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PsychosisSCAPE-UNCT05863572

Strengthening Care in Collaboration With People With Lived Experience of Psychosis in Uganda

A study testing Primary care health worker training, Community Health Workers Training and Home visits in people with Psychosis, run by George Washington University at 1 site in Uganda.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Background: Mental health services are most effective and equitable when designed, delivered, and evaluated in collaboration with people with lived experience of mental health conditions. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Psychosis
What is being tested?
Primary care health worker training, Community Health Workers Training and Home visits
Could I receive a placebo?
No, everyone receives an active treatment
How many people
179 participants
Where
1 siteUganda
Study dates
16 Jan 2024to 13 Jan 2026
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Facilitators of the implementation strategy:
  • At least 18 years of age
  • Confirmed diagnosis of a primary psychotic disorder (e.g., schizophrenia) by a psychiatrist or psychiatric clinical officer
  • Completion of the YouBelongHOME (YBH) program
  • Provision of informed consent,
  • Fluency in the local language (Luganda)
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  • Good functioning with respect to performance of daily chores,engagement with family members, comprehension and community participation as assessed by the YBH team
  • A supportive family member.
  • Primary care providers:
  • Provides primary care in health facility of Kampala/Wakiso District
  • Selected by facility in-charge
  • Community health workers
  • Provides community based health service in health facility where primary care providers are trained (from Kampala/Wakiso district)
  • Selected by facility in-charge
  • Patients (Primary beneficiaries)
  • Persons diagnosed with psychosis at a primary health care facility in Kampala/Wakiso District; For this study, a diagnosis of psychosis will include the following diagnoses according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5):schizophrenia spectrum and other psychotic disorders [brief psychotic disorder, schizophreniform disorder, schizoaffective disorder, schizophrenia, and organic psychosis (i.e., psychosis secondary to a medical condition such as HIV or an alcohol- or substance-use disorder)];bipolar affective disorder and related disorders;
  • Ability of the patient or responsible surrogate to consent to study enrolment and procedures;
  • Persons eligible for outpatient management of psychosis
  • Family members a. Family member or caregiver of the patients above.

Who cannot join

  • Facilitators of the implementation strategy:
  • Inability to provide informed consent.
  • Primary care providers:
  • None
  • Community health workers:
  • None
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  • Patients
  • Persons diagnosed with psychosis requiring inpatient management/services; and
  • Persons for whom consent for participation in the study cannot be obtained.
  • Patients found to be severely ill beyond the capacity of the health facility to treat.
  • Family members a. Family members who doesn't provide consent for participation

Trial locations and contacts

1 site in 1 country.

Uganda1 site
  • YouBelong Uganda

    Kampala, Kampala, 99999

Other trials in Uganda

About this study

Background: Mental health services are most effective and equitable when designed, delivered, and evaluated in collaboration with people with lived experience of mental health conditions. Unfortunately, people with lived experience are rarely involved in health systems strengthening or are limited to specific components (e.g., peer helpers) rather than multi-tiered collaboration in the continuum of health services (e.g., ranging from home- to community- to clinic-based services). Moreover, programs that do involve people with lived experience, typically involve people with a history of a substance use conditions or common mental disorders. In contrast, the collaboration of people with lived experience of psychosis is especially rare. A pilot cluster randomized controlled trial will be conducted in urban and peri-urban areas around Kampala, Uganda, to evaluate the benefits of an implementation strategy for mental health services with engagement of people with lived experience of psychosis throughout the home-to-community-to-clinic care continuum, this is a hybrid type-III implementation-effectiveness pilot focusing on the differences in implementation strategy. This implementation strategy, entitled "Strengthening CAre in collaboration with People with lived Experience of psychosis in Uganda", will include training people with lived experience of psychosis using PhotoVoice and other methods to participate at three levels: in-home services, community engagement, and primary health care facilities. The investigators will compare a standard task-sharing implementation arm using training by mental health specialists with an experimental implementation arm that includes collaboration with people with lived experience. The primary objective is to evaluate the feasibility and acceptability of this strategy in the context of assuring safety and wellbeing of people with lived experience of psychosis who collaborate in health systems strengthening. By collaborating on health systems strengthening across these multiple levels, we foresee a more in-depth contribution that can lead to rethinking how best to design and deliver care for people with lived experience of psychosis. Successful completion of this pilot will be the foundation for a fully powered trial to evaluate the benefits of multi-level collaboration with people with lived experience of psychosis.

