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Institute for Health and Care Research (NIHR)'s second Research and Innovation for Global Health Transformation (RIGHT) call. RIGHT funds cutting-edge interdisciplinary applied health research in key areas in low- and middle-income countries (LMICs) where a strategic and targeted investment can result in a transformative impact. \nRIGHT Call 2 is funding mental health research in LMICs through supporting applied research on the development and evaluation of interventions to improve outcomes for people affected by mental health issues. UK universities and research institutes were invited to submit applications including a co-applicant or joint lead applicant from an LMIC relevant to the research proposal. Research must be focused on improving the health and welfare of people in LMICs. . 1. Deliver research for the primary benefit to the health and welfare of the poorest individuals living in in low- and middle-income countries (LMICs), through research for the development and evaluation of interventions to improve outcomes for those affected by mental health issues.\n2. Strengthen capacity for research and knowledge exchange through equitable partnerships between researchers in the UK and LMICs. \n3. Promote interdisciplinary approaches to working (including, but not limited to: clinical, health economics, statistics, qualitative and social sciences), to ensure that research objectives can be delivered. \n \n ID: GB-GOV-10-RIGHT_2_200806\nTitle: NIHR RIGHT2: Behavioural activation intervention for depression and diabetes in South Asia\nDescription: A UK and low- and middle-income country (LMIC) research partnership that aims to develop and evaluate a culturally adapted behavioural activation intervention for people with depression and diabetes in Bangladesh and Pakistan.. The project aims to develop and test a culturally appropriate treatment for depression in people with diabetes in Bangladesh and Pakistan. This will be based on a relatively simple psychological talking treatment called Behavioural Activation (BA). The projects objectives are:\n1. Develop and evaluate a culturally relevant, scalable behavioural activation intervention that can be delivered by non-specialists, and integrated within diabetes care. \n2. Evaluate the clinical cost effectiveness of the new intervention in comparison to optimised usual care practices.\n3. Evaluate the economic impacts of diabetes and depression multimorbidities. \nThe work will generate knowledge that can improve mental and physical health, reduce inequalities and stigma for vulnerable groups, and provide economic benefit. Research collaboration is also expected to lead to further enhanced capacity in applied mental-physical multimorbidity research and policymaking in Bangladesh and Pakistan.\n\n \n ID: GB-GOV-10-RIGHT_2_200817\nTitle: NIHR RIGHT2: Care for perinatal depression through enhancements to the ‘Thinking Healthy Programme’\nDescription: A UK and low- and middle-income country (LMIC) research partnership that aims to scale-up care for Perinatal Depression in Pakistan, Nepal, Bangladesh and Sri Lanka, through development of technology to support lay-therapists to deliver a World Health Organization (WHO)-approved Cognitive Therapy based intervention.. The project aims to develop knowledge and tools to improve management of perinatal depression in women in four South Asian countries (Pakistan, Nepal, Bangladesh and Sri Lanka). Perinatal depression affects about one in four women in South Asia and has huge human and economic costs. It can be treated effectively with talking therapies. However, the vast majority of women in low-income countries remain untreated because of overburdened health systems and lack of mental-health specialists. The project focuses on use of technology to enable local lay-therapists to deliver an established talking therapy. If successful the technology would facilitate task-shifting the delivery of the therapy from a few specialists in overburdened health systems to appropriately trained lay-persons, thereby increasing the number of care providers and improving opportunities for women to access treatment. \nThe objectives of the work are: \n1. Develop and evaluate a digital Application (App) to facilitate delivery of a WHO-approved talking therapy, the “Thinking Healthy Programme”, by lay-women in Pakistan. \n2. Improve implementation research capacity in four South Asian countries, Pakistan, Nepal, Bangladesh and Sri Lanka, to facilitate scale-up of the intervention in their settings.\n\n \n ID: GB-GOV-10-RIGHT_2_200824\nTitle: NIHR RIGHT2: Community-based care improving outcomes for people with psychosis in Pakistan and India.