Problem Management Plus PM for common mental disorders in a humanitarian setting in Pakistan; study protocol for a randomised controlled trial RCTReport as inadecuate




Problem Management Plus PM for common mental disorders in a humanitarian setting in Pakistan; study protocol for a randomised controlled trial RCT - Download this document for free, or read online. Document in PDF available to download.

BMC Psychiatry

, 15:232

First Online: 01 October 2015Received: 28 July 2015Accepted: 09 September 2015

Abstract

BackgroundIn humanitarian settings common mental disorders depression, anxiety disorders, posttraumatic stress disorder are highly prevalent. The World Health Organization WHO has developed Problem Management Plus PM+, a 5-session, individual psychological intervention program, delivered by paraprofessionals that addresses common mental disorders in people in communities affected by adversity. The objectives of this study are to test effectiveness and cost-effectiveness of the locally adapted PM+ compared to Treatment as usual TAU in Peshawar District, Pakistan.

MethodsA randomised controlled trial will be conducted in 346 primary care attendees in 3 health care centres in Peshawar District, Pakistan. After informed consent, primary care attendees with high levels of psychological distress according to the General Health Questionnaire-12 GHQ-12 and functional impairment WHO Disability Assessment Schedule 2.0 WHODAS will be assigned to PM+ n = 173 or TAU n = 173. At baseline, 1 week and 3 months following PM+, independent assessors will assess psychological distress with the Hospital Anxiety and Depression Scale HADS, and functional disability with the WHODAS. Secondary outcomes are posttraumatic stress disorder PTSD symptoms, and client-perceived priority problems. Further, cost-effectiveness will be assessed using the Service Receipt Inventory SRI.

DiscussionIf proven effective, PM+ will be rolled out to other areas for further adaptation and testing in diverse humanitarian settings.

Trial registrationACTRN12614001235695. Registered 26 November 2014. Australian New Zealand Clinical Trials Registry

Atif Rahman and Mark van Ommeren share last authorship

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Author: Marit Sijbrandij - Saeed Farooq - Richard A. Bryant - Katie Dawson - Syed Usman Hamdani - Anna Chiumento - Fareed Minhas

Source: https://link.springer.com/



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