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 type | Interventional |
|---|---|
| Ages | 2 Years to 6 Years |
| Sex | All |
| Enrollment | 375 (estimated) |
| Sponsor | Sun Yat-sen University Academic / other |
| Locations | 9 sites (Zhongshan, Guangdong and 8 other locations) |
| Status | Recruiting |
| Started | November 20, 2024 |
| Main results expected | February 20, 2026 |
| Study ends | February 20, 2026 |
| Registry record updated | May 16, 2025 |
| Trial ID | NCT06702410 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
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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
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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
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.