Abstract summary 

To report the interim results from the training of providers inevidence-based psychotherapies (EBPs) and use of mobile applications.The Partnerships in Research to Implement and Disseminate Sustainable and Scalable Evidence (PRIDE) study is a cluster-randomised hybrid effectiveness-implementation trial comparing three delivery pathways for integrating comprehensive mental healthcare into primary care in Mozambique. Innovations include the use of EBPs and scaling-up of task-shifted mental health services using mobile applications.We examined EBP training attendance, certification, knowledge and intentions to deliver each component. We collected qualitative data through rapid ethnography and focus groups. We tracked the use of the mobile applications to investigate early reach of a valid screening tool (Electronic Mental Wellness Tool) and the roll out of the EBPs PARTICIPANTS: Psychiatric technicians and primary care providers trained in the EBPs.PRIDE has trained 110 EBP providers, supervisors and trainers and will train 279 community health workers in upcoming months. The trainings improved knowledge about the EBPs and trainees indicated strong intentions to deliver the EBP core components. Trained providers began using the mobile applications and appear to identify cases and provide appropriate treatment.The future of EBPs requires implementation within existing systems of care with fidelity to their core evidence-based components. To sustainably address the vast mental health treatment gap globally, EBP implementation demands: expanding the mental health workforce by training existing human resources; sequential use of EBPs to comprehensively treat mental disorders and their comorbid presentations and leveraging digital screening and treatment applications.

Authors & Co-authors:  Wainberg Milton L ML Gouveia Maria Lídia ML Stockton Melissa Ann MA Feliciano Paulino P Suleman Antonio A Mootz Jennifer J JJ Mello Milena M Fiks Salem Andre A Greene M Claire MC Bezuidenhout Charl C Ngwepe Phuti P Lovero Kathryn L KL Fortunato Dos Santos Palmira P Schriger Simone H SH Mandell David S DS Mulumba Rogerio R Neves Anube Anibal A Mabunda Dirceu D Mandlate Flavio F Cournos Francine F Alves-Bradford Jean-Marie JM Nicholson Terriann T Kann Bianca B Fumo Wilza W Duarte Cristiane S CS de Jesus Mari Jair J Mello Marcelo F MF Mocumbi Ana O AO Oquendo Maria A MA Weissman Myrna M MM

Study Outcome 

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