Condition category
Mental and Behavioural Disorders
Date applied
03/11/2011
Date assigned
14/11/2011
Last edited
07/11/2013
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Background and study aims
The study aims to measure whether a 40 hour mental health structured and standardised training course for front line health workers in Kenya can help them diagnose mental health problems better and facilitate the recovery of their clients over a three month follow up period.

Who can participate?
Men and women aged over 16 are eligible to participate in the study. People with learning disabilities, dementia and life threatening illness are excluded.

What does the study involve?
The study compares health workers and their clients from 50 health centres where staff have received the mental health training with health workers and their clients from 50 health centres where staff have not received the mental health training.
All clients receive their normal care from the health workers; the study is not testing a specific drug.

What are the possible benefits and risks of participating?
Participation in the study will enable researchers and health personnel to better understand the health needs of clients and the training needs of those who care for them. There are no personal rewards for participation but participants may benefit by understanding mental health care better.

Where is the study run from?
The study is run from Great Lakes University Kisumu, University of Nairobi and King’s College London. There are 100 health centres involved in Nyanza province.

When is the study starting and how long is it expected to run for?
The study is running between August 2010 and December 2011. Participants have already been recruited.

Who is funding the study?
UK Department for International Development and the Nuffield Foundation.

Who is the main contact?
Professor Rachel Jenkins, King’s College London

Trial website

Contact information

Type

Scientific

Primary contact

Prof Rachel Jenkins

ORCID ID

Contact details

Health Services Research Department
Instuitute of Psychiatry
King's College London
de Crespigny Park
London
SE5 8AF
United Kingdom
+44 (0)20 7848 0668
rachel@olan.org

Additional identifiers

EudraCT number

ClinicalTrials.gov number

Protocol/serial number

N/A

Study information

Scientific title

Assessment of the impact of a Kenya Medical training College delivered structured five day training programme on mental health core concepts, skills and competencies on mental health for primary care staff in Kenya

Acronym

Study hypothesis

The training programme will have an impact on:
1.The competencies of primary care staff to recognise mental disorders and
2. On recovery (improved health and social outcomes and quality of life of clients)

Ethics approval

1. King's College London Ethics Committee approved on 5th October 2009, ref: PNM/08/09-113
2. University of Nairobi Ethics Committee approved on 15th October 2009, ref: P53/02/2009
3. Great Lakes University Kisumu Ethics Committee approved on 1st April 2010, ref: GERC/002/2010

Study design

Randomised controlled trial

Primary study design

Interventional

Secondary study design

Randomised controlled trial

Trial setting

GP practices

Trial type

Screening

Patient information sheet

Not available in web format, please use the contact details below to request a patient information sheet

Condition

Mental health

Intervention

100 primary care centres randomly allocated to intervention and control arms. The health workers' ability to diagnose and the clients' recovery was assessed

All patients attending this clinic will be asked to undergo a brief general health questionnaire which takes less than five minutes to complete. Twelve patients selected at random will then also be asked to complete a set of more detailed questionnaires. These will be completed twice, once now and once more in ten weeks time.

Training course for health workers. Intervention arm received 40 hours of training comprising 5 units, (1) core concepts, (2) core skills, (3) common neurological disorders (4) mental disorders, (5) policy, legislation, human rights, Health Management Information System (HMIS), community linkages, roles and responsibilities. Teaching structured into 30 minute modules, each containing a short lecture, discussion and a role play. Both arms were able to attend other health training courses as normal throughout the period of the study

Intervention type

Other

Phase

Not Applicable

Drug names

Primary outcome measures

Patient identification index measured 3 months post training

Secondary outcome measures

1. Client recovery in terms of change on:
1.1. General health Questionnaire
1.2. World Health Organization Disability Assessment Schedule (WHODAS) and
1.3. EQ5D (Quality of LIfe)
Assessed by change between status at 3 months and status at 6 months after the training of the health workers

Overall trial start date

01/08/2010

Overall trial end date

01/01/2012

Reason abandoned

Eligibility

Participant inclusion criteria

Clinics: Is that they are publicly funded and on the Ministry of Health list of primary care centres.

Patients:
1. Is that they have attended the clinic on the research day
2. That they are over 16

Participant type

Patient

Age group

Adult

Gender

Both

Target number of participants

1200 clients and 100 health workers

Participant exclusion criteria

1. Dementia and learning disability of such severity as to be unable to complete the questionnaires
2. Life threatening illness
3. Don't speak the languages spoken by the researchers
4. Refusal to consent

Recruitment start date

01/08/2010

Recruitment end date

01/01/2012

Locations

Countries of recruitment

Kenya

Trial participating centre

Health Services Research Department
London
SE5 8AF
United Kingdom

Sponsor information

Organisation

King's College London (UK)

Sponsor details

de Crespigny Park
London
SE5 8AF
United Kingdom
+44 (0)20 7848 0668
rachel.jenkins@kcl.ac.uk

Sponsor type

University/education

Website

http://kcl.ac.uk

Funders

Funder type

Government

Funder name

Nuffield Foundation and Department for International Development (UK)

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Results and Publications

Publication and dissemination plan

Not provided at time of registration

Intention to publish date

Participant level data

Not provided at time of registration

Results - basic reporting

Publication summary

1. 2013 client results in http://www.ncbi.nlm.nih.gov/pubmed/23343127
2. 2013 health worker results in http://www.ncbi.nlm.nih.gov/pubmed/23379737
3. 2013 results in: http://www.ncbi.nlm.nih.gov/pubmed/24079756
4. 2013 results in: http://www.ncbi.nlm.nih.gov/pubmed/24188964

Publication citations

  1. Client results

    Othieno C, Jenkins R, Okeyo S, Aruwa J, Wallcraft J, Jenkins B, Perspectives and concerns of clients at primary health care facilities involved in evaluation of a national mental health training programme for primary care in Kenya., Int J Ment Health Syst, 2013, 7, 1, 5, doi: 10.1186/1752-4458-7-5.

  2. Health worker results

    Jenkins R, Othieno C, Okeyo S, Aruwa J, Wallcraft J, Jenkins B, Exploring the perspectives and experiences of health workers at primary health facilities in Kenya following training., Int J Ment Health Syst, 2013, 7, 1, 6, doi: 10.1186/1752-4458-7-6.

  3. Results

    Jenkins R, Othieno C, Okeyo S, Aruwa J, Kingora J, Jenkins B, Health system challenges to integration of mental health delivery in primary care in Kenya--perspectives of primary care health workers., BMC Health Serv Res, 2013, 13, 368, doi: 10.1186/1472-6963-13-368.

  4. Results

    Jenkins R, Othieno C, Okeyo S, Kaseje D, Aruwa J, Oyugi H, Bassett P, Kauye F, Short structured general mental health in service training programme in Kenya improves patient health and social outcomes but not detection of mental health problems - a pragmatic cluster randomised controlled trial., Int J Ment Health Syst, 2013, 7, 1, 25, doi: 10.1186/1752-4458-7-25.

Additional files

Editorial Notes