ASHA 2: An Ethnographic Study Embedded in a Depression Treatment Trial

ASHA 2:抑郁症治疗试验中的人种学研究

基本信息

  • 批准号:
    10746492
  • 负责人:
  • 金额:
    $ 34.81万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2023
  • 资助国家:
    美国
  • 起止时间:
    2023-09-01 至 2025-08-31
  • 项目状态:
    未结题

项目摘要

A leading cause of global disability, depression is widespread among women in low- and middle-income countries (LMIC). Poverty is a major cause of depression, while depression worsens poverty, compromising economic productivity. Funded by NIMH’s Global Brain Initiative, the ASHA Project is a groundbreaking research study that seeks to address the poverty-depression syndemic among rural Bangladeshi women using an integrated intervention model with both psychological and economic treatment. The project is a two-arm cluster randomized clinical trial carried out in villages in the Rangpur district of northern Bangladesh—a flood prone region with high rates of rural poverty. Treatment groups of 12-15 women, led by village health workers, will be cluster-randomized into the integrated intervention arm (cash/asset transfer plus Problem Management (PM)+--a group-based, manualized psychotherapy) or to PM+ alone. This application proposes to embed an ethnographic study inside the ASHA RCT. Led by an interdisciplinary team of psychologists, anthropologists, and maternal health specialists in the US and Bangladesh, the study will investigate the complex relationships between ASHA intervention processes and outcomes, and social contexts at the individual, household, neighborhood, and village levels. Although ethnographic inquiry—the holistic study of local sociocultural contexts—is well suited to the generation of new knowledge, ethnographic studies are rarely integrated into mental health treatment trials. The research team will use a rapid ethnography (RE) approach to conduct qualitative interviews, focus groups, and structured observations, including salient local attributes such as presence of schools, clinics, and roads, alongside observations about how everyday life and governance is organized. A comparative analysis will examine differences across study arms (integrated vs psychotherapy alone), participant engagement (retention/vs attrition) and clinical outcomes (treatment response vs none). This will allow for the generation of hypotheses about key moderating and mediating variables affecting outcomes. A capacity building program will train three young graduates in anthropology from a local university in Rangpur, providing both didactic training in Dhaka as well as hands on supervision in data collection in the field. Fellows will receive training in data collection, clinical trial design, research ethnics and data analysis. Fellows will receive mentoring and support in obtaining research positions.
抑郁症是全球致残的主要原因,在低收入和中等收入妇女中普遍存在

项目成果

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ALISON KARASZ其他文献

ALISON KARASZ的其他文献

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{{ truncateString('ALISON KARASZ', 18)}}的其他基金

ASHA Bangladesh--An Integrated Intervention to Address Depression in Low Income Rural Women
ASHA 孟加拉国——解决低收入农村妇女抑郁问题的综合干预措施
  • 批准号:
    10767666
  • 财政年份:
    2021
  • 资助金额:
    $ 34.81万
  • 项目类别:
ASHA Bangladesh--An Integrated Intervention to Address Depression in Low Income Rural Women
ASHA 孟加拉国——解决低收入农村妇女抑郁问题的综合干预措施
  • 批准号:
    10299300
  • 财政年份:
    2021
  • 资助金额:
    $ 34.81万
  • 项目类别:
SAPNA Oral Health Project
SAPNA 口腔健康项目
  • 批准号:
    8211247
  • 财政年份:
    2011
  • 资助金额:
    $ 34.81万
  • 项目类别:
SAPNA Oral Health Project
SAPNA 口腔健康项目
  • 批准号:
    8333296
  • 财政年份:
    2011
  • 资助金额:
    $ 34.81万
  • 项目类别:
Westchester Square Partnership
威彻斯特广场合作伙伴
  • 批准号:
    7679011
  • 财政年份:
    2008
  • 资助金额:
    $ 34.81万
  • 项目类别:
Westchester Square Partnership
威彻斯特广场合作伙伴
  • 批准号:
    7512104
  • 财政年份:
    2008
  • 资助金额:
    $ 34.81万
  • 项目类别:
Conceptual Models of Depression in Latino Outpatients
拉丁裔门诊患者抑郁症的概念模型
  • 批准号:
    6918535
  • 财政年份:
    2003
  • 资助金额:
    $ 34.81万
  • 项目类别:
Family Decisions About Palliative Care
关于姑息治疗的家庭决定
  • 批准号:
    6805206
  • 财政年份:
    2003
  • 资助金额:
    $ 34.81万
  • 项目类别:
Conceptual Models of Depression in Latino Outpatients
拉丁裔门诊患者抑郁症的概念模型
  • 批准号:
    7076851
  • 财政年份:
    2003
  • 资助金额:
    $ 34.81万
  • 项目类别:
Conceptual Models of Depression in Latino Outpatients
拉丁裔门诊患者抑郁症的概念模型
  • 批准号:
    6770207
  • 财政年份:
    2003
  • 资助金额:
    $ 34.81万
  • 项目类别:

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