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Table 1 Intervention and implementation elements for implementation as usual (IAU) vs. RESHAPE

From: Implementation strategy in collaboration with people with lived experience of mental illness to reduce stigma among primary care providers in Nepal (RESHAPE): protocol for a type 3 hybrid implementation effectiveness cluster randomized controlled trial

 

Implementation as usual (IAU)

RESHAPE implementation

mhGAP (www.who.int/mental_health/mhGAP/training_manuals)

 Diagnosis of depression, generalized anxiety disorder, psychosis, and alcohol use disorder

X

X

 Pharmacological treatment of these conditions

X

X

 Psychosocial treatment of these conditions

X

X

RESHAPE PhotoVoice and associated training of PWLE, caregivers, and aspirational figure

 Recruitment and PhotoVoice training of PWLE and caregivers

 

X

 Recruitment and training of aspirational figures

 

X

mhGAP and associated training of primary care providers

 mhGAP training on diagnosis delivered by a psychiatrist

X

X

 mhGAP training on medication management delivered by a psychiatrist

X

X

 Psychosocial training by a MPhil psychologist

X

X

 PWLE and caregiver recovery stories and Q&A

 

X

 Aspirational figures describe experiences of providing mental health care and Q&A

 

X

 Collaborative brain-storming with aspirational figures

 

X

  1. Abbreviations: mhGAP mental health Gap Action Programme, PWLE people with lived experience of mental illness, RESHAPE Reducing Stigma Among Healthcare Providers