Community based sociotherapy for depressive symptomatology of Congolese refugees in Rwanda and Uganda (CoSTAR): a protocol for a cluster randomised controlled trial.
Community based sociotherapy for depressive symptomatology of Congolese refugees in Rwanda and Uganda (CoSTAR): a protocol for a cluster randomised controlled trial.
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DOI：
10.1080/20008066.2022.2151281
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发表时间：
2023
影响因子：
5
通讯作者：
White, Ross G.
中科院分区：
文献类型：
--
作者：
Kagabo, Daniel M.;Bangirana, Paul;Burnside, Girvan;Chiumento, Anna;Duarte, Rui;Gishoma, Darius;Girvan, Michelle;Jansen, Angela;Jansen, Stefan;Kasujja, Rosco;Lubunga, Rachel;Nevitt, Sarah;Nzaramba, Lucie;Sarabwe, Emmanuel;Jackson, Clare;Rahman, Atif;Richters, Annemiek;Robinson, Jude;Rutayisire, Theoneste;Ventevogel, Peter;White, Ross G.
背景：刚果民主共和国的冲突导致大量难民逃往乌干达和卢旺达。难民经历的不良事件和日常压力增加，这与抑郁症等常见精神健康问题有关。当前的整群随机对照试验旨在调查一种适应形式的社区社会治疗（aCBS）在减少乌干达和卢旺达刚果难民所经历的抑郁症状方面是否有效和具有成本效益。方法：将在乌干达的Kyangwali定居点和卢旺达的Gihembe营地进行一项双臂、单盲群随机对照试验（cRCT）。将招募64组患者，并随机分配到aCBS或照常加强护理（ECAU）组。aCBS是一项以小组为基础的15期干预活动，将由来自难民社区的两名人员提供协助。主要结局指标将是随机分组后18周自我报告的抑郁症状水平（PHQ-9）。次要结果将包括随机化后18周和32周的心理健康困难水平、主观幸福感、流离失所后压力、感知到的社会支持、社会资本、生活质量和PTSD症状。aCBS的成本效益将根据与ECAU相比的医疗保健成本（每个残疾调整生命年的成本）来衡量。将进行过程评价以调查aCBS的实施情况。结论：这将是首次对难民经历的心理健康困难进行aCBS调查，并将有助于了解在被迫移徙水平达到创纪录高位时对难民使用社会心理干预措施的情况。试验登记：有必要评估以社区为基础的难民社会心理干预措施。以社区为基础的社会疗法已被用于支持冲突后的社区，但尚未在随机对照试验中进行评估。本协议概述了一项拟议的随机对照试验，该试验适用于乌干达和卢旺达的刚果难民的社区社会治疗。
Background: Conflict in the Democratic Republic of Congo has led to large numbers of refugees fleeing to Uganda and Rwanda. Refugees experience elevated levels of adverse events and daily stressors, which are associated with common mental health difficulties such as depression. The current cluster randomised controlled trial aims to investigate whether an adapted form of Community-based Sociotherapy (aCBS) is effective and cost-effective in reducing depressive symptomatology experienced by Congolese refugees in Uganda and Rwanda. Methods: A two-arm, single-blind cluster randomised controlled trial (cRCT) will be conducted in Kyangwali settlement, Uganda and Gihembe camp, Rwanda. Sixty-four clusters will be recruited and randomly assigned to either aCBS or Enhanced Care As Usual (ECAU). aCBS, a 15-session group-based intervention, will be facilitated by two people drawn from the refugee communities. The primary outcome measure will be self-reported levels of depressive symptomatology (PHQ-9) at 18-weeks post-randomisation. Secondary outcomes will include levels of mental health difficulties, subjective wellbeing, post-displacement stress, perceived social support, social capital, quality of life, and PTSD symptoms at 18-week and 32-week post-randomisation. Cost effectiveness of aCBS will be measured in terms of health care costs (cost per Disability Adjusted Life Year, DALY) compared to ECAU. A process evaluation will be undertaken to investigate the implementation of aCBS. Conclusion: This cRCT will be the first investigating aCBS for mental health difficulties experienced by refugees and will contribute to knowledge about the use of psychosocial interventions for refugees at a time when levels of forced migration are at a record high. Trial registration: There is a need to evaluate community-based psychosocial interventions for refugees. Community-based sociotherapy has been used to support communities in post-conflict situations but has not been evaluated in a randomised controlled trial. This protocol outlines a proposed randomised controlled trial of community-based sociotherapy adapted for Congolese refugees in Uganda and Rwanda.
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影响因子：
5
作者：
Jansen, Stefan;White, Ross;Richters, Annenniek
通讯作者：
Richters, Annenniek
DOI：
10.1017/gmh.2018.17
发表时间：
2018
期刊：
Global mental health (Cambridge, England)
影响因子：
--
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
通讯作者：
Tol WA
影响因子：
3.6
作者：
Chiumento A;Rutayisire T;Sarabwe E;Hasan MT;Kasujja R;Nabirinde R;Mugarura J;Kagabo DM;Bangirana P;Jansen S;Ventevogel P;Robinson J;White RG
通讯作者：
White RG
影响因子：
6.9
作者：
Harper, A;Power, M
通讯作者：
Power, M
影响因子：
6.9
作者：
Kounali, Daphne;Button, Katherine S.;Lewis, Gemma;Gilbody, Simon;Kessler, David;Araya, Ricardo;Duffy, Larisa;Lanham, Paul;Peters, Tim J.;Wiles, Nicola;Lewis, Glyn
通讯作者：
Lewis, Glyn