Table 3 Pilot c-RCT outcome measures

Stigma

Social distance

Primary healthcare workers self-rate level of social distance related to interacting with persons with mental illness

Mental healthcare knowledge

mhGAP knowledge

Primary healthcare workers complete multiple choice and true/false questions reflecting knowledge of mental health diagnoses and treatment

Stigma

mhGAP attitudes

Primary healthcare workers complete questions regarding attitudes toward people with mental illness

Stigma

Implicit Association Test (IAT)

Primary healthcare workers complete a computer-based neuropsychological test assessing implicit biases related to mental illness and violence

Clinical competency

Enhancing Assessment of Common Therapeutic Factors (ENACT)

Competency is rated by observers through role plays between primary healthcare workers and standardized patients

Diagnostic and treatment fidelity

Psychiatrist administered Composite International Diagnostic Interview (CIDI)

Psychiatrists administer the CIDI to patients diagnosed by primary healthcare workers and compare with the diagnosis and treatment recommendations

X

Stigma and care access

Barriers to Access to Care Evaluation (BACE)

Patients rate degree to which stigma is a barrier to care seeking

X

Perceived clinical competency

Enhancing Assessment of Common Therapeutic Factors (ENACT)—patient rating version

Patients rate their primary healthcare workers on quality of common factors in care

X

Daily functioning

WHO Disability Assessment Scale (WHODAS)

Patients rate ability to perform daily functioning

X

Depression symptoms

Patient Health Questionnaire (PHQ-9)

Patient rate depression symptoms over past two weeks

X

Alcohol use disorder

Alcohol Use Disorders Identification Test (AUDIT)

Patients rate alcohol use and associated behavior, as well as daily ethanol consumption

X