Scalable transdiagnostic early assessment of mental health (STREAM): a study protocol
Introduction: Early childhood development forms the foundations for functioning later in life. Thus, accurate monitoring of developmental trajectories is critical. However, such monitoring often relies on time-intensive assessments which necessitate administration by skilled professionals. This di...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024
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| Subjects: | |
| Online Access: | https://repository.londonmet.ac.uk/9461/1/e088263.full.pdf |
| _version_ | 1825625901415530496 |
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| author | Williams, Elin H. Thompson, Nicholas M. McCray, Gareth Crespo-Llado, Maria M. Bhavnani, Supriya Gajria, Diksha Mukherjee, Debarati Del Bianco, Teresa Lockwood-Estrin, Georgia Mason, Luke Ngoma, Vukiwe Namathanga, Chisomo Nkhata, Richard Bennie, Allan Ranjan, Alok Kawelama, Ulemu Midha, Naina Singh, Anindita Mpakiza, Innocent Gautam, Akshat Gulati, Sheffali Johnson, Mark Lancaster, Gillian Belmonte, Matthew K. Jones, Emily Patel, Vikram Chandran, Sharat Mbale, Emmie Divan, Gauri Gladstone, Melissa Chakrabarti, Bhismadev |
| author_facet | Williams, Elin H. Thompson, Nicholas M. McCray, Gareth Crespo-Llado, Maria M. Bhavnani, Supriya Gajria, Diksha Mukherjee, Debarati Del Bianco, Teresa Lockwood-Estrin, Georgia Mason, Luke Ngoma, Vukiwe Namathanga, Chisomo Nkhata, Richard Bennie, Allan Ranjan, Alok Kawelama, Ulemu Midha, Naina Singh, Anindita Mpakiza, Innocent Gautam, Akshat Gulati, Sheffali Johnson, Mark Lancaster, Gillian Belmonte, Matthew K. Jones, Emily Patel, Vikram Chandran, Sharat Mbale, Emmie Divan, Gauri Gladstone, Melissa Chakrabarti, Bhismadev |
| author_sort | Williams, Elin H. |
| collection | LMU |
| description | Introduction:
Early childhood development forms the foundations for functioning later in life. Thus, accurate monitoring of developmental trajectories is critical. However, such monitoring often relies on time-intensive assessments which necessitate administration by skilled professionals. This difficulty is exacerbated in low-resource settings where such professionals are predominantly concentrated in urban and often private clinics, making them inaccessible to many. This geographic and economic inaccessibility contributes to a significant ‘detection gap’ where many children who might benefit from support remain undetected. The Scalable Transdiagnostic Early Assessment of Mental Health (STREAM) project aims to bridge this gap by developing an open-source, scalable, tablet-based platform administered by non-specialist workers to assess motor, social and cognitive developmental status. The goal is to deploy STREAM through public health initiatives, maximising opportunities for effective early interventions.
Methods and analysis:
The STREAM project will enrol and assess 4000 children aged 0–6 years from Malawi (n=2000) and India (n=2000). It integrates three established developmental assessment tools measuring motor, social and cognitive functioning using gamified tasks, observation checklists, parent-report and audio-video recordings. Domain scores for motor, social and cognitive functioning will be developed and assessed for their validity and reliability. These domain scores will then be used to construct age-adjusted developmental reference curves.
Ethics and dissemination:
Ethical approval has been obtained from local review boards at each site (India: Sangath Institutional Review Board; All India Institute of Medical Science (AIIMS) Ethics Committee; Indian Council of Medical Research—Health Ministry Screening Committee; Malawi: College of Medicine Research and Ethics Committee; Malawi Ministry of Health—Blantyre District Health Office). The study adheres to Good Clinical Practice standards and the ethical guidelines of the 6th (2008) Declaration of Helsinki. Findings from STREAM will be disseminated to participating families, healthcare professionals, policymakers, educators and researchers, at local, national and international levels through meetings, academic journals and conferences. |
| first_indexed | 2024-07-09T04:08:19Z |
| format | Article |
| id | oai:repository.londonmet.ac.uk:9461 |
| institution | London Metropolitan University |
| language | English |
| last_indexed | 2024-07-09T04:08:19Z |
| publishDate | 2024 |
| publisher | BMJ Publishing Group |
| record_format | eprints |
