The lancet. Psychiatry
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The lancet. Psychiatry · Feb 2019
Randomized Controlled TrialDelivering the Thinking Healthy Programme for perinatal depression through peers: an individually randomised controlled trial in India.
The Thinking Healthy Programme (THP) is a psychological intervention recommended for the treatment of perinatal depression. However, efforts to integrate the intervention at scale into the routines of community health workers who delivered the THP when it was first evaluated were compromised by the competing responsibilities of community health workers. We aimed to assess the effectiveness and cost-effectiveness of THP peer-delivered (THPP) in Goa, India. ⋯ National Institute of Mental Health (USA).
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The lancet. Psychiatry · Feb 2019
Opioid prescribing trends and geographical variation in England, 1998-2018: a retrospective database study.
There is a call for greater monitoring of opioid prescribing in the UK, particularly of strong opioids in chronic pain, for which there is little evidence of clinical benefit. We aimed to comprehensively assess trends and variation in opioid prescribing in primary care in England, from 1998 to 2018, and to assess factors associated with high-dose opioid prescribing behaviour in general practices. ⋯ National Institute for Health Research (NIHR) School of Primary Care Research, NIHR Biomedical Research Centre Oxford, NHS England.
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The lancet. Psychiatry · Feb 2019
Randomized Controlled TrialDelivering the Thinking Healthy Programme for perinatal depression through volunteer peers: a cluster randomised controlled trial in Pakistan.
The Thinking Healthy Programme (THP), which is endorsed by WHO, is an evidence-based intervention for perinatal depression. We adapted THP for delivery by volunteer peers (laywomen from the community) to address the human resource needs in bridging the treatment gap, and we aimed to assess its effectiveness and cost-effectiveness in Rawalpindi, Pakistan. ⋯ National Institute of Mental Health (USA).