Effectiveness of combining prevention psychological interventions with interventions that address the social determinants of mental health in low and middle-income countries: protocol of a systematic review and meta-analysis.

Journal: BMJ open

Volume: 14

Issue: 5

Year of Publication: 2024

Affiliated Institutions:  WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy eleonora.prina@univr.it. WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy. Transcultural Psychosocial Organization (TPO) Nepal, Kathmandu, Bagmati, Nepal. Faculty of Biomedical Sciences, Institute of Public Health, Università della Svizzera Italiana, Lugano, Switzerland. Innovations for Poverty Action, Bogotà, Colombia. School of Government, Universidad de Los Andes, Bogota, Colombia. Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa. Centre for Global Mental Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.

Abstract summary 

Common mental health conditions (CMHCs), including depression, anxiety and post-traumatic stress disorder (PTSD), are highly prevalent in low and middle-income countries (LMICs). Preventive strategies combining psychological interventions with interventions addressing the social determinants of mental health may represent a key strategy for effectively preventing CMHCs. However, no systematic reviews have evaluated the effectiveness of these combined intervention strategies for preventing CMHCs.This systematic review will include randomised controlled trials (RCTs) focused on the effectiveness of interventions that combine preventive psychological interventions with interventions that address the social determinants of mental health in LMICs. Primary outcome is the frequency of depression, anxiety or PTSD at postintervention as determined by a formal diagnostic tool or any other standardised criteria. We will search Epistemonikos, Cochrane Controlled Trials Register (CENTRAL), MEDLINE, Embase, PsycINFO, CINAHL, Global Index Medicus, ClinicalTrials.gov (Ctgov), International Clinical Trials Registry Platform (ICTRP). Two reviewers will independently extract the data and evaluate the risk of bias of included studies using the Cochrane risk of bias tool 2. Random-effects meta-analyses will be performed, and certainty of evidence will be rated using the Grading of Recommendations Assessment, Development and Evaluation approach.This study uses data from published studies; therefore, ethical review is not required. Findings will be presented in a published manuscript.CRD42023451072.

Authors & Co-authors:  Prina Eleonora E Bano Beatrice B Singh Rakesh R Albanese Emiliano E Trujillo Daniela D Dedios Sanguineti María Cecilia MC Sorsdahl Katherine K Luitel Nagendra P NP Garman Emily C EC Purgato Marianna M Barbui Corrado C Jordans Mark J D MJD Lund Crick C

Study Outcome 

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Citations : 
Authors :  13
Identifiers
Doi : 10.1136/bmjopen-2023-083261
SSN : 2044-6055
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
PSYCHIATRY;PUBLIC HEALTH;Primary Prevention
Study Design
Study Approach
Country of Study
Publication Country
England