| spelling | oai:repository.londonmet.ac.uk:94612024-06-18T10:21:00Z https://repository.londonmet.ac.uk/9461/ Scalable transdiagnostic early assessment of mental health (STREAM): a study protocol Williams, Elin H. Thompson, Nicholas M. McCray, Gareth Crespo-Llado, Maria M. Bhavnani, Supriya Gajria, Diksha Mukherjee, Debarati Del Bianco, Teresa Lockwood-Estrin, Georgia Mason, Luke Ngoma, Vukiwe Namathanga, Chisomo Nkhata, Richard Bennie, Allan Ranjan, Alok Kawelama, Ulemu Midha, Naina Singh, Anindita Mpakiza, Innocent Gautam, Akshat Gulati, Sheffali Johnson, Mark Lancaster, Gillian Belmonte, Matthew K. Jones, Emily Patel, Vikram Chandran, Sharat Mbale, Emmie Divan, Gauri Gladstone, Melissa Chakrabarti, Bhismadev 610 Medicine & health Introduction: Early childhood development forms the foundations for functioning later in life. Thus, accurate monitoring of developmental trajectories is critical. However, such monitoring often relies on time-intensive assessments which necessitate administration by skilled professionals. This difficulty is exacerbated in low-resource settings where such professionals are predominantly concentrated in urban and often private clinics, making them inaccessible to many. This geographic and economic inaccessibility contributes to a significant ‘detection gap’ where many children who might benefit from support remain undetected. The Scalable Transdiagnostic Early Assessment of Mental Health (STREAM) project aims to bridge this gap by developing an open-source, scalable, tablet-based platform administered by non-specialist workers to assess motor, social and cognitive developmental status. The goal is to deploy STREAM through public health initiatives, maximising opportunities for effective early interventions. Methods and analysis: The STREAM project will enrol and assess 4000 children aged 0–6 years from Malawi (n=2000) and India (n=2000). It integrates three established developmental assessment tools measuring motor, social and cognitive functioning using gamified tasks, observation checklists, parent-report and audio-video recordings. Domain scores for motor, social and cognitive functioning will be developed and assessed for their validity and reliability. These domain scores will then be used to construct age-adjusted developmental reference curves. Ethics and dissemination: Ethical approval has been obtained from local review boards at each site (India: Sangath Institutional Review Board; All India Institute of Medical Science (AIIMS) Ethics Committee; Indian Council of Medical Research—Health Ministry Screening Committee; Malawi: College of Medicine Research and Ethics Committee; Malawi Ministry of Health—Blantyre District Health Office). The study adheres to Good Clinical Practice standards and the ethical guidelines of the 6th (2008) Declaration of Helsinki. Findings from STREAM will be disseminated to participating families, healthcare professionals, policymakers, educators and researchers, at local, national and international levels through meetings, academic journals and conferences. BMJ Publishing Group 2024-06-01 Article PeerReviewed text en cc_by_4 https://repository.londonmet.ac.uk/9461/1/e088263.full.pdf Williams, Elin H., Thompson, Nicholas M., McCray, Gareth, Crespo-Llado, Maria M., Bhavnani, Supriya, Gajria, Diksha, Mukherjee, Debarati, Del Bianco, Teresa, Lockwood-Estrin, Georgia, Mason, Luke, Ngoma, Vukiwe, Namathanga, Chisomo, Nkhata, Richard, Bennie, Allan, Ranjan, Alok, Kawelama, Ulemu, Midha, Naina, Singh, Anindita, Mpakiza, Innocent, Gautam, Akshat, Gulati, Sheffali, Johnson, Mark, Lancaster, Gillian, Belmonte, Matthew K., Jones, Emily, Patel, Vikram, Chandran, Sharat, Mbale, Emmie, Divan, Gauri, Gladstone, Melissa and Chakrabarti, Bhismadev (2024) Scalable transdiagnostic early assessment of mental health (STREAM): a study protocol. BMJ Open, 14 (6) (e08826). pp. 1-13. ISSN 2044-6055 https://doi.org/10.1136/bmjopen-2024-088263 10.1136/bmjopen-2024-088263 10.1136/bmjopen-2024-088263 |
| spellingShingle | 610 Medicine & health Williams, Elin H. Thompson, Nicholas M. McCray, Gareth Crespo-Llado, Maria M. Bhavnani, Supriya Gajria, Diksha Mukherjee, Debarati Del Bianco, Teresa Lockwood-Estrin, Georgia Mason, Luke Ngoma, Vukiwe Namathanga, Chisomo Nkhata, Richard Bennie, Allan Ranjan, Alok Kawelama, Ulemu Midha, Naina Singh, Anindita Mpakiza, Innocent Gautam, Akshat Gulati, Sheffali Johnson, Mark Lancaster, Gillian Belmonte, Matthew K. Jones, Emily Patel, Vikram Chandran, Sharat Mbale, Emmie Divan, Gauri Gladstone, Melissa Chakrabarti, Bhismadev Scalable transdiagnostic early assessment of mental health (STREAM): a study protocol |
| title | Scalable transdiagnostic early assessment of mental health (STREAM): a study protocol |
| title_full | Scalable transdiagnostic early assessment of mental health (STREAM): a study protocol |
| title_fullStr | Scalable transdiagnostic early assessment of mental health (STREAM): a study protocol |
| title_full_unstemmed | Scalable transdiagnostic early assessment of mental health (STREAM): a study protocol |
| title_short | Scalable transdiagnostic early assessment of mental health (STREAM): a study protocol |
| title_sort | scalable transdiagnostic early assessment of mental health stream a study protocol |
| topic | 610 Medicine & health |
| url | https://repository.londonmet.ac.uk/9461/1/e088263.full.pdf |
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