Clinical trial Recruiting at 4 sites Interventional Ages 2 to 6

Improving child mental health services in China using a training program for teachers

Official title: WHO Mental Health Gap Action Program (mhGAP) Delivered by Primary Care Workers for Improving Quality of Child Mental and Behavioral Disorders Services: A Hybrid Effectiveness-implementation Cluster Randomized Controlled Trial

Run by Sun Yat-sen University · NCT06702410 · Data updated 2026-11-12

This study is testing whether training kindergarten teachers in a new mental health program can improve the support and care for children with mental and behavioral issues in China.

Quick facts

Study typeInterventional
Ages2 Years to 6 Years
SexAll
Enrollment375 (estimated)
SponsorSun Yat-sen University
Academic / other
Locations9 sites (Zhongshan, Guangdong and 8 other locations)
StatusRecruiting
StartedNovember 20, 2024
Main results expectedFebruary 20, 2026
Study endsFebruary 20, 2026
Registry record updatedMay 16, 2025
Trial IDNCT06702410 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are children aged 2-6 years who have been screened positive for mental and behavioral disorders and are residing in Zhongshan City.

Probably not a fit

Patients who have co-morbid conditions requiring hospitalization or have previously received specialized mental health services may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial aims to evaluate the effectiveness of the adapted WHO Mental Health Gap Action Program Intervention Guide (mhGAP-IG) in enhancing the quality of services for children with mental and behavioral disorders in China. The study will involve kindergarten teachers who will receive training on the mhGAP-IG and implement it in their classrooms. Researchers will compare the outcomes of children receiving this intervention to those receiving standard care, focusing on symptom severity, caregiver distress, and service capacity. The trial will utilize a stepped-wedge cluster randomized controlled design across 20 kindergartens in Zhongshan City.

Why it matters

Potential benefit: If successful, this program could significantly improve mental health outcomes for children with behavioral disorders and enhance the support available to their caregivers.

How similar studies have gone: Other studies have shown success with similar training programs for non-specialist providers in low- and middle-income countries, indicating potential for this approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
1. Eligibility criteria for children/caregivers

   Inclusion Criteria:
   * Aged 2-6 years;
   * Screened positive by the mhGAP-IG screening tool;
   * Will stay in Zhongshan City for the next one year.

   Exclusion Criteria:
   * Co-morbid physical or mental conditions requiring inpatient hospitalization;
   * Currently or in the past six months received CMBDs services provided by specialized mental health workers;
   * Deafness or blindness in the child or caregivers;
   * Not available or unwilling to participate in the trial.
2. Eligibility criteria for kindergarten teachers

Inclusion Criteria:

* Have one or more years of work experience in the selected kindergartens
* Be available to participate in the mhGAP training.

Exclusion Criteria:

* Have received the mhGAP training before;
* Have arrangements requiring long-term leave from work in the next one year;
* Unwilling to participate in the trial.

Where it's running

  • Zhongshan Zhengfa Kindergarten
    Zhongshan, Guangdong, China
    Recruiting
  • Zhongshan Xiaolan Huasheng Kindergarten
    Zhongshan, Guangdong, China
    Recruiting
  • Zhongshan Dongfeng Deshan Kindergarten
    Zhongshan, Guangdong, China
    Recruiting
  • Zhongshan Huangpu Boya Oriental Pearl Kindergarten
    Zhongshan, Guangdong, China
    Recruiting
  • First Kindergarten in Zhongshan Torch High-Tech Industrial Development Zone
    Zhongshan, Guangdong, China
    Active not recruiting
  • Third Kindergarten in Zhongshan Torch High-Tech Industrial Development Zone
    Zhongshan, Guangdong, China
    Active not recruiting
Show 3 more locations
  • Xiao Yin Kindergarten in Zhongshan Torch High-Tech Industrial Development Zone
    Zhongshan, Guangdong, China
    Active not recruiting
  • Zhangjiabian Kindergarten in Zhongshan Torch High-Tech Industrial Development Zone
    Zhongshan, Guangdong, China
    Active not recruiting
  • Shaxi Xin Shimen Kindergarten in Zhongshan City.
    Zhongshan, Guangdong, China
    Active not recruiting

Study contacts

  • Principal investigator: Wen Chen, PhD — Medical statistics, School of public health, Sun Yat-sen University
  • Study coordinator: Wen Chen, Professor
  • Email: chenw43@mail.sysu.edu.cn
  • Phone: +86 13580520052

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.