Self Help Plus: study protocol for a cluster-randomised controlled trial of guided self-help with South Sudanese refugee women in Uganda.
Self Help Plus: study protocol for a cluster-randomised controlled trial of guided self-help with South Sudanese refugee women in Uganda.
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DOI：
10.1017/gmh.2018.17
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Tol WA
中科院分区：
文献类型：
--
作者：
Brown FL;Carswell K;Augustinavicius J;Adaku A;Leku MR;White RG;Ventevogel P;Kogan CS;García-Moreno C;Bryant RA;Musci RJ;van Ommeren M;Tol WA
武装冲突和被迫流离失所对心理健康构成重大风险。现有的循证心理干预措施在资源匮乏的人道主义环境中扩大规模方面存在局限性。世卫组织制定了一项指导性自助干预措施，即“自助+”（SH+），该措施简短，由非专业人员实施，旨在向患有或不患有特定精神障碍的人提供。本文概述了研究协议的评估SH+干预在北方乌干达，南苏丹难民妇女。一项双组、单盲、随机分组对照试验将在犀牛营难民定居点的14个村庄进行，至少有588名妇女经历心理困扰。村庄将被随机分配接受SH+和加强常规护理（EUC）或单独EUC。SH+是一个五节的引导自助干预工作坊，提供录音材料和附带的图片指南。主要结果是随着时间的推移，总体心理困扰减少，治疗后3个月作为主要终点。次要结果是自我定义的心理社会问题，抑郁症和创伤后应激障碍症状，危险的酒精使用，愤怒的感觉，种族间的关系，心理灵活性，功能障碍和主观幸福感。心理灵活性是一个假设的调解人，和过去的创伤史和干预出勤率将被探索为潜在的调节器。这项试验将提供重要信息，说明可扩展的、有指导的自助干预措施对改善受逆境影响的人的心理健康和福祉的有效性。ISRCTN 50148022;注册日期：2017年3月13日。
Exposure to armed conflict and forced displacement constitute significant risks for mental health. Existing evidence-based psychological interventions have limitations for scaling-up in low-resource humanitarian settings. The WHO has developed a guided self-help intervention, Self Help Plus (SH+), which is brief, implemented by non-specialists, and designed to be delivered to people with and without specific mental disorders. This paper outlines the study protocol for an evaluation of the SH+ intervention in northern Uganda, with South Sudanese refugee women. A two-arm, single-blind cluster-randomised controlled trial will be conducted in 14 villages in Rhino Camp refugee settlement, with at least 588 women experiencing psychological distress. Villages will be randomly assigned to receive either SH+ with enhanced usual care (EUC), or EUC alone. SH+ is a five-session guided self-help intervention delivered in workshops with audio-recorded materials and accompanying pictorial guide. The primary outcome is reduction in overall psychological distress over time, with 3 months post-treatment as the primary end-point. Secondary outcomes are self-defined psychosocial concerns, depression and post-traumatic stress disorder symptoms, hazardous alcohol use, feelings of anger, interethnic relations, psychological flexibility, functional impairment and subjective wellbeing. Psychological flexibility is a hypothesised mediator, and past trauma history and intervention attendance will be explored as potential moderators. This trial will provide important information on the effectiveness of a scalable, guided self-help intervention for improving psychological health and wellbeing among people affected by adversity. ISRCTN50148022; registered 13/03/2017.
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影响因子：
15.8
作者：
Dua T;Barbui C;Clark N;Fleischmann A;Poznyak V;van Ommeren M;Yasamy MT;Ayuso-Mateos JL;Birbeck GL;Drummond C;Freeman M;Giannakopoulos P;Levav I;Obot IS;Omigbodun O;Patel V;Phillips M;Prince M;Rahimi-Movaghar A;Rahman A;Sander JW;Saunders JB;Servili C;Rangaswamy T;Unützer J;Ventevogel P;Vijayakumar L;Thornicroft G;Saxena S
通讯作者：
Saxena S
影响因子：
3.7
作者：
Andrews G;Cuijpers P;Craske MG;McEvoy P;Titov N
通讯作者：
Titov N
影响因子：
6.9
作者：
Fledderus, M.;Bohlmeijer, E. T.;Schreurs, K. M. G.
通讯作者：
Schreurs, K. M. G.
影响因子：
2.3
作者：
Bernal, G;Sáez-Santiago, E
通讯作者：
Sáez-Santiago, E
影响因子：
105.7
作者：
Campbell, MK;Elbourne, DR;Altman, DG
通讯作者：
Altman, DG