Columbia Worldwide Mental Health Awareness

Child Psychiatric Epidemiology Group, Columbia University-MSPH/NYSPI www.childepi.org/awareness [email protected]

Child Mental Health Awareness: A Nine-Country Pilot Study, 2004-2005

Presented by:

Christina W. Hoven

For: WPA-WHO Awareness Taskforce

Chairperson: Sam Tyano, IsraelMembers:

Theresa Ange Agossou, WHO/AFROMyron Belfer, SwitzerlandK. Michael Hong, Korea

Christina W. Hoven, USADu, Yasong, China

Danuta Wasserman, Sweden

WPA Meetings; Cairo, EgyptSeptember 15, 2005

WPA

IACAPAP WHO


WPA Child Mental Health Steering Committee

• Chairperson: Ahmed Okasha, Egypt

• Vice Chairperson: Norman Sartorius, Switzerland

• Scientific Director: Helmut Remschmidt, Germany

• Scientific Vice Director: Sam Tyano, Israel

• Secretary: Tarek Okasha, Egypt

• Members: John H. Heiligenstein, USA

Peter Jensen, USA

Barry Nurcombe, Australia

• WHO Representative: Myron Belfer, Switzerland


ArmeniaSite Project Director: Maruke Yeghiyan

Project Coordinator: Anna Velitsyan

Other Contributors: ACPP members Area: One school in the Yerevan district

Azerbaijan (Funded by GIP)Site Project Director: Fuad IsmayilovProject Coordinator: Nadir IsmayilovCo-Investigator: Hadji Agabek SultanovProject Director: Polad AzizovOther Contributors: Indira Hadjiyeva, Viktoria Magerramova, Nazim

Babayev, Tamerlan Radjabov, Vugar Mehtiyev, Sevda Katibli, Zemfira Ismayilova, Shaik Sultanov

Area: Four schools: two urban schools in Baku; and,two rural schools in Mardakan and Shuvelan

Participating Countries


BrazilProject Coordinator: Luis Augusto Rohde Co-Principal Investigator: Júlia Obst Comassetto Co-Investigator: Rosane Brusius de Moraes Other Contributors:\ Maycoln L. M. Teodoro, and Clarissa PaimArea: One public school in Porto Alegre, the capital of

Brazil’s southernmost state.

ChinaProject Director: Du, Yasong Project Manager: Zhao, ZhiminData Coordinator: Liu, Yi Other Contributors: Wu, ZengquiangArea: Six schools in Shanghai

Participating Countries (continued)


EgyptProject Director: Amira Seif El Dine Other Contributors: Mohamed Ramadan, Nagla Fathi, Mohamed Osman,

Dalia El Said, Wafaa Saad Area: Four schools in Alexandria

Georgia (Funded by GIP)Project Director: Tea JaliashviliCo-Investigator: Marine Gegelashvili

Project Manager: Jan Vorisek Campaign: Four schools: three in Tbilisi and one in Rustavi



IsraelPrincipal Investigator: Alan Apter Site Project Manager: Gitit Peer candidate Area: Two high schools and one elementary school in a small town

in Northern Israel.

RussiaPrincipal Investigator: Tatjana Dmitrieva Other Contributors: Andrey Zanozin, Andreyuk, Alexandra DrozdovaArea: One school in Nizhny Novgorod.

UgandaPrincipal Investigator: Emilio Ovuga Project Manager: Juliet Nakku Other Contributors: Alexander BombomArea: Four primary schools and five secondary schools

in Kampala City



International Coordinating Center at Columbia University

International Study Director: Christina W. Hoven

International Project Coordinator: Thao Doan

International Project Data Managers: Fan Bin, George J. Musa

Awareness Manual Writing Team: David Wilkin (Team Leader), Thao Doan, Carol Herbig, Mohammad Karim, Chakravarthy Koonapareddy, Donald J. Mandell, Katie Merrill, Awali Samara, Karen Sautter, Cynthia Weinstein

Procedure Manual Writing Team: Fan Bin, Donald J. Mandell, George J. Musa, Karen Sautter, Min Tang, Judith Wicks,

Data Entry Programming Team: Alex Resto, Bensheng Ouyang


Study Rationale

• Psychiatric disorders/symptoms are frequently undetected/untreated.

