grant

A type II hybrid implementation-effectiveness study of BECOME (BEhavioral Community-based COmbined Intervention for MEntal Health and Noncommunicable Diseases) delivered by community health workers

Organization UNIVERSITY OF CALIFORNIA, SAN FRANCISCOLocation SAN FRANCISCO, UNITED STATESPosted 1 Jul 2023Deadline 30 Apr 2028
NIHUS FederalResearch GrantFY2025Active Follow-upAddressAnxietyAssess implementationAttitudeBehaviorBehavior Conditioning TherapyBehavior ModificationBehavior TherapyBehavior TreatmentBehavioralBehavioral Conditioning TherapyBehavioral ModificationBehavioral TherapyBehavioral TreatmentBlood PressureCaringCause of DeathCessation of lifeClinical ProtocolsCluster randomization trialCluster randomized trialCollaborationsCommunitiesCommunity Health AidesComplexConditioning TherapyCost AnalysesCost AnalysisDeathDiabetes MellitusDietDietary qualityDiseaseDisorderDrugsEffectivenessEmotional DepressionFaceFundingGeographyGovernmentGuidelinesHealth CareHealth Care SystemsHealth systemHeterogeneityHistoryHomeHypertensionImplementation assessmentInterventionIntervention StudiesLMICLeadershipLife Style ModificationLow-resource areaLow-resource communityLow-resource environmentLow-resource regionLow-resource settingMedicationMental DepressionMental HealthMental HygieneMental disordersMental health disordersMethodsMobile Health AppMobile Health ApplicationMotivationNational Institutes of HealthNepalParticipantPatient RecruitmentsPatientsPersonsPharmaceutical PreparationsPhysical activityPolicy MakerProviderPsychiatric DiseasePsychiatric DisorderPsychological HealthPsychotherapyPublic HealthRE-AIMRandomizedReach, Effectiveness, Adoption, Implementation, and MaintenanceRecommendationRecording of previous eventsReportingResearchResource-constrained areaResource-constrained communityResource-constrained environmentResource-constrained regionResource-constrained settingResource-limited areaResource-limited communityResource-limited environmentResource-limited regionResource-limited settingResource-poor areaResource-poor communityResource-poor environmentResource-poor regionResource-poor settingRisk FactorsRisk ReductionSeveritiesSiteStressTestingTimeTobaccoTobacco ConsumptionTobacco useTrainingUnited States National Institutes of HealthVascular Hypertensive DiseaseVascular Hypertensive DisorderWorkWorld Health Organizationactive followupanxiety symptomsanxious symptomassess costassess effectivenessbarriers to implementationbehavior interventionbehavioral interventionbeneficiaryco-morbidco-morbiditycommunity health workercomorbidityconferenceconventioncostcost assessmentcost effectivecost evaluationdepressiondepression symptomdepressivedepressive symptomsdetermine effectivenessdiabetesdiet qualitydietsdisabilitydrug/agenteffectiveness assessmenteffectiveness evaluationeffectiveness testingeffectiveness/implementation hybrid studyeffectiveness/implementation studyevaluate costevaluate effectivenessevaluate implementationevaluation of implementationevidence baseexamine costexamine effectivenessexperiencefacesfacialfasting glucosefollow upfollow-upfollowed upfollowuphealth and care deliveryhealth care deliveryhealth delivery systemshealth services deliveryhigh blood pressurehistorieshomeshyperpiesiahyperpiesishypertensive diseasehypertensive disorderimplementation barriersimplementation challengesimplementation evaluationimplementation outcomesimplementation researchimplementation strategyimprovedinnovateinnovationinnovativeintervention researchinterventional researchinterventional studyinterventions researchlifestyle modificationlow and middle-income countriesm-Health appm-Health applicationmHealth appmHealth applicationmental illnessmotivational enhancement therapymotivational interviewparticipant recruitmentprimary care providerprimary outcomeproviders from primary careproviders of primary carepsychiatric illnesspsychological disorderrandomisationrandomizationrandomly assignedreach, efficacy, adoption, implementation, and maintenancereduce riskreduce risksreduce that riskreduce the riskreduce these risksreduces riskreduces the riskreducing riskreducing the riskrisk sharingrisk-reducingscale upsecondary outcomeskillssocial cultural factorsocial culture determinantsocial normsociocultural determinantsociocultural factorstrategies for implementationstress reductionsummitsymposiasymposiumtime usetobacco product usetreatment adherencetreatment compliance
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Project Abstract
Common mental health disorders (CMDs), like depression and anxiety, and non-communicable

diseases (NCDs), like diabetes and hypertension, are highly prevalent and are the leading causes of death and

disability worldwide, especially in low-resource settings like our research site in Nepal. Comorbidity among

CMDs and NCDs is high…

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A type II hybrid implementation-effectiveness study of BECOME (BEhavioral Community-based COmbined Intervention for MEnt | Dev Procure