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01-01-2018 | Original Paper

Mobile Based mhGAP-IG Depression Screening in Kenya

Authors: Christine W. Musyimi, Victoria N. Mutiso, Zahra R. Haji, Erick S. Nandoya, David M. Ndetei

Published in: Community Mental Health Journal | Issue 1/2018

Abstract

We aimed to determine the prevalence and determinants of depression using mobile based mental health Global Action Programme Intervention guide (mhGAP-IG) in remote health care settings where most priority mental health problems are managed by non-mental health specialists and evaluate the feasibility of the application. Adult patients were recruited from four rural public health facilities in Kenya using systematic random sampling and screened for depression. There were no missing items since the application prevented saving of data unless all the items were answered. The prevalence of depression was 25% with suicidal behavior being the most significant comorbid problem. Older age, personal and a family history of a mental disorder were significantly correlated with depression. Exploring the use of health-related mobile applications in identification of priority mental health problems is useful notably in low-resource settings; and also forms a basis for prevention of mental disorders and intervention at acute stages.

Al-Qadhi, W., Rahman, S., Ferwana, M., & Abdulmajeed, I. (2014). Adult depression screening in Saudi primary care prevalence, instrument and cost. BMC Psychiatry, 14, 190. doi:10.1186/1471-244X-14-190.CrossRefPubMedPubMedCentral

Ayano, G., Assefa, D., Haile, K., & Bekana, L. (2016). Experiences, strengths and challenges of integration of mental health into primary care in Ethiopia. Family Medicine and Medical Science Research, 5(204). doi:10.4172/2327-4972.1000204.

Bertakis, K. D., Azari, R., Helms, J. L., Callahan, E. J., & Robbins, J. A. (2000). Gender differences in the utilization of health care services. Journal of Family Practice, 49(2), 147–152.PubMed

Bertolote, J. M., Fleischmann, A., De Leo, D., & Wasserman, D. (2004). Psychiatric diagnoses and suicide revisiting the evidence. Crisis, 25(4), 147–155.CrossRef

Boulos, M. N. K., Brewer, A. C., Karimkhani, C., Buller, D. B., & Dellavalle, R. P. (2014). Mobile medical and health apps: State of the art, concerns, regulatory control and certification. Online Jounal Public Health Information, 5(3), 229. doi:10.5210/ojphi.v5i3.4814.CrossRef

Bromet, E., Andrade, L. H., Hwang, I., Sampson, N. A., Alonso, J., de Girolamo, G., et al. (2011). Cross-national epidemiology of DSM-IV major depressive episode. BMC Medicine, 9(1), 90. doi:10.1186/1741-7015-9-90.CrossRefPubMedPubMedCentral

Budosan, B., Hanlon, K. P. O., Mahoney, J., Aziz, S., Beluso, K., & Naselje, V. (2016). Up scaling mental health and psychosocial services in a disaster context: Lessons learnt from the Philippine region hardest hit by typhoon Haiyan. International Journal of Medicine and Medical Sciences, 8(10), 112–119. doi:10.5897/IJMMS2016.1263.CrossRef

Chang, A. Y., Ghose, S., Littman-Quinn, R., Anolik, R. B., Kyer, A., Mazhani, L., et al. (2012). Use of mobile learning by resident physicians in Botswana. Telemedicine Journal and E-Health: The Official Journal of the American Telemedicine Association, 18(1), 11–13.CrossRef

Chisholm, D., Burman-Roy, S., Fekadu, A., Kathree, T., Kizza, D., Luitel, N. P., et al. (2016). Estimating the cost of implementing district mental healthcare plans in five low-and middle-income countries: The PRIME study. The British Journal of Psychiatry, 208(s56), s71–s78. doi:10.1192/bjp.bp.114.153866.CrossRefPubMedPubMedCentral

Clair, V., Mutiso, V., Musau, A., Frank, E., & Ndetei, D. (2016). Online learning improves substance use care in Kenya: Randomized control trial results and implications. Annals of Global Health, 82(3), 320–321.CrossRef

Cornwall, J. (2014). The future of primary healthcare in Australia: Where to from here? The Australasian Medical Journal, 7(2), 78–80.CrossRef

Divall, P., Camosso-Stefinovic, J., & Baker, R. (2013). The use of personal digital assistants in clinical decision making by health care professionals: A systematic review. Health Informatics Journal, 19(1), 16–28.CrossRef

Free, C., Phillips, G., Watson, L., Galli, L., Felix, L., Edwards, P., et al. (2013). The effectiveness of mobile-health technologies to improve health care service delivery processes: A systematic review and meta-analysis. PLoS Medicine, 10(1), e1001363. doi:10.1371/journal.pmed.1001363.CrossRefPubMedPubMedCentral

Gijsen, R., Hoeymans, N., Schellevis, F. G., Ruwaard, D., Satariano, W. A., & Van Den Bos, G. A. M. (2001). Causes and consequences of comorbidity: A review. Journal of Clinical Epidemiology, 54(7), 661–674.CrossRef

Goud, R., Shanbhag, D., Wilson, W., Johnson, J., D’Souza, C., Sachdev, J., & Nandish, B. (2014). Common Mental illnesses among adult women in rural resource poor setting areas of Bangalore urban district: A descriptive study. International Journal of Innovative Research and Studies, 3(1), 715–724.

