Construct | Instrument | Description | Assessment time periods | |||||
---|---|---|---|---|---|---|---|---|
Pre-training (t1) | Immediate post-training (t2) | 4-month post-training (t3) | 16-month post-training (t4) | Patient baseline (t5) | Patient 6-month follow-up (t6) | |||
Primary outcome (primary healthcare workers) | ||||||||
Stigma | Social distance | Primary healthcare workers self-rate level of social distance related to interacting with persons with mental illness | X | X | X | X | Â | Â |
Secondary outcomes (primary healthcare workers) | ||||||||
Mental healthcare knowledge | mhGAP knowledge | Primary healthcare workers complete multiple choice and true/false questions reflecting knowledge of mental health diagnoses and treatment | X | X | X | X | Â | Â |
Stigma | mhGAP attitudes | Primary healthcare workers complete questions regarding attitudes toward people with mental illness | X | X | X | X | Â | Â |
Stigma | Implicit Association Test (IAT) | Primary healthcare workers complete a computer-based neuropsychological test assessing implicit biases related to mental illness and violence | X | Â | X | X | Â | Â |
Clinical competency | Enhancing Assessment of Common Therapeutic Factors (ENACT) | Competency is rated by observers through role plays between primary healthcare workers and standardized patients | X | Â | X | X | Â | Â |
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 | Â | Â | Â | Â | X | Â |
Secondary outcomes (patients) | ||||||||
Stigma and care access | Barriers to Access to Care Evaluation (BACE) | Patients rate degree to which stigma is a barrier to care seeking | Â | Â | Â | Â | X | 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 | X |
Daily functioning | WHO Disability Assessment Scale (WHODAS) | Patients rate ability to perform daily functioning | Â | Â | Â | Â | X | X |
Depression symptoms | Patient Health Questionnaire (PHQ-9) | Patient rate depression symptoms over past two weeks | Â | Â | Â | Â | X | X |
Alcohol use disorder | Alcohol Use Disorders Identification Test (AUDIT) | Patients rate alcohol use and associated behavior, as well as daily ethanol consumption | Â | Â | Â | Â | X | X |