Anjara 2019.
Methods | Cluster‐randomised trial |
Participants | Clusters were community health centres (Puskesmas) in Yogyakarta, Indonesia. The study was deemed to be partially randomised, as centres in the control arm came from 2 out of the 5 possible districts Inclusion criteria 1. Adult primary care patients attending Puskesmas 2. GHQ‐12 ≥ 2 Exclusion criteria Ongoing treatment for mental health issues |
Interventions |
Intervention 1. mhGAP by GPs a. GPs in intervention arms underwent training in mhGAP modules. Participants’ screening results were given to GPs, who planned medications and/or psychosocial therapy; further therapy sessions were given as needed Control 1. Care by specialists co‐located in primary care 2. Participants were referred by treating GPs to a psychologist. Clinical psychologists then treated participants in a separate consultation room in the Pukesmas. Further therapy sessions were based on participants’ needs |
Outcomes |
Primary outcomes at 6 months Health of the Nation Outcome Scale Secondary at 6 months 1. WHO Disability Assessment Schedule 2.0 2. 3‐Level European Quality of Life Scale (EQ‐5D‐3L) 3. Client service receipt inventory 4. Total CIS‐R score 5. Resource use and costs |
Notes |