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Barriers and Facilitators in the Implementation of the Systematic Medical Appraisal, Referral, and Treatment (SMART) Mental Health Digital Intervention in Rural India: Mixed Methods Process Evaluation Study
An estimated 150 million people have mental health care needs in India, but only 15% are able to access care. Depression and anxiety contribute to a large proportion of mental morbidity. The Systematic Medical Appraisal, Referral, and Treatment (SMART) Mental Health trial used a mobile-based clinical decision support system for primary care doctors and community health workers (CHWs) to identify and treat people at risk of depression, anxiety disorders, and self-harm.
Medigy Insights
A digital mental health program in rural India achieved high adoption by combining mobile decision-support tools with community-based stigma reduction efforts. Success depended less on the technology itself and more on trusted community health workers, ongoing training, and local engagement that encouraged people to seek care.
Continue reading at mental.jmir.org
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