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Effective/cost effective interventions of child mental health problems in low- and middle-income countries (LAMIC):
Antonio Jose Grande1, Wagner Silva Ribeiro2,3, Christine Faustino1
1Universidade Estadual de Mato Grosso do Sul, Campo Grande, Brazil.
Insights
This systematic review examines interventions for child and adolescent mental health in low- and middle-income countries. It aims to identify effective and cost-effective strategies for conditions like depression and anxiety.
Area of Science:
- Child and Adolescent Mental Health Research
- Global Public Health Interventions
- Evidence-Based Practice in Psychology
Background:
- Mental health disorders affect children and adolescents globally, with a particular burden in low- and middle-income countries (LAMICs).
- Limited evidence exists on the effectiveness and cost-effectiveness of interventions for this population in LAMICs.
- There is a critical need to identify scalable and sustainable mental health solutions for young people in resource-limited settings.
Purpose of the Study:
- To systematically review the evidence on the effectiveness and cost-effectiveness of interventions for children and adolescents with or at risk of mental disorders in LAMICs.
- To synthesize findings on a range of mental health conditions including depression, anxiety, behavioral disorders, and substance abuse.
- To inform the development and implementation of evidence-based mental health strategies in LAMICs.
Main Methods:
- A comprehensive search of multiple electronic databases (Medline, EMBASE, PsycINFO, CINAHL, LILACS, BDENF, IBECS) will be conducted.
- Inclusion of randomized and non-randomized controlled trials, economic modeling studies, and economic evaluations involving participants aged 6-18 in LAMICs.
- Screening and data extraction will be performed using the Covidence web-based tool, with a pilot phase for reviewer calibration to ensure reliability.
Main Results:
- The protocol outlines the systematic approach to evidence synthesis.
- Results will be presented descriptively, with meta-analysis planned if data permit.
- Dissemination will occur through peer-reviewed publications and conference presentations.
Conclusions:
- This systematic review will provide crucial insights into evidence-based strategies for addressing child and adolescent mental health in LAMICs.
- Findings will support health specialists and professionals in implementing effective interventions.
- The review aims to bridge the gap in mental health service provision for young people in resource-constrained environments.
Background:
This systematic review protocol aims to examine the evidence of effectiveness and cost-effectiveness of interventions for children and adolescents with, or at risk of developing mental disorders in low- and middle-income countries (LAMICs).
Methods:
We will search Medline Ovid, EMBASE Ovid, PsycINFO Ovid, CINAHL, LILACS, BDENF and IBECS. We will include randomised and non-randomised controlled trials, economic modelling studies and economic evaluations. Participants are 6 to 18 year-old children and adolescents who live in a LAMIC and who present with, or are at high risk of developing, one or more of the conditions: depression, anxiety, behavioural disorders, eating disorders, psychosis, substance abuse, autism and intellectual disabilities as defined by the DSM-V. Interventions which address suicide, self-harm will also be included, if identified during the extraction process. We will include in person or e-health interventions which have some evidence of effectiveness (in relation to clinical and/or functional outcomes) and which have been delivered to young people in LAMICs. We will consider a wide range of delivery channels (e.g., in person, web-based or virtual, phone), different practitioners (healthcare practitioners, teachers, lay health care providers) and sectors (i.e., primary, secondary and tertiary health care, education, guardianship councils). In the pilot of screening procedures, 5% of all references will be screened by two reviewers. Divergences will be resolved by one expert in mental health research. Reviewers will be retrained afterwards to ensure reliability. The remaining 95% will be screened by one reviewer. Covidence web-based tool will be used to perform screening of references and full text paper, and data extraction.
Results:
The protocol of this systematic review will be disseminated in a peer-reviewed journal and presented at relevant conferences. The results will be presented descriptively and, if possible, meta-analysis will be conducted. Ethical approval is not needed for anonymised secondary data.
Conclusion:
the systematic review could help health specialists and other professionals to identify evidence-based strategies to deal with child and adolescents with mental health conditions.
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