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Systems Analysis and Improvement Approach to Optimize the Task-shared Mental Health Treatment Cascade (SAIA-MH)
Sponsor: University of Washington
Summary
The purpose of this study is to test the effectiveness of a multicomponent implementation strategy entitled the Systems Analysis and Improvement Approach for mental health (SAIA-M) using a cluster randomized trial at the health facility level. SAIA-MH focuses on improving the mental health treatment cascade in primary outpatient mental healthcare. The mental health treatment cascade is a model that outlines the sequential, linked treatment steps that people with mental illness must navigate, from initial diagnosis to symptom/function improvement. This study will also assess the potential mechanisms by which the SAIA-MH implementation strategy works, or does not work, along with the cost and effectiveness of scaling-up SAIA-MH in Mozambique.
Official title: Systems Analysis and Improvement Approach to Optimize the Task-shared Mental Health Treatment Cascade (SAIA-MH): A Cluster Randomized Trial
Key Details
Gender
All
Age Range
Any - Any
Study Type
INTERVENTIONAL
Enrollment
155
Start Date
2022-03-14
Completion Date
2026-01-30
Last Updated
2026-01-15
Healthy Volunteers
No
Conditions
Interventions
Systems Analysis and Improvement Approach for Mental Health (SAIA-MH)
The 5 steps of SAIA-MH include: (1) cascade analysis to visualize treatment cascade drop-offs and prioritize areas for system improvements; (2) process mapping to identify modifiable facility-level bottlenecks; (3) identification and implementation of modifications to improve system performance; (4) assessment of modification effects on the cascade; and (5) repeated analysis and improvement cycles.
Attentional Placebo Control
Facilities randomized to attentional placebo control will attend a 1-week in-person training which will include the same minimum staff above for SAIA-MH. This training will focus on reviewing data collection tools, ethics, mental health stigma and burnout for mental health professionals. Following the 1-week in person training, attentional placebo control facilities will receive regular supervision following the same schedule as SAIA-MH focused on reviewing data collection tools.
Locations (16)
District Hospital Catandica
Catandica, Manica Province, Mozambique
Urban Health Center Nhamaonha
Chimoio, Manica Province, Mozambique
Urban Health Center Vila Nova
Chimoio, Manica Province, Mozambique
District Hospital Gondola
Gondola, Manica Province, Mozambique
Rural Health Center Macate
Macate, Manica Province, Mozambique
Rural Health Center Sussundenga Sede
Sussundenga, Manica Province, Mozambique
Rural Health Center Vanduzi
Vanduzi, Manica Province, Mozambique
Urban Health Center Chingussura
Beira, Sofala, Mozambique
Urban Health Center Inhamizua
Beira, Sofala, Mozambique
Urban Health Center Macurungo
Beira, Sofala, Mozambique
Urban Health Center Mascarenhas
Beira, Sofala, Mozambique
Hospital Muxúngue
Chibabava, Sofala, Mozambique
Rural Health Center Mafambisse
Dondo, Sofala, Mozambique
Urban Health Center Dondo Sede
Dondo, Sofala, Mozambique
Rural Hospital Nhamatanda
Nhamatanda, Sofala, Mozambique
District Hospital Manica
Manica, Mozambique