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CTRI Number  CTRI/2024/10/075931 [Registered on: 25/10/2024] Trial Registered Prospectively
Last Modified On: 20/12/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Behavioral 
Study Design  Cluster Randomized Trial 
Public Title of Study   Changing the attitude about mental illness among Accredited Social health Activists –An health educational intervention study 
Scientific Title of Study   Reforming the attitude towards mental illness among rural public health care workers –An health educational intervention study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Pradeep Tarikere Satyanarayana 
Designation  Associate Professor  
Affiliation  SRI DEVARAJ URS MEDICAL COLLEGE 
Address  Sri Devaraj Urs Medical College Tamaka, Kolar-563103, Karnataka, India.

Kolar
KARNATAKA
563103
India 
Phone  7892950465  
Fax    
Email  dr.pradeep.ts@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sahana S Murthy 
Designation  Assistant Professor  
Affiliation  Assitant Professor , SRI DEVARAJ URS MEDICAL COLLEGE 
Address  Sri Devaraj Urs Medical College Tamaka, Kolar-563103, Karnataka, India.
Department of Pyschiatry , Sri Devaraj Urs Medical Collge , SDUAHER , Tamaka
Kolar
KARNATAKA
563103
India 
Phone  7892950465  
Fax    
Email  drsahanasmurthy@sduaher.ac.in  
 
Details of Contact Person
Public Query
 
Name  Dr PradeepTS  
Designation  Associate Professor  
Affiliation  SRI DEVARAJ URS MEDICAL COLLEGE 
Address  Sri Devaraj Urs Medical College Tamaka, Kolar-563103, Karnataka, India.

Kolar
KARNATAKA
563103
India 
Phone  7892950465  
Fax    
Email  dr.pradeep.ts@gmail.com  
 
Source of Monetary or Material Support  
Sri Devaraj Urs Medical College, SDUAHER, Tamaka, Kolar, Karnataka,India Code : 563103 
 
Primary Sponsor  
Name  Sri Devaraj Urs Medical College  
Address  Sri Devaraj Urs Medical Collge , SDUAHER, Tamaka , Kolar, Karnataka , India 563103 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DrPradeep TS  Sri Devaraj Urs Medical college  Department of Community Medicine , II floor, College Building, Sri Devaraj Urs Medical College, SDUAHER, Tamaka, Kolar
Kolar
KARNATAKA 
9538075331

dr.pradeep.ts@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sri Devaraj Urs Acadey of Higher Education & Research/Research and Development Cell/CENTRAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Mental Health Attitude 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Health Education Intervention   Through qualitative research, development of health education module will be done by inter-professional team regarding attitude towards mental illness for ASHA workers. To conduct FGD among health professionals, purposive sampling will be used and module will be prepared. Deterministic Model is used for development of the health education module. Health education in form of lecture lasting more than 45 minutes will be prepared. 8 such lectures will be prepared which will be considered for Intervention group. Same content will be converted into Attractive leaflets which will be considered for placebo group. Contents will be equalized according to the checklist made, suggestions and recommendations from FGD and it will be incorporated. Module validation will be done by content validation using a Likert’s scale, content validity index (CVI) more than 0.9 will be included in this study. Both lecture and educational leaflets similarity will be verified by experts (expert validation). To assess attitude towards mental illness, Community attitude towards mental illness (CAMI) questionnaire will be used. Baseline evaluation of attitude towards mental illness will be done on day 1 among ASHAs of all 6 taluks. After randomization through www.randomization.com software, ASHA from three taluk with go to Module lecture intervention group and other three taluk ASHA will receive Leaflet intervention module. This will be followed by health education to ASHA either by 8 hour lecture series for 8 consecutive weeks(Health Education Intervention Arm) and module leaflets for 8 weeks( Comparator arm). Lectures will be given by professional experts in the subject. Post health education intervention after 8 weeks, evaluation of attitude towards mental illness will be re -assessed using the same questionnaire.  
Comparator Agent  Health education intervention   Through qualitative research, development of health education module will be done by inter-professional team regarding attitude towards mental illness for ASHA workers. To conduct FGD among health professionals, purposive sampling will be used and module will be prepared. Deterministic Model is used for development of the health education module. Health education in form of lecture lasting more than 45 minutes will be prepared. 8 such lectures will be prepared which will be considered for Intervention group. Same content will be converted into Attractive leaflets which will be considered for placebo group. Contents will be equalized according to the checklist made, suggestions and recommendations from FGD and it will be incorporated. Module validation will be done by content validation using a Likert’s scale, content validity index (CVI) more than 0.9 will be included in this study. Both lecture and educational leaflets similarity will be verified by experts (expert validation). To assess attitude towards mental illness, Community attitude towards mental illness (CAMI) questionnaire will be used. Baseline evaluation of attitude towards mental illness will be done on day 1 among ASHAs of all 6 taluks. After randomization through www.randomization.com software, ASHA from three taluk with go to Module lecture intervention group and other three taluk ASHA will receive Leaflet intervention module. This will be followed by health education to ASHA either by 8 hour lecture series for 8 consecutive weeks(Health Education Intervention Arm) and module leaflets for 8 weeks( Comparator arm). Lectures will be given by professional experts in the subject. Post health education intervention after 8 weeks, evaluation of attitude towards mental illness will be re -assessed using the same questionnaire. 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  60.00 Year(s)
Gender  Female 
Details  ASHAs with a minimum of 1 year experience in their field practice area irrespective of their training at the National mental health program  
 
ExclusionCriteria 
Details  ASHAs with any mental illness or those who are on treatment for any mental illness. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
effectiveness of health education modules (lecture and leaflets) in bringing the change in attitude towards mental illness among ASHA workers.   Health education in form of lecture lasting more than 45 minutes will be prepared. 8 such lectures will be prepared which will be considered for Intervention group which will be given for 8 consecutive week. Same content will be converted into Attractive leaflets which will be considered for placebo group distributed for 8 consecutive weeks.  
 
Secondary Outcome  
Outcome  TimePoints 
Nil  N/A 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   27/11/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Yet Recruiting 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report
    Response -  Analytic Code

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [dr.pradeep.ts@gmail.com].

  6. For how long will this data be available start date provided 27-08-2024 and end date provided 27-07-2030?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary   Stigmatization is a significant factor affecting social engagement, interpersonal and occupational functioning, and treatment and care processes of individuals with mental illnesses. Stigmatization can be seen also among village health professional’s especially health care staff like ASHAs. Considering the importance of language and expressions in stigmatization, studies and interventions in this field might contribute to reduce stigmatization. The results from the present study will provide insights for improving the effectiveness of the mental health illness and anti-stigma program for ASHA workers. Mental-heath-specific training will improve perceptions toward mental health and also will lead to a decrease in negative attitudes and stigma regarding mental health.   
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