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Problem Management Plus (PM+) for common mental disorders in a humanitarian setting in Pakistan; study protocol for a randomised controlled trial (RCT).

Sijbrandij M, Farooq S, Bryant RA, Dawson K, Hamdani SU, Chiumento A, Minhas F, Saeed K, Rahman A, van Ommeren M - BMC Psychiatry (2015)

Bottom Line: 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.If proven effective, PM+ will be rolled out to other areas for further adaptation and testing in diverse humanitarian settings.ACTRN12614001235695.

View Article: PubMed Central - PubMed

Affiliation: Department of Clinical Psychology, VU University Amsterdam and EMGO Institute for Health and Care Research, Amsterdam, The Netherlands. e.m.sijbrandij@vu.nl.

ABSTRACT

Background: In 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.

Methods: A 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).

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

Trial registration: ACTRN12614001235695. Registered 26 November 2014. Australian New Zealand Clinical Trials Registry.

No MeSH data available.


Related in: MedlinePlus

Flow diagram
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Fig1: Flow diagram

Mentions: The study will be carried out in three peri-urban primary healthcare centres (PHCs) in Peshawar District in Pakistan, overseen by staff of Lady Reading Hospital. All research assessments and PM+ sessions are conducted at the PHCs. The study flow diagram is presented in Fig. 1.Fig. 1


Problem Management Plus (PM+) for common mental disorders in a humanitarian setting in Pakistan; study protocol for a randomised controlled trial (RCT).

Sijbrandij M, Farooq S, Bryant RA, Dawson K, Hamdani SU, Chiumento A, Minhas F, Saeed K, Rahman A, van Ommeren M - BMC Psychiatry (2015)

Flow diagram
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4591562&req=5

Fig1: Flow diagram
Mentions: The study will be carried out in three peri-urban primary healthcare centres (PHCs) in Peshawar District in Pakistan, overseen by staff of Lady Reading Hospital. All research assessments and PM+ sessions are conducted at the PHCs. The study flow diagram is presented in Fig. 1.Fig. 1

Bottom Line: 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.If proven effective, PM+ will be rolled out to other areas for further adaptation and testing in diverse humanitarian settings.ACTRN12614001235695.

View Article: PubMed Central - PubMed

Affiliation: Department of Clinical Psychology, VU University Amsterdam and EMGO Institute for Health and Care Research, Amsterdam, The Netherlands. e.m.sijbrandij@vu.nl.

ABSTRACT

Background: In 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.

Methods: A 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).

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

Trial registration: ACTRN12614001235695. Registered 26 November 2014. Australian New Zealand Clinical Trials Registry.

No MeSH data available.


Related in: MedlinePlus