• Awareness is a precondition for symptoms/disorders to be recognized.

• To raise awareness while avoiding unrealistic expectations about available services.

• Assumption that sound information will contribute to advocacy, thus shorten the time when services become available.


Institutional Review Board Approval

• Baseline and follow-up surveys to be anonymous.

• Institutional Review Board (IRB) approval obtained at each site.

• International Coordinating Center IRB approval obtained before data was submitted.


Study Design

• Pre and Post assessment of students, parents and teachers.

• Assessment of awareness of signs and symptoms of childhood psychopathology.

• Assessment of child psychopathology/ impairment (SDQ), child only.

• Assessment of stigma and attribution of symptoms.

• Assessment of knowledge and desire for more information about mental illness.


Study Methodology• Countries selected to represent different regions,

cultures and languages.

• To systematically disseminate accurate information, an Awareness Manual was developed.

• Awareness Manual describes signs and symptoms and serves as a resource for educating healthcare professionals, parents, teachers and students.

• To insure comparability in implementation and execution, a Procedures Manual was developed, describing all aspects of study, including sampling methods

• Data Procedures Manual: Data collection, data entry, etc.


Samples

• School children, their parents and their teachers.

• Schools were to be randomly selected.

• Student ages: 10-11 and 16-17.

• Target at least 400 students (200 in each age group) at each site.


Study Procedures• Following Procedures Manual participants

completed a baseline questionnaire.

• Each site waged an Awareness Campaign, based on the Awareness Manual.

• Approximately two weeks after the Awareness Campaign, a follow-up questionnaire was administered.

• Data Entry Manual to guide data collect, data entry and data transmission procedures.


Manuals Developed for Study


Overview of Study DesignApproval

(Highest, Local, and Individual School Authorities)

Parent Support Organizations

Randomly Select Schools and Classrooms

Obtain Parent Consent

Pilot Test Procedures

Pre-Campaign Survey

Post-Campaign Survey

Double Data Entry and Data Submission

Start PlanningAwareness Campaign

ConductAwareness Campaign


Study Website

• Dissemination of information and materials (e.g., the Awareness Manual, the Procedures Manual, Site Activity Logs, Survey Questionnaires, Data Entry Programs and Data Entry Manual).

• Email link for asking questions about procedures, which were responded to by the International Coordinating Center.


Pre-Campaign


Questionnaires AdministeredPre-Campaign Post-Campaign

Site Students Parents Teachers Students Parents Teachers

Armenia 100 100 100 0 0 0

Azerbaijan

400 51 50 381 49 45

Brazil 119 0 7 106 0 5

China 541 0 114 541 0 115

Egypt 174 94 39 0 0 0

Georgia 432 53 43 364 42 34

Israel 143 31 60 0 0 0

Russia 159 129 26 144 96 15

Uganda 403 149 56 418 73 22

Total 2,472 607 495 1,954 260 236


All Sites: Pre-Campaign Student Demographics

SITE NAge

(Mean + SD)Female

(%)

Armenia 100 13.3 + 3.14 53.0

Azerbaijan 400 13.5 + 2.86 51.5

Brazil 119 14.0 + 2.81 53.8

China 541 15.8 + 1.99 48.6

Egypt 174 13.6 + 1.62 54.6

Georgia 432 13.9 + 2.35 55.0

Israel 143 15.1 + 2.60 60.6

Russia 159 13.9 + 2.88 57.6

Uganda 403 13.4 + 3.06 53.6

TOTAL 2,472 14.2 + 2.73 53.1


All Sites: Pre-Campaign Parent Demographics

SITE NFemale

(%)Has at least 1 child

w/ MH problem (%)

Armenia 100 65.0 11.0

Azerbaijan 47 76.5 6.4

Brazil NA

China NA

Egypt 88 51.1 12.6

Georgia 51 100.0 12.0

Israel 27 63.0 NA

Russia 86 83.7 17.1

Uganda 119 63.9 37.5

TOTAL 518 69.9 17.4


All Sites: Pre-Campaign Teacher Demographics

SITE NFemale

(%)Has at least 1 student w/ MH problem (%)

