The aim of the shared research project is to develop an innovative and effective mobile phone based application to aid non-specialist health workers in the detection and management of depression (Mobile Health for non-specialists health WorKers - MOHAWK) with the ultimate goal of reducing the treatment gap for depression by improving the fidelity with which mhGAP guidelines are delivered. The specific objectives of the shared research component are: 1. To carry out the technical development of MOHAWK in collaboration with our technology partners. 2. To evaluate the acceptability and feasibility of MOHAWK and to provide preliminary evidence of its impact in settings in each of the Hubs. 3. To refine and finalise the MOHAWK application based on these lessons in preparation for future formal evaluation in an RCT and scaling up. MOHAWK is built on scalable, cost-effective mobile health technology which can be used in any resource poor area, has a rapidly increasing coverage in LMIC, has growing applicability and acceptability in health care applications, and can be extended to several other MNS disorders. It is designed to be used by any cadre of non-specialist health worker from primary care physicians and CHWs to lay health workers. It has the potential to make a major contribution to reducing the treatment gap and improving outcomes for people suffering from depression by enabling task-shifting to improve the screening and diagnosis, initiation of evidence based treatments derived from mhGAP, and follow-up of patients with depression to achieve optimal clinical outcomes. MOHAWK will achieve its objectives through a three year collaborative programme of work in three sites (one from each Hub) in two phases: (1) the development of MOHAWK core capabilities and formative research to ensure effective implementation of MOHAWK to each of the three Hub sites;and (2) the evaluation of MOHAWK in exploratory trials in these three sites including process evaluation and formative research to inform the scale up of MOHAWK.

Public Health Relevance

MOHAWK has the potential to make a major contribution to reducing the treatment gap for people suffering from depression through task-shifting by providing a mechanism whereby international guidelines for the diagnosis and treatment of MNS disorders developed by mhGAP are implemented at scale, in a contextually appropriate form in all regions of the world and using a widely accessed, low cost technology.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Program--Cooperative Agreements (U19)
Project #
5U19MH095687-02
Application #
8380277
Study Section
Special Emphasis Panel (ZMH1-ERB-B)
Project Start
Project End
2013-08-31
Budget Start
2012-09-01
Budget End
2013-08-31
Support Year
2
Fiscal Year
2012
Total Cost
$1
Indirect Cost
Name
London School/Hygiene & Tropical Medicine
Department
Type
DUNS #
424403046
City
London
State
Country
United Kingdom
Zip Code
Turner, Elizabeth L; Sikander, Siham; Bangash, Omer et al. (2016) The effectiveness of the peer-delivered Thinking Healthy PLUS (THPP+) Program for maternal depression and child socioemotional development in Pakistan: study protocol for a randomized controlled trial. Trials 17:442
Siriwardhana, Chesmal; Adikari, Anushka; Jayaweera, Kaushalya et al. (2016) Integrating mental health into primary care for post-conflict populations: a pilot study. Int J Ment Health Syst 10:12
Griffith, James L; Kohrt, Brandon A (2016) Managing Stigma Effectively: What Social Psychology and Social Neuroscience Can Teach Us. Acad Psychiatry 40:339-47
Atif, Najia; Lovell, Karina; Husain, Nusrat et al. (2016) Barefoot therapists: barriers and facilitators to delivering maternal mental health care through peer volunteers in Pakistan: a qualitative study. Int J Ment Health Syst 10:24
Sikander, Siham; Lazarus, Anisha; Bangash, Omer et al. (2015) The effectiveness and cost-effectiveness of the peer-delivered Thinking Healthy Programme for perinatal depression in Pakistan and India: the SHARE study protocol for randomised controlled trials. Trials 16:534
Jordans, Mark J D; Kohrt, Brandon A; Luitel, Nagendra P et al. (2015) Accuracy of proactive case finding for mental disorders by community informants in Nepal. Br J Psychiatry 207:501-6
Kohrt, Brandon A; Jordans, Mark J D; Rai, Sauharda et al. (2015) Therapist competence in global mental health: Development of the ENhancing Assessment of Common Therapeutic factors (ENACT) rating scale. Behav Res Ther 69:11-21
Fuhr, Daniela C; Calvert, Clara; Ronsmans, Carine et al. (2014) Contribution of suicide and injuries to pregnancy-related mortality in low-income and middle-income countries: a systematic review and meta-analysis. Lancet Psychiatry 1:213-25
Chowdhary, Neerja; Sikander, Siham; Atif, Najia et al. (2014) The content and delivery of psychological interventions for perinatal depression by non-specialist health workers in low and middle income countries: a systematic review. Best Pract Res Clin Obstet Gynaecol 28:113-33
Kohrt, Brandon A; Upadhaya, Nawaraj; Luitel, Nagendra P et al. (2014) Authorship in global mental health research: recommendations for collaborative approaches to writing and publishing. Ann Glob Health 80:134-42

Showing the most recent 10 out of 16 publications