Can a brief training intervention on schizophrenia and depression improve knowledge, attitudes and practices of primary healthcare workers? The experience in Armenia

Mroueh, Lara; Ekmekdjian, Dicranouhie; Aghekyan, Elen; Sukiasyan, S. G.; Tadevosyan, M. Ya.; Simonyan, Vahan; Soghoyan, Armen; Vincent, Clotilde; Bruand, Pierre‐Emile; Jamieson-Craig, Thomas; Moussaoui, Driss; Preux, Pierre‐Marie; Boumédiène, Farid

doi:10.1016/j.ajp.2021.102862

Cited by 3 publications

(3 citation statements)

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“…13 A pilot cluster RCT performed in Nepal examined the effectiveness of an intervention to decrease stigma amongst primary healthcare practitioners including GPs in collaboration with patients who lived with Psychosis and showed positive results. 14 A before and after study (quasi-experimental) was conducted in Armenia to examine effectiveness of brief training intervention (interactive workshops and face to face discussions of cases) on Depression and Psychosis among GPs and nurses. It resulted in significant improvement in the knowledge, attitude and practice of the primary care physicians.…”

Section: Resultsmentioning

confidence: 99%

“… 13 There is dire need to integrate psychiatric disorders management with medical education to develop the necessary skills to deal with mental health disorders. 14 Protocol or guideline and collaborative educational program to improve the child mental health knowledge among the PCPs can be a useful approach. 15 Involvement in previous mental health training and psycho education were associated with better mental health competencies.…”

Section: Discussionmentioning

confidence: 99%

“…We can learn from a few trials in LMIC which examined GPs involvement in management of Psychosis but we need to develop interventions according to our very own settings to effectively utilize primary care physicians for this purpose. [12][13][14] Recently a Cluster RCT (STOPS+) has been conducted in Peshawar, Pakistan to test effectiveness of a psychosocial intervention in people with Schizophrenia to improve medication adherence and functionality. 28 Hopefully this will lead to more studies in future on this subject.…”

Section: Discussionmentioning

confidence: 99%

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Role of Primary Care Physicians in management of Schizophrenia in Low and Middle Income Countries (LMIC): A systematic review

Khan

Ul‐Haq²,

Haq³

et al. 2023

Pak J Med Sci

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Many people with Schizophrenia lack the resources and access to mental health services especially in low and middle income countries. Integration of mental health into primary care services can be a cost effective way of reducing the disability associated with Schizophrenia. Our aim was to review the studies conducted on role of Primary care physicians in management of Schizophrenia in low and middle income countries. PRISMA guidelines were followed and we registered the study protocol at PROSPERO. Four Electronic Databases (Medline, Psycinfo, CINAHL and Embase) were searched in May 2022. Relevant articles after search were 504 of which 61 full text were examined. A total of 20 studies were included in the final review comprising of observational, experimental and qualitative studies. Most studies reported on abilities of Primary care physicians including their knowledge, perceptions, skills and competencies in identifying and management of Schizophrenia and related Psychosis. Findings suggest that there is considerable amount of stigma, lack of awareness and social support about people diagnosed with Schizophrenia. Significant improvement was observed in diagnosis and management of schizophrenia by Primary care physicians who received appropriate training by experts in the field. This review suggests that appropriate training of General practitioners in diagnosing and treating schizophrenia can help in reduction of huge Treatment Gap in Schizophrenia. They can also be utilised in delivering psycho social interventions to improve overall quality of patient care. doi: https://doi.org/10.12669/pjms.39.4.7286 How to cite this: Khan MF, Zia ul-Haq, Mukhtar-ul-Haq M, Afridi A, Farooq S. Role of Primary Care Physicians in management of Schizophrenia in Low and Middle Income Countries (LMIC): A systematic review. Pak J Med Sci. 2023;39(4):---------. doi: https://doi.org/10.12669/pjms.39.4.7286 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Resultsmentioning

confidence: 99%