Read the detailed description

The aim of the current study is to conduct a pilot cluster randomized controlled trial to determine feasibility and acceptability of people with lived experience of psychosis collaborating in training primary care and community health care workers and co-delivering services in the home. This pilot study will consist of two trial arms: - Training- As- Usual vs the experimental arm. It will be implemented across three-tiers - in primary health care, community, and home settings. The pilot will also determine the parameters needed for appropriate design and implementation of a fully-power future cluster randomized controlled trial.

Objective 1 - To assess the feasibility and acceptability of the implementation strategy from the perspective of people with lived experience of psychosis, family members and primary and community care providers.

Objective 2 - To demonstrate proof-of-concept for the benefit of the implementation strategy for service users (i.e., patients with psychosis receiving primary care services) and their families, including changes in psychosis symptoms, quality of life, frequency of hospitalization and the potential impacts on family members.

Objective 3 - To evaluate changes in health systems outcomes in terms of primary care provider knowledge, attitudes, competency in psychosis diagnosis and management, accuracy of diagnosis and fidelity to treatment guidelines in actual care settings as well as trial procedures.

Objective 4: To evaluate costing, recruitment and retention, and data collection procedures and protocols to determine the optimal design for a future fully powered cluster Randomized Controlled Trial.

Objective 5: To establish and demonstrate ethics and safety in collaborating with service users.

Conditions
Psychosis
Being tested
Primary care health worker training, Community Health Workers Training, Home visits
Medical subject headings
Psychotic Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Primary care health worker trainingOther

    Training primary care workers to detect and treat psychosis.

  • Community Health Workers TrainingOther

    training community health workers in detection and referral

  • Home visitsOther

    home visits conducted by people with lived experience of psychosis

Study groups in NCT05863572
Study groupRoleWhat they receive
Treatment as usualActive comparatorTraining primary care workers in diagnosis and treatment; training community health workers in detection and referral.
Receives: Other: Primary care health worker training; Other: Community Health Workers Training
Strengthening care in collaboration with people with lived experience of psychosis in UgandaExperimentalTrainings done in collaboration with people with lived experience of psychosis; as well as additional home visits conducted by people with lived experience of psychosis.
Receives: Other: Primary care health worker training; Other: Community Health Workers Training; Other: Home visits

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Positive and Negative Symptoms of Schizophrenia (PANSS) scale

    Symptoms of Psychosis, minimum = 0, maximum = 56, higher score is worse

    Measured: baseline - immediately after enrollment

  2. Positive and Negative Symptoms of Schizophrenia (PANSS) scale

    Symptoms of Psychosis, minimum = 0, maximum = 56, higher score is worse

    Measured: 4 months post enrollment

  3. Positive and Negative Symptoms of Schizophrenia (PANSS) scale

    Symptoms of Psychosis, minimum = 0, maximum = 56, higher score is worse

    Measured: 8 months post enrollment

Secondary outcomes (42)
  1. World Health Organization Quality of Life-Brief Scale

    Brief quality of life scale, minimum = 0, maximum = 100, Higher score refers to better quality of life

    Measured: immediately after enrollment

  2. World Health Organization Quality of Life-Brief Scale

    Brief quality of life scale, minimum = 0, maximum = 100, Higher score refers to better quality of life

    Measured: 4 months post enrollment

  3. World Health Organization Quality of Life-Brief Scale

    Brief quality of life scale, minimum = 0, maximum = 100, Higher score refers to better quality of life

    Measured: 8 months post enrollment

  4. Service user collaboration checklist

    Benefits and challenges of service users' collaboration, minimum = 12, maximum = 48, higher number refers to strong collaboration experience

    Measured: immediately after enrollment

  5. Service user collaboration checklist

    Benefits and challenges of service users' collaboration, minimum = 12, maximum = 48, higher number refers to strong collaboration experience

    Measured: 4 months post enrollment

  6. Service user collaboration checklist

    Benefits and challenges of service users' collaboration, minimum = 12, maximum = 48, higher number refers to strong collaboration experience