Gureje, O., Abdulmalik, J., Kola, L., Musa, E., Yasamy, M. T., & Adebayo, K. (2015). Integrating mental health into primary care in Nigeria: Report of a demonstration project using the mental health gap action programme intervention guide. BMC Health Services Research, 15(242). doi:10.1186/s12913-015-0911-3.

Haro, J. M., Palacín, C., Vilagut, G., Martínez, M., Bernal, M., Luque, I., et al. (2006). Prevalence of mental disorders and associated factors: Results from the ESEMeD-Spain study. Medicina Clinica, 126(12), 445–451.CrossRef

Jenkins, R., Baingana, F., Ahmad, R., McDaid, D., & Atun, R. (2011). International and national policy challenges in mental health. Mental Health Family Medical, 8(2), 101–114.

Klose, M., & Jacobi, F. (2004). Can gender differences in the prevalence of mental disorders be explained by sociodemographic factors? Archives of Women’s Mental Health, 7(2), 133–148.CrossRef

Klosterkotter, J. (2015). Depression treatment in old age. Fortschritte der Medizin. Originalien Fortschr Med Orig Fortschritte der Neurologie-Psychiatrie, 83(7). doi:10.1055/s-0035-1553364.CrossRef

Lemay, N. V., Sullivan, T., Jumbe, B., & Perry, C. P. (2012). Reaching remote health workers in Malawi: Baseline assessment of a pilot mHealth intervention. Journal of Health Communication, 17(1), 105–117.CrossRef

Lotrakul, M., & Saipanish, R. (2006). Psychiatric services in primary care settings a survey of general practitioners in Thailand. BMC Family Practice, 7, 48.CrossRef

Marangu, E., Jones, T., Lyer, L., Chan, S., Xiao, C., & Jones, S. (2014). Mental Health mobile health (mHealth) innovation for low-resource settings. Dataset. Retrieved from http://www.researchgate.net/publication/260908364_Marangu_Jones_Lyer_Chan_Xiao__Jones._2014._Mental_Health_mobile_health_(mHealth)_innovation_for_low-resource_settings.

Marangu, E., Sands, N., Rolley, J., Ndetei, D., & Mansouri, F. (2014). Mental healthcare in Kenya: Exploring optimal conditions for capacity building. African Journal of Primary Health Care and Family Medicine, 6(1), 1–5.CrossRef

Monroe, S. M., Slavich, G. M., & Gotlib, I. H. (2014). Life stress and family history for depression: The moderating role of past depressive episodes. Journal of Psychiatric Research, 49, 90–95.CrossRef

Muhwezi, W. W., Agren, H., & Musisi, S. (2007). Detection of major depression in Ugandan primary health care settings using simple questions from a subjective well-being (SWB) subscale. Social Psychiatry and Psychiatric Epidemiology, 42(1), 61–69. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/17082896.

Mulrow, C. D., Williams, J. W., Gerety, M. B., Ramirez, G., Montiel, O. M., & Kerber, C. (1995). Case-finding instruments for depression in primary care settings. Annals of Internal Medicine, 122(12), 913–921.CrossRef

Murfin, M. (2013). Know your apps: An evidence-based approach to evaluation of mobile clinical applications. Journal of Physician Assistant Education, 24(3), 38–40. Retrieved from http://www.scopus.com/inward/record.url?eid=2-s2.0-84884150862&partnerID=tZOtx3y1.

Musyimi, C. W., Mutiso, V. N., Musau, A. M., Matoke, L. K., & Ndetei, D. M. (2016). Prevalence and determinants of depression among patients under the care of traditional health practitioners in a Kenyan setting: Policy implications. Transcultural Psychiatry. (in press)

Ndetei, D., Ongetcha, F., Mutiso, V., Kuria, M., Khasakhala, L., & Kokonya, D. (2007). The challenges of human resources in mental health in Kenya. African Journal of Psychiatry, 10(1), 33–36.CrossRef

Pineros-Leano, M., Tabb, K. M., Sears, H., Meline, B., & Huang, H. (2015). Clinic staff attitudes towards the use of mHealth technology to conduct perinatal depression screenings: A qualitative study. Family Practice, 32(2), 211–215. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/25535280.

