Indian Journal of Psychological Medicine | Volume 42 | Issue 6S | December 2020 80S
Research Protocol
Channaveerachari Naveen Kumar
1
, Prabhat Kumar Chand
1
, Narayana Manjunatha
1
, Suresh Bada
Math
1
, Harihara Nagabhushana Shashidhara
1
, Vinay Basavaraju
1
, Jagadisha Thirthalli
1
, Adarsha
Alur Manjappa
2
, Rajani Parthasarathy
2
, Pratima Murthy
1
, Ferose Azeez Ibrahim
1
, Namrata Jagtap
1
,
Sonakshi Jyrwa
1
, Shanivaram Reddy
3
, Sanjeev Arora
4
, Mary Hawk
5
, Supriya Kumar
5
, James Egan
5
,
Margaret Mcdonald
6
use the SPIRIT (Standard Protocol Items:
Recommendations for Interventional Trials)
statement to describe the methods of
these two trials.
Trial 1 is to evaluate the “Effectiveness
of addition of Virtual-NIMHANS–ECHO
tele-mentoring model for skilled capacity
building in providing quality care in alcohol
use disorders by the existing staff of
DMHP districts of Karnataka.” Hub for trial
1 was set up at NIMHANS and the spokes
were psychiatrists and other mental
health professionals headquartered in
the district level office. Trial 2 assesses
the implementation and evaluation of
the NIMHANS–ECHO blended training
program for the DMHP workforce in a
HOW TO CITE THIS ARTICLE: Kumar CN, Chand PK, Manjunatha N, Math SB, Shashidhara HN, Basavaraju V, Thirthalli J, Manjappa AA, Parthasarathy R,
Murthy P, Ibrahim FA, Jagtap N, Jyrwa S, Reddy S, Arora S, Hawk M, Kumar S, Egan J, Mcdonald M. Impact Evaluation of VKN–NIMHANS–ECHO Model of
Capacity Building for Mental Health and Addiction: Methodology of Two Randomized Controlled Trials. Indian J Psychol Med. 2020;42(6S):80S–86S.
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Website: journals.sagepub.com/home/szj
DOI: 10.1177/0253717620969066
Submitted: 11 Aug. 2020
Accepted: 28 Sept. 2020
Published Online: 7 Dec. 2020
Address for correspondence: Prabhat Kumar Chand, Centre for Addiction Medicine,
Dept. of Psychiatry, Founder of Project Virtual Knowledge Network ECHO and Fellow
Indo-US Public health on Tele-technology Project ECHO, University of New Mexico
Health Science Centre, Albuquerque, New Mexico, United States. E-mails: prabhat@
vknnimhans.in, prabhatkumarchand@gmail.com
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Copyright © 2020 Indian Psychiatric Society - South Zonal Branch
1
Dept. of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India.
2
Dept. of Health and Family Welfare
Service, Government of Karnataka, Bengaluru, Karnataka, India.
3
Dept. of Psychiatric Social Work, National Institute of Mental Health and Neurosciences
(NIMHANS), Bengaluru, Karnataka, India.
4
The ECHO Institute, University of New Mexico, Albuquerque, NM, USA.
5
Dept. of Behavioral and Community Health
Sciences, University of Pittsburgh Graduate School of Public Health.
6
University of Pittsburgh, Pittsburgh, Pennsylvania, United States.
and the University of New Mexico Health
Sciences Centre, USA. This article aims
to summarize the methodology of two
randomized controlled trials funded by the
Indian Council of Medical Research (ICMR)
designed to evaluate the effectiveness
of the VKN–NIMHANS–ECHO model of
training as compared to training as usual
(TAU).
Methods: Both RCTs were conducted in
Karnataka, a southern Indian state in which
the DMHP operates in all districts. We
compared the impact of the following two
models of capacity building for the DMHP
workforce (a) the VKN–NIMHANS–ECHO
model and (b) the traditional method. We
Impact Evaluation of VKN–NIMHANS–
ECHO Model of Capacity Building for Mental
Health and Addiction: Methodology of Two
Randomized Controlled Trials
ABSTRACT
Background: Bridging the alarming
treatment gap for mental disorders in
India requires a monumental effort from
all stakeholders. Harnessing digital
technology is one of the potential ways to
leapfrog many known barriers for capacity
building.
Aim and Context: The ongoing Virtual
Knowledge Network (VKN)–National
Institute of Mental Health and
Neurosciences (NIMHANS)–Extension
of Community Health Outcomes (ECHO)
(VKN–NIMHANS–ECHO: hub and spokes
model) model for skilled capacity building
is a collaborative effort between NIMHANS