wow-inequalities/02-data/intermediate/wos_sample/f2b4e542f27ccbd4ee4027bc23f50263-joag-kaustubh-and-s/info.yaml

abstract: 'Background Many community-based intervention models for mental health

  and wellbeing have undergone robust experimental evaluation; however,

  there are limited accounts of the implementation of these evidence-based

  interventions in practice. Atmiyata piloted the implementation of a

  community-led intervention to identify and understand the challenges of

  delivering such an intervention. The goal of the pilot evaluation is to

  identify factors important for larger-scale implementation across an

  entire district in India. This paper presents the results of a

  feasibility and acceptability study of the Atmiyata intervention piloted

  in Nashik district, Maharashtra, India between 2013 and 2015. Methods A

  mixed methods approach was used to evaluate the Atmiyata intervention.

  First, a pre-post survey conducted with 215 cases identified with a GHQ

  cut-off 6 using a 3-month interval. Cases enrolled into the study in one

  randomly selected month (May-June 2015). Secondly, a quasi-experimental,

  pre-post design was used to conduct a population-based survey in the

  intervention and control areas. A randomly selected sample (panel) of

  827 women and 843 men age between 18 to 65 years were interviewed to

  assess the impact of the Atmiyata intervention on common mental

  disorders. Finally, using qualitative methods, 16 Champions interviewed

  to understand an implementation processes, barriers and facilitators.

  Results Of the 215 participants identified by the Champions as being

  distressed or having a common mental disorder (CMD), n = 202 (94.4\%)

  had a GHQ score at either sub-threshold level for CMD or above at

  baseline. Champions accurately identified people with emotional distress

  and in need of psychological support. After a 6-session counselling

  provided by the Champions, the percentage of participants with a

  case-level GHQ score dropped from 63.8 to 36.8\%. The second

  sub-intervention consisted of showing films on Champions'' mobile phones

  to raise community awareness regarding mental health. Films consisted of

  short scenario-based depictions of problems commonly experienced in

  villages (alcohol use and domestic violence). Champions facilitated

  access to social benefits for people with disability. Retention of

  Atmiyata Champions was high; 90.7\% of the initial selected champions

  continued to work till the end of the project. Champions stated that

  they enjoyed their work and found it fulfilling to help others. This

  made them willing to work voluntarily, without pay. The semi-structured

  interviews with champions indicated that persons in the community

  experienced reduced symptoms and improved social, occupational and

  family functioning for problems such as depression, domestic violence,

  alcohol use, and severe mental illness. Conclusions This study shows

  that community-led interventions using volunteers from rural

  neighbourhoods can serve as a locally feasible and acceptable approach

  to facilitating access social welfare benefits, as well as reducing

  distress and symptoms of depression and anxiety in a low and

  middle-income country context. The intervention draws upon social

  capital in a community to engage and empower community members to

  address mental health problems. A robust evaluation methodology is

  needed to test the efficacy of such a model when it is implemented at

  scale.'
affiliation: 'Joag, K (Corresponding Author), Indian Law Soc, Ctr Mental Hlth Law
  \& Policy, Pune 411004, Maharashtra, India.

  Joag, Kaustubh; Kawade, Rama; Balaji, Madhumitha; Pathare, Soumitra, Indian Law
  Soc, Ctr Mental Hlth Law \& Policy, Pune 411004, Maharashtra, India.

  Shields-Zeeman, Laura, Netherlands Inst Mental Hlth \& Addict, Trimbos Inst, Da
  Costakade 45, NL-3521 VS Utrecht, Netherlands.

  Kapadia-Kundu, Nandita, Johns Hopkins Bloomberg Sch Publ Hlth, Johns Hopkins Ctr
  Commun Programs, Baltimore, MD 21202 USA.

  Balaji, Madhumitha, Sangath, South Goa 403720, Goa, India.'
article-number: '48'
author: Joag, Kaustubh and Shields-Zeeman, Laura and Kapadia-Kundu, Nandita and Kawade,
  Rama and Balaji, Madhumitha and Pathare, Soumitra
author-email: kaustubh@cmhlp.org
author_list:
- family: Joag
  given: Kaustubh
- family: Shields-Zeeman
  given: Laura
- family: Kapadia-Kundu
  given: Nandita
- family: Kawade
  given: Rama
- family: Balaji
  given: Madhumitha
- family: Pathare
  given: Soumitra
da: '2023-09-28'
doi: 10.1186/s12888-020-2466-z
eissn: 1471-244X
files: []
journal: BMC PSYCHIATRY
keywords: 'Community mental health; Distress; Low and middle-income countries;

  Community-based intervention; Common mental disorders'
keywords-plus: PRIMARY-CARE; DISORDERS; SERVICES
language: English
month: FEB 7
number: '1'
number-of-cited-references: '35'
orcid-numbers: 'Balaji, Madhumitha/0000-0002-7399-8057

  Shields-Zeeman, Laura/0000-0003-0923-8771

  Joag, Kaustubh/0000-0003-3683-1159

  Pathare, Soumitra/0000-0001-9311-9024'
papis_id: 6065705b6eed5bcc82a918cd39178d27
ref: Joag2020feasibilityacceptabi
researcherid-numbers: 'Fazli, Ghazal/AAE-8320-2022

  '
times-cited: '7'
title: 'Feasibility and acceptability of a novel community-based mental health intervention
  delivered by community volunteers in Maharashtra, India: the Atmiyata programme'
type: article
unique-id: WOS:000512643400001
usage-count-last-180-days: '1'
usage-count-since-2013: '6'
volume: '20'
web-of-science-categories: Psychiatry
year: '2020'