    Measured: 8 months post enrollment

  7. EuroQuality of Life 5-Dimension 5-Level

    Quality of Life (for health economics analyses), minimum = 5, maximum=25, higher score is worse

    Measured: immediately after enrollment

  8. EuroQuality of Life 5-Dimension 5-Level

    Quality of Life (for health economics analyses), minimum = 5, maximum=25, higher score is worse

    Measured: 4 months post enrollment

  9. EuroQuality of Life 5-Dimension 5-Level

    Quality of Life (for health economics analyses), minimum = 5, maximum=25, higher score is worse

    Measured: 8 months post enrollment

  10. Discrimination and Stigma Scale-Brief version

    Stigma experienced by persons living with mental illness, minimum = 0, maximum = 33, Higher score refers to higher experience of stigma

    Measured: immediately after enrollment

  11. Discrimination and Stigma Scale-Brief version

    Stigma experienced by persons living with mental illness, minimum = 0, maximum = 33, Higher score refers to higher experience of stigma

    Measured: 4 months post enrollment

  12. Discrimination and Stigma Scale-Brief version

    Stigma experienced by persons living with mental illness, minimum = 0, maximum = 33, Higher score refers to higher experience of stigma

    Measured: 8 months post enrollment

  13. Social Inclusion Scale

    Social Inclusion of service users, minimum = 10, maximum = 50, Higher score refers to better experience of social inclusion

    Measured: immediately after enrollment

  14. Social Inclusion Scale

    Social Inclusion of service users, minimum = 10, maximum = 50, Higher score refers to better experience of social inclusion

    Measured: 4 months post enrollment

  15. Social Inclusion Scale

    Social Inclusion of service users, minimum = 10, maximum = 50, Higher score refers to better experience of social inclusion

    Measured: 8 months post enrollment

  16. Hospitalization Record

    no minimum or maximum, score is total number of days patient was hospitalized during study period

    Measured: immediately after enrollment

  17. Hospitalization Record

    no minimum or maximum, score is total number of days patient was hospitalized during study period

    Measured: 4 months post-enrollment

  18. Hospitalization Record

    no minimum or maximum, score is total number of days patient was hospitalized during study period

    Measured: 8 months post enrollment

  19. Client Service Receipt Inventory

    Costs of care to patients, there is no maximum or minimum score, the outcome is total cost for patient to get healthcare

    Measured: immediately after enrollment

  20. Client Service Receipt Inventory

    Costs of care to patients, there is no maximum or minimum score, the outcome is total cost for patient to get healthcare

    Measured: 4 months post enrollment

  21. Client Service Receipt Inventory

    Costs of care to patients, there is no maximum or minimum score, the outcome is total cost for patient to get healthcare

    Measured: 8 months post enrollment

  22. Family Interview Schedule-Impact on Caregivers

    Impact on family members and caregivers of people with mental illness, minimum = 0, maximum = 48, higher score means higher burden on the families

    Measured: immediately after enrollment

  23. Family Interview Schedule-Impact on Caregivers

    Impact on family members and caregivers of people with mental illness, minimum = 0, maximum = 48, higher score means higher burden on the families

    Measured: 4 months post enrollment

  24. Family Interview Schedule-Impact on Caregivers

    Impact on family members and caregivers of people with mental illness, minimum = 0, maximum = 48, higher score means higher burden on the families

    Measured: 8 months post enrollment

  25. Community Health Workers: Social Distance Scale

    Attitudes of community health workers towards people with psychosis, 12-item scale of willingness to interact with persons with mental illness, minimum = 0, maximum = 72, higher score is worse outcome

    Measured: pre training

  26. Community Health Workers: Social Distance Scale

    Attitudes of community health workers towards people with psychosis, 12-item scale of willingness to interact with persons with mental illness, minimum = 0, maximum = 72, higher score is worse outcome

    Measured: immediately after training

  27. Community Health Workers: Assessment tool

    Accuracy of detection, no score - will check if their detection matches with the gold standard - Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders 5

    Measured: monthly throughout the study period : average of 8 months, However accuracy check during SCID diagnosis check