\nDescription: A UK and low- and middle-income country (LMIC) research partnership to improve the quality of community-based care for people with psychosis in Pakistan and India by adapting and testing a low-cost approach called DIALOG+, and to raise awareness through arts projects involving people with psychosis and community members.. Psychosis is a serious mental illness and can be very distressing for individuals and their families. People with psychosis often have a poor quality of life, and many do not receive the treatment they need. This is called the treatment gap. This project seeks to address the treatment gap in India and Pakistan through adapting a low cost treatment called “DIALOG+” so that it can be delivered in the community. DIALOG+ is known to help reduce symptoms and support people to have improved quality of life. The projects objectives are as follows:\n1. Work with the communities in Pakistan and India to adapt DIALOG+ for their needs, thereby making this treatment more widely available and accessible.\n2. Test the effectiveness of the adapted DIALOG+ in the selected communities to see if people with psychosis receiving DIALOG+ show improvements.\n3. Develop the skills of local researchers and services through a programme of capacity-building and knowledge exchange.\n4. Use arts based methods to educate and raise awareness about psychosis in the selected communities, so as to tackle discrimination against people with psychosis.\n \n ID: GB-GOV-10-RIGHT_2_200842\nTitle: NIHR RIGHT2: Improving mental health in Africa for children with developmental disorders\nDescription: A UK and low- and middle-income country (LMIC) research partnership to improve the wellbeing and mental health of children with developmental disorders and their caregivers, by developing and evaluating a model of care with and for local Kenyan and Ethiopian communities.. Many African children with developmental disorders (including intellectual disability and autism) and their caregivers experience severe challenges. Due to community stigma and parental blame, children with developmental disorders are often locked in their home. Many of these children do not attend school and receive no formal support. Affected families often live in poverty as care responsibilities mean caregivers are unable to work. Caregivers also report severe stress and social isolation, and associated mental health problems, including suicidal thoughts. This project seeks to improve the mental health of Kenyan and Ethiopian children and their caregivers through developing care-giver training packages, raising awareness and promoting community based support and inclusion. The objectives and intended impacts are as follows: \n1. Working directly with communities to understand and break down barriers to accessing health and education services. \n2. Awareness raising and education activities to promote community based support and inclusion.\n3. Training local caregivers to identify children with development disorders and facilitate referrals to a new “Caregivers Skills Training” (CST) package developed by the World Health Organization. The package teaches parents / caregivers strategies to support child development, and since it is a group delivered activity it also helps alleviate the social isolation experienced by the caregiver.\n4. Evaluate how well the CST package works in improving the mental health and wellbeing of children with developmental disorders and their caregivers, and whether the package offers value for money. \n\n \n\n \n ID: GB-GOV-10-RIGHT_2_200846\nTitle: NIHR RIGHT2: Transforming Access to Care for Serious Mental Disorders in Slums\nDescription: A UK and low- and middle-income country (LMIC) research partnership to increase access to care and improve outcomes of serious mental disorders (SMDs) in slums in India and Nigeria, through development of an innovative collaborative care model involving traditional/faith healers, mental health professionals, primary care practitioners and community health workers (CHWs).. Slum populations in low- and middle-income countries (LMICs) have high rates of serious and enduring mental disorders (SMDs) and very poor access to professional medical mental health care. Sufferers and their families often choose traditional and faith-based practices since these are more accessible, considered affordable, and are in tune with their cultural beliefs and traditions. Faith-based and traditional healing can play an important part in delivering care in LMICs, but those with SMDs require additional biomedical treatment and follow-up. This projects’ primary objective is to improve access to care and improve the outcomes for people with SMDs, through fostering cooperation between traditional/faith-based healers and professional medical services. The work focuses on two specifically identified slum populations, in New Dehli (India) and in Ibadan (Nigeria).