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Acharya B, Tenpa J, Basnet M, et al. Developing a scalable training model in global mental health: pilot study of a video-assisted training Program for Generalist Clinicians in Rural Nepal. Glob Ment Health (Camb). 2017;4:e8doi: 10.1017/gmh.2017.4.
Acharya, B., Tenpa, J., Basnet, M., Hirachan, S., Rimal, P., Choudhury, N., Thapa, P., Citrin, D., Halliday, S., Swar, S. B., van Dyke, C., Gauchan, B., Sharma, B., Hung, E., & Ekstrand, M. (2017). Developing a scalable training model in global mental health: pilot study of a video-assisted training Program for Generalist Clinicians in Rural Nepal. Global mental health (Cambridge, England), 4e8. https://doi.org/10.1017/gmh.2017.4
Acharya, B, et al. "Developing a scalable training model in global mental health: pilot study of a video-assisted training Program for Generalist Clinicians in Rural Nepal." Global mental health (Cambridge, England) vol. 4 (2017): e8. doi: https://doi.org/10.1017/gmh.2017.4
Acharya B, Tenpa J, Basnet M, Hirachan S, Rimal P, Choudhury N, Thapa P, Citrin D, Halliday S, Swar SB, van Dyke C, Gauchan B, Sharma B, Hung E, Ekstrand M. Developing a scalable training model in global mental health: pilot study of a video-assisted training Program for Generalist Clinicians in Rural Nepal. Glob Ment Health (Camb). 2017 May 02;4:e8. doi: 10.1017/gmh.2017.4. eCollection 2017. PMID: 28596909; PMCID: PMC5454786.
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Glob Ment Health (Camb). 2017 May 02;4:e8. doi: 10.1017/gmh.2017.4. eCollection 2017.

Developing a scalable training model in global mental health: pilot study of a video-assisted training Program for Generalist Clinicians in Rural Nepal.

Global mental health (Cambridge, England)

B Acharya, J Tenpa, M Basnet, S Hirachan, P Rimal, N Choudhury, P Thapa, D Citrin, S Halliday, S B Swar, C van Dyke, B Gauchan, B Sharma, E Hung, M Ekstrand

Affiliations

  1. Possible, Bayalpata Hospital, Sanfebagar-10, Achham, Nepal.
  2. Department of Psychiatry, University of California, San Francisco, San Francisco, CA, USA.
  3. Shared Minds, Boston, MA, USA.
  4. Department of Psychiatry, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.
  5. Department of Psychiatry, University of Minnesota, Minneapolis, MN, USA.
  6. Department of Anthropology, University of Washington, Seattle, WA, USA.
  7. Henry M. Jackson School of International Studies, University of Washington, Seattle, WA, USA.
  8. Department of Global Health, University of Washington, Seattle, WA, USA.
  9. Department of Psychiatry, Kathmandu Medical College, Sinamangal, Kathmandu, Nepal.
  10. Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.

PMID: 28596909 PMCID: PMC5454786 DOI: 10.1017/gmh.2017.4

Abstract

BACKGROUND: In low- and middle-income countries, mental health training often includes sending few generalist clinicians to specialist-led programs for several weeks. Our objective is to develop and test a video-assisted training model addressing the shortcomings of traditional programs that affect scalability: failing to train all clinicians, disrupting clinical services, and depending on specialists.

METHODS: We implemented the program -video lectures and on-site skills training- for all clinicians at a rural Nepali hospital. We used Wilcoxon signed-rank tests to evaluate pre- and post-test change in knowledge (diagnostic criteria, differential diagnosis, and appropriate treatment). We used a series of 'Yes' or 'No' questions to assess attitudes about mental illness, and utilized exact McNemar's test to analyze the proportions of participants who held a specific belief before and after the training. We assessed acceptability and feasibility through key informant interviews and structured feedback.

RESULTS: For each topic except depression, there was a statistically significant increase (Δ) in median scores on knowledge questionnaires: Acute Stress Reaction (Δ = 20,

CONCLUSION: Video lectures and on-site skills training can address the limitations of a conventional training model while being acceptable, feasible, and impactful toward improving knowledge and attitudes of the participants.

Keywords: Education; LMICs; Mental health; Nepal; Training

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