Armenia 100 65.0 11.0

Azerbaijan 50 76.0 68.0

Brazil 7 100.0 100.0

China 114 64.4 57.0

Egypt 33 72.7 74.3

Georgia 42 97.6 41.0

Israel 54 75.9 94.0

Russia 21 100.0 90.9

Uganda 56 53.6 60.8

TOTAL 477 70.6 54.8


All Sites: Pre-Campaign Student Report: SDQ (N = 2,281)

4.9%

13.6

%

7.8%

17.1

%

3.7%

3.3%

3.3% 9.

0%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

Hyperactivity Conduct Emotional Any

Unlikely Possible Probable


All Sites: Pre-Campaign Mental Health Awareness

26.6

%

74.1

% 80.9

%90.6

% 99.6

%

19.8

%

93.3

%

91.8

%

28.4

%

0%10%20%30%40%50%60%70%80%90%

100%

Knows enough aboutMH

Wants to know moreabout MH

MH Campaign is goodidea

Student Parent Teacher


Armenia: Pre-Campaign Mental Health Awareness

6.0%

91.0

%

100.

0%

100.

0%

98.0

%

37.0

%

100.

0%

98.0

%

37.0

%

0%10%20%30%40%50%60%70%80%90%

100%






Azerbaijan: Pre-Campaign Mental Health Awareness

30.7

%

80.9

%

72.2

%

100.

0%

76.7

%

21.7

%

91.8

%

77.5

%

21.3

%

0%10%20%30%40%50%60%70%80%90%

100%






Brazil: Pre-Campaign Mental Health Awareness

22.8

%

68.1

%

92.0

%

100.

0%

100.

0%

100.

0%

0%10%20%30%40%50%60%70%80%90%

100%





N/A

N/A

N/A


China: Pre-Campaign Mental Health Awareness

16.8

%

65.0

%

79.4

%

20.7

%

91.9

%

91.9

%

0%10%20%30%40%50%60%70%80%90%

100%





N/A

N/A

N/A


Egypt: Pre-Campaign Mental Health Awareness

24.8

%

75.9

% 87.0

%

91.2

%

93.2

%

26.3

%

100.

0%

94.7

%

23.1

%

0%10%20%30%40%50%60%70%80%90%

100%






Georgia: Pre-Campaign Mental Health Awareness

26.1

%

80.4

%

84.8

%

98.0

%

98.0

%

27.9

%

97.6

%

100.

0%

42.0

%

0%10%20%30%40%50%60%70%80%90%

100%






Israel: Pre-Campaign Mental Health Awareness

26.6

%

57.7

%

76.6

%

79.3

% 86.2

%

91.4

%

90.7

%

30.0

%

1.8%

0%10%20%30%40%50%60%70%80%90%

100%






Russia: Pre-Campaign Mental Health Awareness

27.8

%

40.8

%

67.2

%

80.4

%

67.3

%

21.7

%

91.3

%

73.3

%

28.6

%

0%10%20%30%40%50%60%70%80%90%

100%






Uganda: Pre-Campaign Mental Health Awareness

37.4

%

87.8

%

89.6

%

93.2

%

93.1

%

19.8

%

93.3

%

91.8

%

25.7

%

0%10%20%30%40%50%60%70%80%90%

100%






Campaigns


Awareness Campaign Methods

3

5

7 7

4

3 3 3

1 1 10

1

2

3

4

5

6

7

8

9

Nu

mbe

r of

Sit

es


Post-Campaign


All Sites: Post-Campaign Mental Health Awareness

*Only asked of those who knew of school MH campaign.

70.1

%

24.8

%

50.7

%

88.3

%

34.3

% 46.5

%

90.1

%

72.0

%

14.1

%

40.7

%

98.1

%

60.2

%

0%10%20%30%40%50%60%70%80%90%

100%

School campaignoccurred in last

6 mo.