\nThe researchers will:\n1. investigate each communities’ awareness and understanding of SMDs, including working with CHWs and traditional/faith-based healers to understand who seeks and receives care from these healers and how those processes could be linked to medical care. \n2. Develop training packages to support CHWs and traditional/faith-based healers to identify SMDs that require referral to medical care, and create a mechanism for referral to medical care and other support services. \n3. Develop street theatre performances and documentaries to reach and engage the relevant communities to raise awareness and reduce stigma, and share information on how to access care for SMDs. \n4. The overall output from the work is an innovative collaborative care model involving traditional/faith healers, mental health professionals, primary care practitioners and CHWs in Nigeria and India.\n \n ID: GB-GOV-10-RIGHT_2_200851\nTitle: NIHR RIGHT2: Developing group interpersonal therapy for postnatal depression in Lebanon and Kenya\nDescription: A UK and low- and middle-income country (LMIC) research partnership to evaluate the impact of Group Interpersonal Psychotherapy (g-IPT+) for treatment of postnatal depression in Lebanon and Kenya. The research will adapt the therapy for use in these two countries and evaluate its potential impact on child developmental outcomes, maternal depression and the mother-child relationship.. Depression is the most common mental health issue affecting women of childbearing age. 20%-25% of women in low- and middle-income countries (LMICs) experience depression during pregnancy or shortly after childbirth, which can have long term consequences for both the mother and child. However, treatment for postnatal depression is rarely available in primary care in many LMICs. This project seeks to improve understanding of postnatal depression and increase access to treatment for communities in Lebanon and Kenya by developing and evaluating a Group Interpersonal Psychotherapy (g-IPT+) treatment. Overall the study will determine whether a culturally-adapted g-IPT+ delivered in community settings in Lebanon and Kenya could have a greater impact on child developmental outcomes, maternal depression and the mother-child relationship than high quality standard care for postnatal depression. The projects objectives are:\n1. To develop a systematic understanding of how the local communities perceive postnatal depression, and use this learning to work with experienced local practitioners to develop a culturally appropriate and optimised g-IPT+.\n2. Improve access to treatment by training local workers to identify postnatal depression and to deliver adapted g-IPT+.\n3. Assess the potential of the g-IPT+ approach to promote child development and treat maternal depressive symptoms, and estimate the cost effectiveness. \n4. Embed sustainable care pathways for postnatal depression. \n5. Leverage partnerships with local communities to build research capacity in Lebanon and Kenya.\n6. Develop a toolkit to support training and implementation in other countries around the globe.\n \n ID: GB-GOV-10-RIGHT_2_PPDA\nTitle: Proposal and Partnership Development Awards (PPDA) for NIHR Research and Innovation for Global Health Transformation (RIGHT) call 2 Stage 2 applicants\nDescription: The purpose of Proposal and Partnership Development Awards (PPDA) funding is to improve the quality and likelihood of success of the projects funded through the NIHR Research and Innovation for Global Health Transformation (RIGHT) programme. Applicants that are successful at RIGHT Stage 1 and invited to submit a Stage 2 application are eligible for a PPDA, subject to satisfactory submission of a PPDA application. Not all Stage 2 applicants awarded a PPDA go on to secure RIGHT programme funding, therefore the details of PPDA recipients are not published. For RIGHT Call 2, PPDA were extended to 13 applicant organisations to support partnership development and the preparation of a RIGHT Stage 2 application.. Proposal and Partnership Development Awards (PPDA) provide funding of up to £10,000 for organisations applying to NIHR Research and Innovation for Global Health Transformation (RIGHT) programme funding to:\n1.\tSupport applicants to work collaboratively with all study partners to develop the stage 2 application\n2.\tEnhance partnerships across the proposed research collaboration\n3.\tInitiate preparation of study governance documentation (i.e. due diligence and finance assurance policies)\nPPDA funds must be spent between the notification of RIGHT stage 1 outcome and the submission of the RIGHT stage 2 application.\n", "_version_":1864124428308185088 }] } }