Testing an mhealth digital dashboard to improve quality of delivery of evidence-based interventions that promote family mental health and functioning in rwanda.a hybrid type 3 study

Active Project Grant Awarded Last action

Award ID
R01MH136200
Recipient
Awarding agency
Obligated
$2,548,538

Award facts

Assistance listing
93.242 Mental Health Research Grants
Completion date 47% complete
Place of performance
Chestnut Hill, Newton, MA, USA

Award details come from USAspending.gov.

Description

As the agency reported it.

Abstract
Globally, mental disorders are the second largest contributor to the burden of disease in adults. In settings disrupted by war and civil unrest, violence and loss contribute to significant unaddressed burden of mental disorders and family violence in adults with subsequent risks to children. In rwanda the intergenerational mental health consequences of the 1994 genocide against the tutsi in rwanda persist; recent studies found that 20% of the rwandan population has one or more mental disorders with the highest rates observed in genocide survivors. Sugira muryango is an evidence-based, trauma-informed, family-based behavioral intervention to promote healthy family functioning, early childhood development and reduce family violence. In several trials, sugira muryango has led to improvements in parental mental health and child development outcomes including social and emotional development of children, improved caregiver mental health and reductions in family violence. To support scaling the intervention the university of rwanda and other partners developed a digital dashboard tool that: (a) streamlines collection of data on evidence-based intervention quality and reach; (b) improves visibility and searchability of implementation data by region; (c) facilitates caregiver mental health and social services referrals and follow up; and (d) serves as a training platform with resources to enhance interventionist fidelity and competence. In the context of understanding important factors for scaling evidence-based interventions, the proposed research will investigate dashboard-supported delivery of sugira muryango in terms of its reach, efficiency, and cost effectiveness. The hybrid type 3 implementation-effectiveness study will collect outcomes measuring the program's effectiveness, quality of program delivery, feasibility, and acceptability from program beneficiaries, the interventionists, their supervisors, and community stakeholders. The study will compare the trajectories of fidelity, competence, and self-efficacy between dashboard-supported delivery and standard delivery. The study will also include social network analysis to understand how the characteristics of networks comprised of supervisors and interventionists affect trajectories over time. Lastly, the study will investigate the impact of dashboard-supported delivery by comparing the difference in child and caregiver mental health outcomes with standard delivery. These data will be used to analyze cost-effectiveness and return on investment of the intervention as delivered with and without the dashboard. The results of the proposed research will identify scalable pathways to accelerate integration of technology and evidence-based mental health services into policy and practice in rwanda.

Transactions

Action Obligated Date
Amendment $64,525
Amendment $54,203
Amendment An mhealth digital dashboard for quality delivery of evidence-based interventions promoting family mental health and functioning in rwanda. A hybrid type III… $540,046
Amendment $70,430
Amendment $140,492
Amendment $449,433
Original award $689,363

Subawards

Subrecipient Amount Awarded
University Of Rwanda Testing an mHealth digital dashboard to improve quality of evidence based interventions that promote family mental health and functioning in Rwanda. A hybrid… $140,492
FXB Rwanda Testing an mHealth Digital Dashboard to improve Quality of Delivery of Evidence-based Interventions that Promote Family Mental Health and Functioning in… $70,430
University Of Rwanda i. Digital Dashboard Development 1. User-centered design focused feature improvement. UoR will host user-centered design activities to explore refinement of… -$60,340
University Of Rwanda i. Digital Dashboard Development 1. User-centered design focused feature improvement. UoR will host user-centered design activities to explore refinement of… $130,675
University Of The Witwatersrand Foundation i. Lead Return on Investment and Incremental Cost-Effectiveness Research Methods and Analysis (Aim 3): 1. Prepare cost data collection standard operating… $17,988
FXB Rwanda Work with data collection firm to select study and control villages -Collect costing data surrounding implementation of the intervention (pre, post, and… $83,270

Quick answers

Who received award R01MH136200?

R01MH136200 was awarded to Trustees Of Boston College by National Institute of Mental Health (National Institutes of Health) on July 2, 2024.

How much is award R01MH136200 worth?

$2,548,538 has been obligated on R01MH136200.

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