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WHO Mental Health Gap Action Program (mhGAP) for Improving Child Mental and Behavioral Disorder Service Quality in China
Sponsor: Sun Yat-sen University
Summary
The goal of this clinical trial is to learn if the adapted mhGAP intervention guide (mhGAP-IG) can improve quality of child mental and behavioral disorders (CMBDs) services in China. It will also learn about the implementation of the mhGAP-IG delivered by kindergarten teachers. The main questions it aims to answer are: * Does the adapted mhGAP-IG reduce the symptom severity among children with CMBDs between two and sis years old? * Does the adapted mhGAP-IG reduce psychological distress among caregivers of children with CMBDs? * Does the adapted mhGAP-IG improve mental and behavioral health serivces capacity among kindergarten teachers in China? * How is the feasibility, acceptablity, and what are barriers and facilitators of implementation? Researchers will compare the adapted mhGAP-IG to child healthcare as usual to see if the adapted mhGAP-IG can improve quality of child mental and behavioral disorders services in China. Participants (kindergarten teachers) will: * Complete questionnaires and scales at baseline and at 3-, 6-, 9- and 12- months of intervention; * Receive mhGAP-based trainings; * Deliver long-term child mental and behavioral disorders services (including screenings, referals, follow-up, and physcosocial interventions) to children with CMBDs. Participants (children/caregivers) will: * Complete questionnaires and scales at baseline and at 3-, 6- and 12- months of intervention. * Accept long-term CMBDs management (including screenings, referals, follow-up management, and physcosocial interventions) from mhGAP-trained kindergarten teachers.
Official title: WHO Mental Health Gap Action Program (mhGAP) Delivered by Primary Care Workers for Improving Quality of Child Mental and Behavioral Disorders Services: A Hybrid Effectiveness-implementation Cluster Randomized Controlled Trial
Key Details
Gender
All
Age Range
2 Years - 6 Years
Study Type
INTERVENTIONAL
Enrollment
375
Start Date
2024-11-20
Completion Date
2026-02-20
Last Updated
2025-05-16
Healthy Volunteers
Yes
Conditions
Interventions
mental health gap action program intervention guide (mhGAP-IG)
The mhGAP-IG is an evidence-based intervention developed by WHO. It was designed for non-specialists to scale up high quality mental health services. Although more than 90 countries worldwide have implemented mhGAP-IG, this study is the first to evaluated if it works for scaling up CMBDs services in China. Investigators have cultrually adapted the mhGAP-IG according Chinese context.
Locations (9)
Zhongshan Zhengfa Kindergarten
Zhongshan, Guangdong, China
Zhongshan Xiaolan Huasheng Kindergarten
Zhongshan, Guangdong, China
Zhongshan Dongfeng Deshan Kindergarten
Zhongshan, Guangdong, China
Zhongshan Huangpu Boya Oriental Pearl Kindergarten
Zhongshan, Guangdong, China
First Kindergarten in Zhongshan Torch High-Tech Industrial Development Zone
Zhongshan, Guangdong, China
Third Kindergarten in Zhongshan Torch High-Tech Industrial Development Zone
Zhongshan, Guangdong, China
Xiao Yin Kindergarten in Zhongshan Torch High-Tech Industrial Development Zone
Zhongshan, Guangdong, China
Zhangjiabian Kindergarten in Zhongshan Torch High-Tech Industrial Development Zone
Zhongshan, Guangdong, China
Shaxi Xin Shimen Kindergarten in Zhongshan City.
Zhongshan, Guangdong, China