Diagnostic and Treatment Concordance Among Primary Care Doctors Delivering Mental Health Care: Results from an Effectiveness-implementation Hybrid Cluster Randomized Controlled Trial of an "Add-on Online Mental Health Training".

ABSTRACT:

Background

Training primary care doctors (PCDs) to manage common psychiatric conditions is seen as a key strategy to reduce the treatment gap, but its effects on their diagnostic and treatment skills remain largely unstudied.

Methods

A hybrid cluster randomized controlled trial compared two PCD training methods: training as usual (TAU; two days of in-person lectures, control group [CG]) versus TAU plus online mental health training (OMHT; 18 hours of interactive modules, study group [SG]). Primary outcomes (diagnostic, treatment, and combined concordance) between PCDs and psychiatrists were evaluated using Cohen's kappa (κ), with group comparisons made via paired t-test.

Results

For identifying anxiety disorders, SG (κ = 0.41) performed better than CG (κ = 0.06

SUBMITTER: Jayashri S 

PROVIDER: S-EPMC12664780 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature