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Impact of treatment attendance on mental health outcomes within task-shared psychological treatments

A causal analysis from the PRIME India study

Bibliographic Data

ID7148948
AuthorsSaloni Dev (0000-0003-3385-7249, Tufts University), James L Griffith (0000-0003-2894-7522, Northeastern University), John Griffith (0000-0002-9865-7937), Collette N Ncube (0000-0002-0661-9926, Boston University), Collette Ncube, Vikram Patel (0000-0003-1066-8584, Harvard University), Alisa Lincoln (0000-0003-2964-2413), Alisa K Lincoln (0000-0003-0305-1180, Northeastern University)
Year2025
Volume12
Pagese42-e42
Publication date2025-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCambridge Prisms Global Mental Health (JOURNAL)
Journal identifiersISSN: 2054-4251 • E-ISSN: 2054-4251
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/gmh.2025.36
PMID40303958
OpenAlexW4408995143
LanguageEN
References cited34

Task-shared psychological treatments play a critical role in addressing the global mental health treatment gap, yet their integration into routine care requires further study. This study evaluated the causal association between an implementation factor of a task-shared psychological treatment and participant outcomes to strengthen the implementation-to-outcome link within global mental health. This secondary analysis utilized cohort data from the Program for Improving Mental Health Care (PRIME) implemented in Sehore, India where trained non-specialist health workers delivered treatment for depression and alcohol use disorder (AUD). Propensity scores and inverse probability of treatment weights examined the impact of mental health service users’ treatment attendance on users’ symptom severity (PHQ-9 scores for depression; AUDIT scores for AUD) at 3 and 12-month follow-ups. Among the 240 patients with depression, higher treatment session attendance led to 1.3 points lower PHQ-9 scores (vs. no attendance) and 2.4 points lower PHQ-9 scores (vs. low attendance) at 3 months, with no significant effects at 12 months. Among the 190 AUD patients, treatment session attendance did not have a significant impact on AUDIT scores. Our findings have implications for enhancing treatment session attendance among those with depression within task-shared psychological treatments

Attendance · Mental health · Political science · Psychotherapist · Applied Psychology · Clinical Psychology · Employment and Welfare Studies · Health disparities and outcomes · Mental Health Treatment and Access · Psychology

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