{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:04:40Z","timestamp":1777914280935,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"1_suppl","license":[{"start":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T00:00:00Z","timestamp":1764288000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T00:00:00Z","timestamp":1764288000000},"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>Training primary care doctors (PCDs) to manage common psychiatric conditions is seen as a key strategy to reduce the treatment gap, but its effects on their diagnostic and treatment skills remain largely unstudied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A hybrid cluster randomized controlled trial compared two PCD training methods: training as usual (TAU; two days of in-person lectures, control group [CG]) versus TAU plus online mental health training (OMHT; 18 hours of interactive modules, study group [SG]). Primary outcomes (diagnostic, treatment, and combined concordance) between PCDs and psychiatrists were evaluated using Cohen\u2019s kappa (\u03ba), with group comparisons made via paired\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -test.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      For identifying anxiety disorders, SG (\u03ba = 0.41) performed better than CG (\u03ba = 0.06;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = .02). Likewise, for somatization disorders, SG had moderate concordance (\u03ba = 0.35), while CG had poor concordance (\u03ba = 0.05;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; .01). For depressive disorders, SG had low concordance (\u03ba = 0.12), while CG showed moderate concordance (\u03ba = 0.58;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; .01). For antidepressant prescription, SG (\u03ba = 0.35) performed better than CG (\u03ba = 0.15;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = .03). Combined concordance for common mental disorders (CMDs) as a domain showed that SG (\u03ba = 0.35) fared better than CG (\u03ba = 0.15,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = .03). Conversely, for severe mental disorders (SMDs), CG (\u03ba = 0.83) performed better than SG (\u03ba = 0.35;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = .03).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Add-on OMHT enhances PCDs\u2019 diagnostic and treatment skills for select conditions, particularly anxiety and somatization, highlighting its potential as a scalable model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration:<\/jats:title>\n                    <jats:p>\n                      The trial was registered with the Clinical Trial Registry of India (Registration No. CTRI\/2024\/02\/062906).\n                      <jats:uri>https:\/\/ctri.nic.in\/Clinicaltrials\/login.php<\/jats:uri>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02537176251393412","type":"journal-article","created":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T04:01:27Z","timestamp":1764388887000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Diagnostic and Treatment Concordance Among Primary Care Doctors Delivering Mental Health Care: Results from an Effectiveness\u2013implementation Hybrid Cluster Randomized Controlled Trial of an \u201cAdd-on Online Mental Health Training\u201d"],"prefix":"10.1177","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8865-855X","authenticated-orcid":false,"family":"Jayashri S","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\/0009-0008-2373-0221","authenticated-orcid":false,"given":"Chandana","family":"Sabbella","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\/0000-0002-3353-8902","authenticated-orcid":false,"given":"Shivender","family":"Singh","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\/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, 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