  28. Community Health Workers: Village health team referral

    no maximum or minimum, outcome is the number of patients referred by community health workers to the health post

    Measured: monthly throughout the study period (average of 8 months), starts immediately after training

  29. Community Health Workers: Village health team referral with psychosis

    no maximum or minimum, outcome is the number of patients diagnosed with psychosis by PCP and referred by community health workers to the health post

    Measured: monthly throughout the study period (average of 8 months), starts immediately after training

  30. Primary care workers: Social Distance Scale

    12-item scale of willingness to interact with persons with mental illness, minimum = 0, maximum = 72, higher score is worse outcome

    Measured: pre training

  31. Primary care workers: Social Distance Scale

    12-item scale of willingness to interact with persons with mental illness, minimum = 0, maximum = 72, higher score is worse outcome

    Measured: immediately after training

  32. Primary care workers: Social Distance Scale

    12-item scale of willingness to interact with persons with mental illness, minimum = 0, maximum = 72, higher score is worse outcome

    Measured: final supervision: 8 months post training

  33. Primary care workers: Mental health Gap Action Program Knowledge

    Multiple-choice assessment from mental health Gap Action Programme training materials; minimum = 0, maximum = 100, higher is better outcome

    Measured: pre training

  34. Primary care workers: Mental health Gap Action Program Knowledge

    Multiple-choice assessment from mental health Gap Action Programme training materials; minimum = 0, maximum = 100, higher is better outcome

    Measured: immediately after training

  35. Primary care workers: Mental health Gap Action Program Knowledge

    Multiple-choice assessment from mental health Gap Action Programme training materials; minimum = 0, maximum = 100, higher is better outcome

    Measured: final supervision: 8 months post training

  36. Primary care workers: Enhancing Assessment of Common Therapeutic factors for Psychosis

    Observed structured clinical evaluation using a standardized role play, minimum score = 0, maximum = 100, higher scores are better

    Measured: pre training

  37. Primary care workers: Enhancing Assessment of Common Therapeutic factors for Psychosis

    Observed structured clinical evaluation using a standardized role play, minimum score = 0, maximum = 100, higher scores are better

    Measured: immediately after training

  38. Primary care workers: Enhancing Assessment of Common Therapeutic factors for Psychosis

    Observed structured clinical evaluation using a standardized role play, minimum score = 0, maximum = 100, higher scores are better

    Measured: final supervision - 8 months post training

  39. Health Facility Record

    no minimum or maximum, score is the total number of patient diagnosed with psychosis : clinical records reviewed by Research Assistants

    Measured: pre training

  40. Health Facility Record

    no minimum or maximum, score is the total number of patient diagnosed with psychosis : clinical records reviewed by Research Assistants

    Measured: immediately after training

  41. Health Facility Record

    no minimum or maximum, score is the total number of patient diagnosed with psychosis : clinical records reviewed by Research Assistants

    Measured: final supervision - 8 months post training

  42. Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders 5

    Accuracy of patient diagnosis by study mental health specialist

    Measured: 3 months post patient enrollment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 May 2023
  2. Study start16 Jan 2024
  3. Primary completion13 Jan 2026
  4. Study completion13 Jan 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Cluster randomized controlled trial
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
179 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05863572
Sponsor's protocol ID
HS2327ES
Acronym
SCAPE-U
Status last verified
May 2026
First submitted
12 Apr 2023
Last updated
26 May 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: There is not a plan to make IPD available. No plan for feasibility study.

Publications

  • Mutamba BB, Rai S, Semakula L, Cappo D, Asher L, Gwaikolo W, Kohrt BA. Strengthening care in collaboration with people with lived experience of psychosis in Uganda (SCAPE-U): A protocol for a cluster randomized controlled feasibility trial. Pilot Feasibility Stud. 2025 Jul 21;11(1):103. doi: 10.1186/s40814-025-01684-8.

    PubMed 40691846

Questions about this trial

What is this clinical trial studying?

A study testing Primary care health worker training, Community Health Workers Training and Home visits in people with Psychosis, run by George Washington University at 1 site in Uganda.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 19 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Uganda. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Positive and Negative Symptoms of Schizophrenia (PANSS) scale (time frame: baseline - immediately after enrollment). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05863572, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 May 2026.

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