Knew enoughabout MH before

campaign

Now knowsenough about

MH

Campaign wasgood idea*



All Sites: Post-Campaign Student Report: “Campaign Changed How Child Feels Talking To …”

29.2

%

27.9

%

58.5

%

54.6

%

58.7

%

25.6

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

Teachers/Counselors Parents/Relatives Friends

Feels LESS comfortable Feels about the SAME Feels MORE comfrotable


All Sites: Post-Campaign Parent Report: “Campaign Changed How …”

30.8

%

45.2

%

60.2

%

59.6

%

46.2

%

29.1

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

Parent Feels Talking toChild

Child Feels talking toSomeone

Parent Discussing Child'sProblems w/ Teachers



All Sites: Post-Campaign Teacher Report: “Campaign Changed How …”

20.9

% 30.5

%

75.2

%

75.2

%

68.2

%

22.3

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

Teacher Fees Talking toStudent

Teacher Feels Talking toSchool Personnel

Teacher DiscussingStudent's Problems w/

Child's Parent



All Sites: Post-Campaign Parent Report: “Campaign Increased Understanding about MH Problems Among …”

34.1

%

28.6

%

48.4

% 54.9

% 64.8

%

42.9

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

Teachers Students Parents

No Don't Know/No Opinion Yes


All Sites: Post-Campaign Teacher Report: “Campaign Increased Understanding about MH Problems Among …”

21.3

%

27.6

%

79.2

%

70.0

%

59.9

%

13.6

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




Azerbaijan: Post-Campaign Mental Health Awareness


96.3

%

31.9

%

62.8

%

89.3

%

30.4

%

53.3

%

96.3

%

100.

0%

17.1

%

82.5

%

100.

0%

100.

0%

0%10%20%30%40%50%60%70%80%90%

100%


6 mo.


campaign


MH




Azerbaijan: Post-Campaign Student Report: “Campaign Changed How Child Feels Talking To …”

13.1

%

10.0

%

57.9

%

56.9

%

60.2

%

28.8

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%


Feels LESS comfortable Feels about the SAME Feels MORE comfortable


Azerbaijan: Post-Campaign Parent Report: “Campaign Changed How …”

22.2

% 33.3

%

60.0

% 70.4

%

66.7

%

28.0

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%






Azerbaijan: Post-Campaign Teacher Report: “Campaign Changed How …”

0.0%

94.4

%

100.

0%

97.1

%

2.9%

2.8%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




Child's Parent



Azerbaijan: Post-Campaign Parent Report: “Campaign Increased Understanding about MH Problems Among …”

44.0

%

20.0

%29.2

%

48.0

%

80.0

%

70.8

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




Azerbaijan: Post-Campaign Teacher Report: “Campaign Increased Understanding about MH Problems Among …”

10.8

% 24.3

%

86.5

%

89.2

%

75.7

%

13.5

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




Brazil: Post-Campaign Mental Health Awareness


100.

0%

18.8

%

51.0

%

91.9

%

100.

0%

100.

0%

20.0

%

100.

0%

0%10%20%30%40%50%60%70%80%90%

100%


6 mo.


campaign


MH



N/A

N/A

N/A

N/A

N/A


Brazil: Post-Campaign Student Report: “Campaign Changed How Child Feels Talking To …”

40.0

%

38.4

%

57.0

%

49.0

%

53.5

%

34.0

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




Brazil: Post-Campaign Teacher Report: “Campaign Changed How …”

33.3

%

40.0

%

80.0

%

33.3

%

60.0

%

20.0

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




Child's Parent



Brazil: Post-Campaign Teacher Report: “Campaign Increased Understanding about MH Problems Among …”

20.0

%

40.0

%

80.0

%

60.0

%

20.0

%

20.0

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




China: Post-Campaign Mental Health Awareness


44.0

%

18.3

%

32.4

%

83.6

%

57.4

%

12.2

%

24.3

%

95.5

%

0%10%20%30%40%50%60%70%80%90%

100%


6 mo.


campaign


MH



N/A

N/A

N/A

N/A


China: Post-Campaign Student Report: “Campaign Changed How Child Feels Talking To …”

