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CompletedNCT04954872EQUIP-PM+Updated Sep 29, 2022

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

An interventional study of Standard Problem Management Plus training (training as usual) and Equip-based Problem Management Plus training in Depression, sponsored by George Washington University. Completed at 1 site in Nepal. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-09-29.

Sponsored by George Washington University · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
99
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study 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.

Read the detailed 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.

02

Conditions studied

  • Depression

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Keywords

  • Training
  • Competency
  • Psychological treatment
03

In context

Depression

8,057 studies on the registry are indexed under Depression; 1,643 are open to participants now.

This study's enrollment of 99 is above the median of 84 across 6,718 interventional studies indexed under Depression.

Browse Depression studies →

Lead sponsor

George Washington University is the lead sponsor of 187 studies on the registry; 34 are open to participants now.

Of its 13 completed or terminated interventional studies of FDA-regulated products, 11 (85%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • No prior mental health professional training
  • Literate in Nepali

Exclusion criteria

Exclusion Criteria:

  • Any prior mental health professional training
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Care provider, Outcomes assessor)
Enrollment
99 participants (actual)

Study arms

  • Active comparator
    Training as usual

    Standard Problem Management Plus training.

    Behavioral: Standard Problem Management Plus training (training as usual)

  • Experimental
    Equip-based training

    Training that uses the Equip platform to assess competencies and incorporate this information into trainers and supervisors activities.

    Behavioral: Equip-based Problem Management Plus training

Interventions

  • BehavioralStandard Problem Management Plus training (training as usual)

    10-day training on Problem Management Plus.

  • BehavioralEquip-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.

06

What researchers measure

Primary outcomes

  1. 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

    Time frame: Immediately after Problem Management Plus training (10-days post-baseline)

Secondary outcomes

  1. 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

    Time frame: After Problem Management Plus supervision (approximately 45-days post-baseline)

  2. 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

    Time frame: Immediately after Problem Management Plus training (10-days post-baseline)

  3. 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

    Time frame: After Problem Management Plus supervision (approximately 45-days post-baseline)

  4. 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

    Time frame: Immediately after Problem Management Plus training (10-days post-baseline)

  5. 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

    Time frame: After Problem Management Plus supervision (approximately 45-days post-baseline)

07

Study locations

1 site
  • Transcultural Psychosocial Organization Nepal
    Kathmandu, Nepal
08

References and documents

Individual participant data

Plan to share: Yes — Researchers can contact the principal investigator for access to data.

Supporting information: Study protocol, Sap, Icf

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 29, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04954872
Lead sponsor
George Washington University
Collaborators
Transcultural Psychosocial Organization Nepal
Responsible party
Brandon A Kohrt, MD, PhD (Professor, George Washington University) — Principal investigator
First posted
Jul 8, 2021
Start date
Jun 1, 2021
Primary completion
Dec 31, 2021
Completion
Dec 31, 2021
Last update
Sep 29, 2022

Study contacts

Brandon A Kohrt, MD, PhD
principal investigator · George Washington University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2022. You cannot join it, but the record below documents what was studied.

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