Competency-based Training in Problem Management Plus: a Randomized Controlled Trial

Depression Clinical Trial

— EQUIP-PM+  

Official title:

Comparing Strategies for Competency-based Training in Problem Management Plus to Improve Non-specialist Competencies for Responding to Psychological Distress: a Randomized Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04954872
• Other study ID #: NCR191797-v2
• Status: Completed
• Phase: N/A
• Start date: June 1, 2021
• Est. completion date: December 31, 2021

Study information

• Verified date: September 2022
• Source: George Washington University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The proposed study in Nepal will evaluate if non-specialists participating in Equip-based Problem Management Plus training show greater competencies compared to non-specialists participating in standard Problem Management Plus training. The proposed study is a randomized controlled trial with mixed-methods components evaluating both quantitative outcomes and qualitative outcomes among non-specialists participating in the training and their trainers.

Description:

There is increasing recognition of the high burden of psychological distress among populations around the world. Increasingly, non-specialists (persons who do not have expertise in formal mental health training) are being used to deliver psychological services. There is a long history of successful implementation of psychological services by non-specialists in Nepal. Recently, a cluster randomized controlled trial of Problem Management Plus showed modest benefit over enhanced care as usual in southeastern Nepal. A recent initiative by the World Health Organization is being rolled out to improve the competencies of non-specialists participating in Problem Management Plus and similar trainings. This initiative is Ensuring Quality in Psychological Services (Equip). The proposed study in Nepal will evaluate if non-specialists participating in Equip-based Problem Management Plus training show greater competencies compared to non-specialists participating in standard Problem Management Plus training. The proposed study is a randomized controlled trial with mixed-methods components evaluating both quantitative outcomes and qualitative outcomes among non-specialists participating in the training and their trainers.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 99
• Est. completion date: December 31, 2021
• Est. primary completion date: December 31, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• No prior mental health professional training

• Literate in Nepali

Exclusion Criteria:

• Any prior mental health professional training

Related Conditions & MeSH terms

• Depression

Intervention

Behavioral:
• Standard Problem Management Plus training (training as usual)
10-day training on Problem Management Plus.
• Equip-based Problem Management Plus training
Training and supervision for Problem Management Plus in which the trainers and supervisors use the EQUIP platform for competency assessment and feedback.

Locations

Country	Name	City	State
Nepal	Transcultural Psychosocial Organization Nepal	Kathmandu

Sponsors (2)

Lead Sponsor	Collaborator
George Washington University	Transcultural Psychosocial Organization Nepal

Country where clinical trial is conducted

Nepal, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Enhancing Assessment of Common Therapeutic Factors (unabbreviated title: Enhancing Assessment of Common Therapeutic Factors)	15-item tool with 4 response levels, range is 15 to 60, with higher scores equating to more competency	Immediately after Problem Management Plus training (10-days post-baseline)
Secondary	Enhancing Assessment of Common Therapeutic Factors (unabbreviated title: Enhancing Assessment of Common Therapeutic Factors)	15-item tool with 4 response levels, range is 15 to 60, with higher scores equating to more competency	After Problem Management Plus supervision (approximately 45-days post-baseline)
Secondary	Problem Management Plus Competency Assessment (unabbreviated title: Problem Management Plus Competency Assessment)	12-item tool with 4 response levels, range is 12 to 48, with higher scores equating to more competency	Immediately after Problem Management Plus training (10-days post-baseline)
Secondary	Problem Management Plus Competency Assessment (unabbreviated title: Problem Management Plus Competency Assessment)	12-item tool with 4 response levels, range is 12 to 48, with higher scores equating to more competency	After Problem Management Plus supervision (approximately 45-days post-baseline)
Secondary	Group Facilitation Competency Assessment (unabbreviated title: Group Facilitation Competency Assessment)	8-item tool with 4 response levels, range is 8 to 32, with higher scores equating to more competency	Immediately after Problem Management Plus training (10-days post-baseline)
Secondary	Group Facilitation Competency Assessment (unabbreviated title: Group Facilitation Competency Assessment)	8-item tool with 4 response levels, range is 8 to 32, with higher scores equating to more competency	After Problem Management Plus supervision (approximately 45-days post-baseline)