Probst, J. C., Moore, C. G., Glover, S. H., & Samuels, M. E. (2004). Person and place: The compounding effects of race/ethnicity and rurality on health. American Journal of Public Health, 94(10), 1695–1703. Retrieved from http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.94.10.1695.

Reddy, M. S. (2010). Depression: The disorder and the burden. Indian Journal of Psychological Medicine, 32(1), 1–2.CrossRef

Roberts, L. W., Johnson, M. E., Brems, C., & Warner, T. D. (2007). Ethical disparities: Challenges encountered by multidisciplinary providers in fulfilling ethical standards in the care of rural and minority people. The Journal of Rural Health: Official Journal of the American Rural Health Association and the National Rural Health Care Association, 23(Suppl), 89–97. Retrieved from http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2386414&tool=pmcentrez&rendertype=abstract.

Roberts, R. E., Kaplan, G. A., Shema, S. J., & Strawbridge, W. J. (1997). Does growing old increase the risk for depression? The American Journal of Psychiatry, 154(10), 1384–1390. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/9326820.

Sachs, S. E., & Sachs, J. D. (2007). Mental health in the millennium development goals: Not ignored. PLoS Medicine, 4(1), e56. doi:10.1371/journal.pmed.0040056.CrossRefPubMedPubMedCentral

Singh, A., & Misra, N. (2009). Loneliness, depression and sociability in old age. Industrial Psychiatry Journal, 18(1), 51–55.CrossRef

Skapinakis, P., Bellos, S., Koupidis, S., Grammatikopoulos, I., Theodorakis, P., & Mavreas, V. (2013). Prevalence and sociodemographic associations of common mental disorders in a nationally representative sample of the general population of Greece. BMC Psychiatry, 13, 163. doi:10.1186/1471-244X-13-163.CrossRefPubMedPubMedCentral

The Commission of Revenue Allocation. (2011). Kenya County Fact sheets (1st edn.). Retrieved from http://www.slideshare.net/Abetum/kenya-county-factsheetsdec2011.

Udedi, M. (2014). The prevalence of depression among patients and its detection by primary health care workers at Matawale health centre (Zomba). Malawi Medical Journal, 26(2), 34–37.PubMedPubMedCentral

Van’t Hof, E., Cuijpers, P., Waheed, W., & Stein, D. J. (2011). Psychological treatments for depression and anxiety disorders in Low- and middle- income countries: A meta-analysis. African Journal of Psychiatry, 14(3), 200–207.CrossRef

Warner, V., Weissman, M. M., Mufson, L., & Wickramaratne, P. J. (1999). Grandparents, parents, and grandchildren at high risk for depression: A three-generation study. Journal of the American Academy of Child and Adolescent Psychiatry, 38(3), 289–296.CrossRef

Whiteford, H. A., Degenhardt, L., Rehm, J., Baxter, A. J., Ferrari, A. J., Erskine, H. E., et al. (2013). Global burden of disease attributable to mental and substance use disorders: Findings from the global burden of disease study 2010. Lancet (London, England), 382(9904), 1575–1586.CrossRef

Wigman, J. T. W., Van Nierop, M., Vollebergh, W. A. M., Lieb, R., Beesdo-Baum, K., Wittchen, H.-U., & Van Os, J. (2012). Evidence that psychotic symptoms are prevalent in disorders of anxiety and depression, impacting on illness onset, risk, and severity_implications for diagnosis and ultra-high risk research. Schizophrenia Bulletin, 38(2), 247–257.CrossRef

World Health Organization (WHO). (2010). mhGAP Intervention guide for mental, neurological and substance use disorders in non-specialized health settings: Mental health gap action programme (mhGAP). Geneva. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK138693/.

World Health Organization (2001). Mental health: New understanding, New hope: The world health report 2001 (pp. 9–24). Geneva: World Health Organization.

World Health Organization (2010). Mental health gap action programme: mhGAP intervention guide for mental, neurological and substance use disorders in non-specialized health settings (1.0 edn, pp. 1–65). Geneva: World Health Organization.

Zhang, M. W., Tsang, T., Cheow, E., Ho, C. S., Yeong, N. B., & Ho, R. C. (2014). Enabling psychiatrists to be mobile Phone App developers: Insights into app development methodologies. JMIR mHealth and uHealth, 2(4), e53. doi:10.2196/mhealth.3425.CrossRefPubMedPubMedCentral

Title: Mobile Based mhGAP-IG Depression Screening in Kenya
Authors: Christine W. Musyimi
Victoria N. Mutiso
Zahra R. Haji
Erick S. Nandoya
David M. Ndetei
Publication date: 01-01-2018
Publisher: Springer US
Published in: Community Mental Health Journal / Issue 1/2018
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-016-0072-9

2024 ASCO Annual Meeting

Springer Medicine

Mobile Based mhGAP-IG Depression Screening in Kenya

Abstract

2024 ASCO Annual Meeting

Springer Medicine

Abstract

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