Trial reportBMJ open2021
Perceptions of ASHA workers in the HOPE collaborative care mental health intervention in rural South India: a qualitative analysis.
Trial report in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Knowledge of Accredited Social Health Activists in India: a systematic review and meta analysis of evidence drawn from primary studies published between 2005 and 2022.BMC health services research · 2025Pooled it
- Trial
- Perceptions of intimate partner violence among men and women in southern India: a qualitative study.BMJ open · 2026Article
- Survey study on self-perceived knowledge and gaps in sexual health knowledge and awareness among women in Mumbai's urban slum communities.BMJ public health · 2026Article
- Understanding the role and organization of health workers delivering non-communicable disease management in primary care in low- and middle-income countries: a scoping review.BMC primary care · 2025Article
- Diversity in approaches in community-based mental health interventions in India: A narrative review and synthesis.Global mental health (Cambridge, England) · 2025Review
- The role(s) of community health workers in primary health care reform in Kerala, before and during the COVID 19 pandemic: a qualitative study.Frontiers in health services · 2024Article
- Development of a Digital Program for Training Community Health Workers in the Detection and Referral of Schizophrenia in Rural India.The Psychiatric quarterly · 2023Article
- Feasibility of training primary healthcare workers to identify antenatal depression.Global mental health (Cambridge, England) · 2023Article
- Caste and COVID-19: Psychosocial disparities amongst rural Indian women during the coronavirus pandemic.The Journal of social issues · 2022Article
- Leveraging role of non-physician health workers in prevention and control of non-communicable diseases in India: Enablers and challenges.Journal of family medicine and primary care · 2021Review
- Role of accredited social health activists in treatment of persons with severe mental illness in the community.Indian journal of psychiatryArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveThe main objective of this exploratory study was to investigate the overlooked perspectives and beliefs of Accredited Social Health Activists (ASHA workers) regarding a collaborative care mental health intervention (HOPE:
designSemi-structured, one-on-one, qualitative interviews.
settingSeven primary health centres (PHCs) in rural Karnataka, India. All PHCs had previously completed the HOPE study.
participants15 ASHA workers, selected via purposive sampling. ASHAs are high school-educated village women trained as community health workers. ASHAs were included if they had previously participated in the HOPE intervention, a collaborative-care randomised controlled trial that aimed to integrate mental healthcare into existing primary care systems in rural Karnataka.
interventionsNo interventions were introduced.
resultsASHA workers mostly had positive interactions with patients, including encouraging them to attend sessions, helping to explain the topics and techniques, and checking on the patients frequently. ASHA workers were able to identify key barriers to treatment and facilitators to treatment. ASHAs claimed that their knowledge about mental illness improved because of the HOPE study, though gaps remained in their understanding of aetiology and treatment. Several expressed interest in receiving additional mental health training. Overall, ASHAs viewed the HOPE study as a necessary and effective intervention, and requested that it expand.
conclusionsThis paper discusses the perspectives of ASHAs who participated in a novel effort to extend the collaborative care model to their own communities. ASHA workers help maintain relationships with patients that encourage participation, and the efforts of ASHAs often aid in mitigating common barriers to treatment. ASHA workers' beliefs and knowledge regarding mental illness can be changed, and ASHAs can become effective advocates for patients. Future collaborative care interventions would likely benefit from involving ASHA workers in community outreach efforts.
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Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.