Short structured general mental health in service training programme in Kenya improves patient health and social outcomes but not detection of mental health problems - a pragmatic cluster randomised controlled trial

Table 4 Recovery of clients

Outcome	Phase	Control		Intervention		Difference	P value
		N	Mean (SD)	N	Mean (SD)	Mean (95% CI)
Intention to treat analyses
GHQ	Baseline	463	5.80 (2.37)	447	6.73 (2.38)	0.92 (0.24, 1.60)	0.008
	Follow-up	463	5.61 (2.58)	447	5.33 (2.66)	−0.30 (−1.08, 0.48)	0.45
	Change ^(*)	463	−0.48	447	−1.11	−0.63 (−1.27, 0.01)	0.05
EQ	Baseline	447	0.66 (0.19)	438	0.63 (0.20)	−0.04 (−0.08, 0.01)	0.09
	Follow-up	447	0.66 (0.25)	438	0.72 (0.19)	0.06 (0.01, 0.11)	0.02
	Change ^(*)	447	0.01	438	0.09	0.07 (0.04, 0.11)	<0.001
WHODAS	Baseline	462	25.6 (8.9)	437	29.8 (8.7)	4.0 (1.3, 6.7)	0.003
	Follow-up	462	26.8 (11.6)	437	25.5 (9.2)	−1.6 (−5.1, 1.8)	0.36
	Change ^(*)	462	0.1	437	−3.1	−3.3 (−5.8, −0.7)	0.01
Per protocol analyses
GHQ	Baseline	418	5.80 (2.37)	447	6.73 (2.38)	0.91 (0.23, 1.60)	0.009
	Follow-up	418	5.79 (2.54)	447	5.33 (2.66)	−0.48 (−1.26, 0.29)	0.22
	Change ^(*)	418	−0.32	447	−1.12	−0.81 (−1.45, −0.17)	0.01
EQ	Baseline	398	0.65 (0.19)	438	0.63 (0.20)	−0.02 (−0.07, 0.02)	0.26
	Follow-up	398	0.65 (0.25)	438	0.72 (0.19)	0.07 (0.02, 0.13)	0.006
	Change ^(*)	398	0.01	438	0.09	0.08 (0.04, 0.12)	<0.001
WHODAS	Baseline	418	25.7 (8.9)	437	29.8 (8.7)	3.9 (1.2, 6.7)	0.005
	Follow up	418	27.3 (11.8)	437	25.5 (9.2)	−2.2 (−5.7, 1.4)	0.23
	Change ^(*)	418	0.6	437	−3.2	−3.8 (−6.4, -1.2)	0.004

(*) Assessed by analysing change in scores, adjusting for baseline scores. Marginal means presented. p values in bold all significant at <0.05, or greater (see text).

ISSN: 1752-4458