33.2

%

27.5

%

61.0

%

55.0

% 63.8

%

27.2

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




China: Post-Campaign Teacher Report: “Campaign Changed How …”

30.8

%

36.9

%

68.2

%

67.7

%

61.5

%

27.3

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




Child's Parent



China: Post-Campaign Teacher Report: “Campaign Increased Understanding about MH Problems Among …”

23.1

%

24.6

%

76.9

%

63.1

%

58.5

%

10.8

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




Egypt: Post-Campaign Mental Health Awareness


75.2

%

23.1

%

48.1

%

87.7

%

31.3

%

51.8

%

97.5

%

64.9

%

21.6

%

35.1

%

93.9

%

46.7

%

0%10%20%30%40%50%60%70%80%90%

100%


6 mo.


campaign


MH




Egypt: Post-Campaign Student Report: “Campaign Changed How Child Feels Talking To …”

16.9

%

20.9

%

49.7

%

45.9

%

43.9

%

14.8

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




Egypt: Post-Campaign Parent Report: “Campaign Changed How …”

21.5

%

14.8

%

64.2

%

57.0

%

61.7

%

19.8

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%






Egypt: Post-Campaign Teacher Report: “Campaign Changed How …”

25.8

%

25.8

%

78.1

%

58.1

%

64.5

%

9.4%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




Child's Parent



Egypt: Post-Campaign Parent Report: “Campaign Increased Understanding about MH Problems Among …”

23.5

%

25.0

%

50.6

%

72.8

%

63.8

%

39.5

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




Egypt: Post-Campaign Teacher Report: “Campaign Increased Understanding about MH Problems Among …”

32.3

%

45.2

%

67.7

%

48.4

%

29.0

%

16.1

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




Georgia: Post-Campaign Mental Health Awareness


79.6

%

27.4

%

47.9

%

89.7

%

32.3

%

51.7

%

93.1

%

84.8

%

18.8

%

48.5

%

100.

0%

85.7

%

0%10%20%30%40%50%60%70%80%90%

100%


6 mo.


campaign


MH




Georgia: Post-Campaign Student Report: “Campaign Changed How Child Feels Talking To …”

28.6

%

26.8

%

62.4

%

53.4

% 60.9

%

20.9

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




Georgia: Post-Campaign Parent Report: “Campaign Changed How …”

22.7

%

85.7

% 95.0

%

68.2

%

5.0%

0.0%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%






Georgia: Post-Campaign Teacher Report: “Campaign Changed How …”

18.5

%

44.4

%

72.4

%

70.4

%

51.9

%

27.6

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




Child's Parent



Georgia: Post-Campaign Parent Report: “Campaign Increased Understanding about MH Problems Among …”

20.0

%

13.6

%

85.0

%

80.0

% 86.4

%

15.0

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




Georgia: Post-Campaign Teacher Report: “Campaign Increased Understanding about MH Problems Among …”

40.9

% 47.8

%

72.0

%

54.5

%

43.5

%

20.0

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




Russia: Post-Campaign Mental Health Awareness


70.4

%

25.6

%

50.8

%

72.9

%

36.4

%

39.7

%

88.6

%

86.7

%

13.3

%

13.3

%

100.

0%

46.8

%

0%10%20%30%40%50%60%70%80%90%

100%


6 mo.


campaign


MH




Russia: Post-Campaign Student Report: “Campaign Changed How Child Feels Talking To …”

46.5

%

45.2

%

43.0

%

43.0

%

47.6

%

52.3

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




Russia: Post-Campaign Parent Report: “Campaign Changed How …”

54.1

%

78.4

%

43.2

%

37.8

%

16.2

%

51.4

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%






Russia: Post-Campaign Teacher Report: “Campaign Changed How …”

50.0

%

66.7

%

41.7

%

41.7

%

33.3

%

58.3

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




Child's Parent



Russia: Post-Campaign Parent Report: “Campaign Increased Understanding about MH Problems Among …”

35.5

% 46.2

%

26.7

%

45.2

%

41.0

%

53.3

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




Russia: Post-Campaign Teacher Report: “Campaign Increased Understanding about MH Problems Among …”

25.0

%

25.0

%

66.7

%

58.3

%

50.0

%

25.0

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




Uganda: Post-Campaign Mental Health Awareness


63.8

%

26.6

%

69.5

%

94.4

%

35.5

% 47.6

%

80.0

%

55.0

%

15.8

%

66.7

%

100.

