WHO Mental Health Gap Action Program (mhGAP) for Improving Child Mental and Behavioral Disorder Service Quality in China

Recruiting now · Not applicable

Conditions studied: Neurodevelopmental Disorders

In brief

The goal of this clinical trial is to learn if the adapted mhGAP intervention guide (mhGAP-IG) can improve quality of child mental and behavioral disorders (CMBDs) services in China. It will also learn about the implementation of the mhGAP-IG delivered by kindergarten teachers. The main questions it aims to answer are: * Does the adapted mhGAP-IG reduce the symptom severity among children with CMBDs between two and sis years old? * Does the adapted mhGAP-IG reduce psychological distress among caregivers of children with CMBDs? * Does the adapted mhGAP-IG improve mental and behavioral health serivces capacity among kindergarten teachers in China? * How is the feasibility, acceptablity, and what are barriers and facilitators of implementation? Researchers will compare the adapted mhGAP-IG to child healthcare as usual to see if the adapted mhGAP-IG can improve quality of child mental and behavioral disorders services in China. Participants (kindergarten teachers) will: * Complete questionnaires and scales at baseline and at 3-, 6-, 9- and 12- months of intervention; * Receive mhGAP-based trainings; * Deliver long-term child mental and behavioral disorders services (including screenings, referals, follow-up, and physcosocial interventions) to children with CMBDs. Participants (children/caregivers) will: * Complete questionnaires and scales at baseline and at 3-, 6- and 12- months of intervention. * Accept long-term CMBDs management (including screenings, referals, follow-up management, and physcosocial interventions) from mhGAP-trained kindergarten teachers.

Key facts

Study ID

NCT06702410

Run by

Sun Yat-sen University

People needed

375

Starts

2024-11-20

Expected to finish

2026-02-20

Last updated by the study team

2025-05-16

Who can join

Age: 2 and older, up to 6. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• Aged 2-6 years;
• Screened positive by the mhGAP-IG screening tool;
• Will stay in Zhongshan City for the next one year.

You may not qualify if…

• Co-morbid physical or mental conditions requiring inpatient hospitalization;
• Currently or in the past six months received CMBDs services provided by specialized mental health workers;
• Deafness or blindness in the child or caregivers;
• Not available or unwilling to participate in the trial.
• Eligibility criteria for kindergarten teachers
• Inclusion Criteria:
• Have one or more years of work experience in the selected kindergartens
• Be available to participate in the mhGAP training.
• Exclusion Criteria:
• Have received the mhGAP training before;
• Have arrangements requiring long-term leave from work in the next one year;
• Unwilling to participate in the trial.

Where it is running

• Zhongshan Zhengfa Kindergarten — Zhongshan, Guangdong, China (enrolling)
• Zhongshan Xiaolan Huasheng Kindergarten — Zhongshan, Guangdong, China (enrolling)
• Zhongshan Dongfeng Deshan Kindergarten — Zhongshan, Guangdong, China (enrolling)
• Zhongshan Huangpu Boya Oriental Pearl Kindergarten — Zhongshan, Guangdong, China (enrolling)
• First Kindergarten in Zhongshan Torch High-Tech Industrial Development Zone — Zhongshan, Guangdong, China
• Third Kindergarten in Zhongshan Torch High-Tech Industrial Development Zone — Zhongshan, Guangdong, China
• Xiao Yin Kindergarten in Zhongshan Torch High-Tech Industrial Development Zone — Zhongshan, Guangdong, China
• Zhangjiabian Kindergarten in Zhongshan Torch High-Tech Industrial Development Zone — Zhongshan, Guangdong, China
• Shaxi Xin Shimen Kindergarten in Zhongshan City. — Zhongshan, Guangdong, China

Full record on ClinicalTrials.gov

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