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CompletedNCT02552056Updated May 13, 2016

The Effect of Integrating CAMH Into PHC and Traditional Healers' Practice in Uganda: a Randomized Controlled Trial

An interventional study of CAMH training in Community Mental Health Services, sponsored by University of Bergen. Completed. Per ClinicalTrials.gov, last updated 2016-05-13.

Sponsored by University of Bergen · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
36
Allocation
Randomized
Sex
All
01

Study summary

This randomized controlled trial will compare the effect of a CAMH integration package on yield of CAMH cases compared to non-CAMH integrated sites. It will be conducted among nurses, midwives and clinical officers who provide PHC services to children and adolescents in 42 health centers; and eligible traditional healers.

Read the detailed description

The overall goal of the study is to increase access to mental health services for children and adolescents in Uganda by improving entry through primary health care workers and traditional healers.

The main objective of the study is to measure the effect of integrating child and adolescent mental health (CAMH) into primary health care (PHC) and into traditional healers' services on CAMH case identification in 2 districts in Eastern Uganda, so as to improve entry into mental health services.

The specific objectives are:

  1. To estimate the effect of CAMH integration into PHC on case identification, measured by the number of new non- epilepsy CAMH diagnoses.
  2. To assess the feasibility and effect of integrating CAMH into traditional healers practice, measured by the number of CAMH referrals from community to clinics per month.
  3. To assess the acceptability of CAMH integration among PHC workers and traditional healers
  4. To estimate the costs associated with the integration of CAMH into PHC and traditional medicine
02

Conditions studied

  • Community Mental Health Services

Keywords

  • Child Adolescent Mental Integration PHC Traditional Healers
03

In context

Lead sponsor

University of Bergen is the lead sponsor of 143 studies on the registry; 19 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 1. Public (government health system) 2. No psychiatric nurse allocated

Exclusion criteria

Exclusion Criteria:

  • mhGAP training in the previous 3 years
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
36 participants (actual)

Study arms

  • Experimental
    CAMH training

    Intervention clinics will receive a CAMH integration package comprising of: * Training PHC workers (midwives, nurses and/or clinical officers) on how to screen and refer for CAMH, based on WHO mhGAP implementation guide. * Support supervision in the clinics to reinforce training and provide on-job support to PHC staff. * Provision of job aids and training materials

    Other: CAMH training

  • No intervention
    No CAMH training

    Clinics will continue to provide the standard of care.

Interventions

  • OtherCAMH training

    Training of PHC workers included in the study for 5 days to screen children and adolescents for CAMH conditions, based in the mhGAP curriculum for non-specialist health providers.

06

What researchers measure

Primary outcomes

  1. Proportion of clinics which recorded at least one non-epilepsy CAMH diagnosis in the intervention compared to the control group.

    Time frame: 3 months

Other outcomes

  1. Change in CAMH knowledge pre-and post-training

    Time frame: 5 days

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Akol A, Makumbi F, Babirye JN, Nalugya JS, Nshemereirwe S, Engebretsen IMS. Does mhGAP training of primary health care providers improve the identification of child- and adolescent mental, neurological or substance use disorders? Results from a randomized controlled trial in Uganda. Glob Ment Health (Camb). 2018 Sep 10;5:e29. doi: 10.1017/gmh.2018.18. eCollection 2018. PubMed 30455964 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 13, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02552056
Responsible party
Angela Akol (PhD candidate, University of Bergen) — Principal investigator
First posted
Sep 16, 2015
Start date
Oct 2015
Primary completion
Feb 2016
Completion
Feb 2016
Last update
May 13, 2016

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2016. You cannot join it, but the record below documents what was studied.

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