162 lines
5.4 KiB
YAML
162 lines
5.4 KiB
YAML
abstract: 'Background Many community-based intervention models for mental health
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and wellbeing have undergone robust experimental evaluation; however,
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there are limited accounts of the implementation of these evidence-based
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interventions in practice. Atmiyata piloted the implementation of a
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community-led intervention to identify and understand the challenges of
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delivering such an intervention. The goal of the pilot evaluation is to
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identify factors important for larger-scale implementation across an
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entire district in India. This paper presents the results of a
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feasibility and acceptability study of the Atmiyata intervention piloted
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in Nashik district, Maharashtra, India between 2013 and 2015. Methods A
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mixed methods approach was used to evaluate the Atmiyata intervention.
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First, a pre-post survey conducted with 215 cases identified with a GHQ
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cut-off 6 using a 3-month interval. Cases enrolled into the study in one
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randomly selected month (May-June 2015). Secondly, a quasi-experimental,
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pre-post design was used to conduct a population-based survey in the
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intervention and control areas. A randomly selected sample (panel) of
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827 women and 843 men age between 18 to 65 years were interviewed to
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assess the impact of the Atmiyata intervention on common mental
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disorders. Finally, using qualitative methods, 16 Champions interviewed
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to understand an implementation processes, barriers and facilitators.
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Results Of the 215 participants identified by the Champions as being
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distressed or having a common mental disorder (CMD), n = 202 (94.4\%)
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had a GHQ score at either sub-threshold level for CMD or above at
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baseline. Champions accurately identified people with emotional distress
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and in need of psychological support. After a 6-session counselling
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provided by the Champions, the percentage of participants with a
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case-level GHQ score dropped from 63.8 to 36.8\%. The second
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sub-intervention consisted of showing films on Champions'' mobile phones
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to raise community awareness regarding mental health. Films consisted of
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short scenario-based depictions of problems commonly experienced in
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villages (alcohol use and domestic violence). Champions facilitated
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access to social benefits for people with disability. Retention of
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Atmiyata Champions was high; 90.7\% of the initial selected champions
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continued to work till the end of the project. Champions stated that
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they enjoyed their work and found it fulfilling to help others. This
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made them willing to work voluntarily, without pay. The semi-structured
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interviews with champions indicated that persons in the community
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experienced reduced symptoms and improved social, occupational and
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family functioning for problems such as depression, domestic violence,
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alcohol use, and severe mental illness. Conclusions This study shows
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that community-led interventions using volunteers from rural
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neighbourhoods can serve as a locally feasible and acceptable approach
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to facilitating access social welfare benefits, as well as reducing
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distress and symptoms of depression and anxiety in a low and
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middle-income country context. The intervention draws upon social
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capital in a community to engage and empower community members to
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address mental health problems. A robust evaluation methodology is
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needed to test the efficacy of such a model when it is implemented at
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scale.'
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affiliation: 'Joag, K (Corresponding Author), Indian Law Soc, Ctr Mental Hlth Law
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\& Policy, Pune 411004, Maharashtra, India.
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Joag, Kaustubh; Kawade, Rama; Balaji, Madhumitha; Pathare, Soumitra, Indian Law
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Soc, Ctr Mental Hlth Law \& Policy, Pune 411004, Maharashtra, India.
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Shields-Zeeman, Laura, Netherlands Inst Mental Hlth \& Addict, Trimbos Inst, Da
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Costakade 45, NL-3521 VS Utrecht, Netherlands.
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Kapadia-Kundu, Nandita, Johns Hopkins Bloomberg Sch Publ Hlth, Johns Hopkins Ctr
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Commun Programs, Baltimore, MD 21202 USA.
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Balaji, Madhumitha, Sangath, South Goa 403720, Goa, India.'
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article-number: '48'
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author: Joag, Kaustubh and Shields-Zeeman, Laura and Kapadia-Kundu, Nandita and Kawade,
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Rama and Balaji, Madhumitha and Pathare, Soumitra
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author-email: kaustubh@cmhlp.org
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author_list:
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- family: Joag
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given: Kaustubh
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- family: Shields-Zeeman
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given: Laura
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- family: Kapadia-Kundu
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given: Nandita
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- family: Kawade
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given: Rama
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- family: Balaji
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given: Madhumitha
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- family: Pathare
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given: Soumitra
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da: '2023-09-28'
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doi: 10.1186/s12888-020-2466-z
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eissn: 1471-244X
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files: []
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journal: BMC PSYCHIATRY
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keywords: 'Community mental health; Distress; Low and middle-income countries;
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Community-based intervention; Common mental disorders'
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keywords-plus: PRIMARY-CARE; DISORDERS; SERVICES
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language: English
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month: FEB 7
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number: '1'
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number-of-cited-references: '35'
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orcid-numbers: 'Balaji, Madhumitha/0000-0002-7399-8057
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Shields-Zeeman, Laura/0000-0003-0923-8771
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Joag, Kaustubh/0000-0003-3683-1159
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Pathare, Soumitra/0000-0001-9311-9024'
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papis_id: 6065705b6eed5bcc82a918cd39178d27
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ref: Joag2020feasibilityacceptabi
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researcherid-numbers: 'Fazli, Ghazal/AAE-8320-2022
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'
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times-cited: '7'
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title: 'Feasibility and acceptability of a novel community-based mental health intervention
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delivered by community volunteers in Maharashtra, India: the Atmiyata programme'
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type: article
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unique-id: WOS:000512643400001
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usage-count-last-180-days: '1'
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usage-count-since-2013: '6'
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volume: '20'
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web-of-science-categories: Psychiatry
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year: '2020'
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