0%

34.9

%

0%10%20%30%40%50%60%70%80%90%

100%


6 mo.


campaign


MH




Uganda: Post-Campaign Student Report: “Campaign Changed How Child Feels Talking To …”

12.4

%

15.3

%

58.8

%

59.8

%

55.2

%

8.6%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




Uganda: Post-Campaign Parent Report: “Campaign Changed How …”

25.0

%

23.8

%

65.0

%

50.0

%

52.4

%

20.0

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%






Uganda: Post-Campaign Teacher Report: “Campaign Changed How …”

0.0%

0.0%

100.

0%

100.

0%

100.

0%

0.0%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




Child's Parent



Uganda: Post-Campaign Parent Report: “Campaign Increased Understanding about MH Problems Among …”

33.3

%

21.1

%

70.6

%

53.3

%

68.4

%

17.6

%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




Uganda: Post-Campaign Teacher Report: “Campaign Increased Understanding about MH Problems Among …”

10.0

%

100.

0%

100.

0%

80.0

%

0.0%

0.0%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%




Principle InvestigatorQuestionnaires


Campaign: Ease of Administration

3

4

2

3

5

6

1

3

2 2

0 0 0 0 0

2

3

44

00

1

2

3

4

5

6

7

Translations IRB Communication w/Columbia

Procedures Manual Awareness Manual

Easy Somewhat Easy Somewhat Difficult Difficult

Site

s


Website

6

3

Useful Somewhat Useful Not Useful

8

1

Yes No

Eas

y to

Use

?

7

0

Yes No

Info

rmat

ive?


Adequacy of Funds and Reasons for Delays

2

2

5

Sufficient Not Funded Not Sufficient

7

2

Yes No

Maj

or D

elay

s?

Main Reason Given for Delays:

• Funding (4 sites)

• IRB (2 sites)

• Translations/Questionnaires (2 sites)

Su

ffic

ien

t F

un

din

g?


2

3

4

2

1

0 0

3

2

3

0

1

0

1

2

3

4

5

Data Entry Data Submission CSPro Application

Easy Somewhat Easy Somewhat Difficult Difficult

Data Entry: Ease and Clarity

7

0

Yes No

Inst

ruct

ion

s C

lear

?

Site

s


Local Community Opinion

7

1

1

Liked it Neutral Mixed

7

1

Yes No

Op

inio

n C

han

ge?

5

1

Yes No

Op

inio

n I

mp

rove

?


Intentions to Conduct More Campaigns

7

1

Yes Depends on Funds

7

5

0

1

2

3

4

5

6

7

8

Local National

Local/National?

Site

s


Recommendations

• Revise Awareness Manual according to feedback.

• Conduct large-scale, more rigorous study, with controls.

• Generate paper and web-based final Awareness Manual in multiple languages.

• Make materials available worldwide.


Current Study’s Limitations

• Due to time constraints, this project may have been negatively affected by not having sufficient time for adequate Awareness Campaign.

• Although translations were requested to be done both forward and backward, this did not always happen.

• Translations may not always have been done by individuals who were equally conversant with mental health terminology and English.

• For the SDQ, the original algorithm includes parent and teacher questionnaire items in the criteria of hyperactivity disorder. Since the parent and teacher questionnaires did not include the SDQ, these items were excluded from the scoring algorithm and only student items were used (allowed by the SDQ published algorithm).


Current Study’s Limitations (Continued)

•Due to time requirements for seeking and obtaining a higher level of Institutional Review Board (Ethics Committee) approval, questionnaires were necessarily anonymous and consequently the follow-up assessments were not necessarily with all the same individuals who participated at baseline.

•For a variety of reasons, including distance, language differences, literacy, etc., not all parents were able to participate.

•For a variety of reasons, some sites were not able to recruit the proposed sample size.

Health & Medicine

Columbia Worldwide Mental Health Awareness