{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:04:33Z","timestamp":1777914273746,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"1_suppl","license":[{"start":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T00:00:00Z","timestamp":1758153600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T00:00:00Z","timestamp":1758153600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Indian Journal of Psychological Medicine"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Mentoring primary care doctors (PCDs) improves their competency and aids in integrating psychiatric care into primary care, especially in resource-constrained settings. This study evaluates the socio-demographic, diagnostic, and treatment profiling of instant collaborative video consultations (i-CVCs) and the diagnostic (domain-wise and disorder-wise) and treatment concordance of PCDs with tele-psychiatrists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This was a cross-sectional study that was a part of a digitally driven capacity-building program that provided tele-mentoring to PCDs via i-CVCs with tele-psychiatrists. A total of 382 i-CVCs conducted between November 2022 and July 2024 were analyzed for diagnostic and treatment profiling. Concordance between PCDs and tele-psychiatrists was assessed using Cohen\u2019s kappa (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 358).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among the domain-wise diagnostic distribution by the tele-psychiatrist, the majority were classified as common mental disorders (CMDs) (47.7%), and among the disorder-wise distribution, the majority was depressive disorder (22.5%). The analysis revealed very good to good diagnostic agreement between PCDs and tele-psychiatrists across major domains: SUD (\u03ba = 0.96), SMD (\u03ba = 0.81), and CMD (\u03ba = 0.75), all with\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; .001. Disorder-wise concordance was highest for alcohol disorders (\u03ba = 0.96). Treatment concordance also showed moderate agreement for all the major classes of psychotropic medications (\u03ba = 0.5 to 0.6;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; .001), including antidepressants, antipsychotics, benzodiazepines, and nicotine replacement therapy. i-CVC support was primarily sought for diagnostic\/treatment confirmation and clarification on dosage strategies.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>i-CVCs facilitate real-time learning and improve confidence in managing psychiatric disorders within live primary care clinics, demonstrating a scalable approach to address the treatment gap.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02537176251375301","type":"journal-article","created":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T13:26:31Z","timestamp":1758201991000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Redefining Access to Mental Health Care Through Sustained Tele-mentoring: A Report of the Instant Collaborative Video Consultations with Primary Care Doctors"],"prefix":"10.1177","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-2373-0221","authenticated-orcid":false,"given":"Chandana","family":"Sabbella","sequence":"first","affiliation":[{"name":"Dept. of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8963-7037","authenticated-orcid":false,"given":"Hetashri","family":"Shah","sequence":"additional","affiliation":[{"name":"Dept. of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6019-6824","authenticated-orcid":false,"given":"Prakyath Ravindranath","family":"Hegde","sequence":"additional","affiliation":[{"name":"Dept. of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2700-7854","authenticated-orcid":false,"given":"Rahul","family":"Patley","sequence":"additional","affiliation":[{"name":"Dept. of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Sivakami Sundari S","sequence":"additional","affiliation":[{"name":"Dept. of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2718-7904","authenticated-orcid":false,"given":"Narayana","family":"Manjunatha","sequence":"additional","affiliation":[{"name":"Dept. of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4568-0420","authenticated-orcid":false,"given":"Channaveerachari Naveen","family":"Kumar","sequence":"additional","affiliation":[{"name":"Dept. of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8190-0382","authenticated-orcid":false,"given":"Suresh Bada","family":"Math","sequence":"additional","affiliation":[{"name":"Dept. of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka, India."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,9,18]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.25259\/JNRP-2022-4-20"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_464_20"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijcm.IJCM_223_20"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.4103\/psychiatry.IndianJPsychiatry_134_20"},{"key":"e_1_3_3_6_2","volume-title":"Clinical schedules for primary care psychiatry: Version 2.4","author":"Manjunatha N","year":"2023","unstructured":"Manjunatha N. Clinical schedules for primary care psychiatry: Version 2.4. Vol. 251. Bengaluru: NIMHANS, 2023."},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1697878"},{"key":"e_1_3_3_8_2","volume-title":"Indian Council of Medical Research 2017 national ethical guidelines for biomedical and health research involving human participants","author":"Mathur R","year":"2017","unstructured":"Mathur R. Indian Council of Medical Research 2017 national ethical guidelines for biomedical and health research involving human participants. New Delhi: ICMR, 2017. Available from: www.icmr.nic.in"},{"key":"e_1_3_3_9_2","volume-title":"Primary care psychiatry: A clinician\u2019s companion","author":"Patley R","year":"2024","unstructured":"Patley R, , David AKD, , Chandna AS, . (eds). Primary care psychiatry: A clinician\u2019s companion. Bengaluru: NIMHANS Publication, 2024."},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.25259\/NMJI_289_20"},{"key":"e_1_3_3_11_2","first-page":"516","article-title":"Are the collaborative video consultations module in Diploma in primary care psychiatry helpful","volume":"64","author":"Jayasankar P","year":"2022","unstructured":"Jayasankar P, , Nirisha PL, , Manjunatha N, . Are the collaborative video consultations module in Diploma in primary care psychiatry helpful. 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