-value) | |
| Prescribers | |||||||||||||||
| Primary outcome | |||||||||||||||
| Social Distance (SDS) | 22 | 32.5 | 19.2, 47.0 | 22 | 21.0 | 13.2, 36.0 | −3.2 (0.002) | 20 | 18.0 | 13.0, 37.0 | −2.5 (0.01) | 17 | 15.0 | 12.0, 21.0 | −3.1 (0.002) |
| Secondary outcomes | |||||||||||||||
| mhGAP Knowledge | 22 | 60.0 | 60.0, 70.0 | 22 | 83.3 | 76.7, 83.3 | 4.1 (< 0.001) | 20 | 80.0 | 76.7, 83.3 | 3.9 (<0.001) | 17 | 83.3 | 73.3, 86.7 | 3.6 (< 0.001) |
| mhGAP Attitudes | 22 | 1.7 | 1.6, 1.8 | 22 | 1.5 | 1.4, 1.6 | −3.0 (0.003) | 20 | 1.4 | 1.3, 1.6 | −3.1 (0.002) | 17 | 1.4 | 1.3, 1.5 | −3.3 (0.001) |
| Role-Play Observed Competence (ENACT)b | 22 | 30.0 | 26.0, 32.0 | n/a | 20 | 39.5 | 34.5, 44.0 | 3.8 (< 0.001) | 17 | 47.0 | 35.0, 50.0 | 3.5 (< 0.001) | |||
| Non-prescribers | |||||||||||||||
| Primary outcome | |||||||||||||||
| Social Distance (SDS) | 19 | 28.8 | 21.6, 40.8 | 19 | 21.0 | 14.0, 29.0 | −3.6 (< 0.001) | 18 | 22.0 | 16.0, 32.0 | −2.7 (0.007) | 15 | 17.0 | 13.0, 29.0 | −2.3 (0.02) |
| Secondary outcomes | |||||||||||||||
| mhGAP Knowledge | 19 | 64.0 | 52.0, 72.0 | 19 | 76.0 | 64.0, 80.0 | 3.6 (< 0.001) | 18 | 74.0 | 68.0, 80.0 | 3.1 (0.002) | 15 | 72.0 | 68.0, 76.0 | 2.7 (0.007) |
| mhGAP Attitudes | 19 | 32.0 | 27.6, 35.0 | 19 | 37.0 | 33.0, 38.0 | −3.6 (< 0.001) | 18 | 34.0 | 31.0, 37.0 | −3.6 (< 0.001) | 15 | 37.0 | 33.0, 39.0 | −3.4 (< 0.001) |
| Role-Play Observed Competence (ENACT)b | 19 | 26.0 | 26.0, 27.0 | n/a | 18 | 36.5 | 34.0, 41.0 | 3.7 (< 0.001) | 15 | 45.0 | 38.0, 49.0 | 3.4 (< 0.001) | |||
Abbreviations: PRIME, PRogramme for Improving Mental health carE; RESHAPE, REducing Stigma among HealthcAre ProvidErs; IQR, interquartile range; SDS, Social Distance Scale; mhGAP, mental health Gap Action Programme; ENACT, ENhancing Assessment of Common Therapeutic factors.
a
Wilcoxon signed-rank test (z-score) for comparison with pre-training (T0) baseline.
b
Role-play observed competence (ENACT) was not assessed at immediate post-training (T1).