Dialogue to Empower Traditional and Faith Healers to Deliver mhGAP-IG Adapted Psychosocial Interventions in Kenya

Depressive Disorder, Major Clinical Trial

— Dialogue  

Official title:

Dialogue to Empower, Supervise, Support and Include the Traditional and Faith Healers to Deliver Evidence-based mhGAP-IG Adapted Psychosocial Interventions to Reduce Treatment Gap in Kenya

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03165513
• Other study ID #: P602/12/2013
• Status: Completed
• Phase: N/A
• First received: May 22, 2017
• Last updated: May 23, 2017
• Start date: July 1, 2014
• Est. completion date: March 20, 2015

Study information

• Verified date: May 2017
• Source: Africa Mental Health Foundation
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The project aimed to create a dialogue between the informal sector (traditional and faith healers) and the formal sector (trained health care workers) in order to increase synergy and communication between the two systems, by minimizing any harmful practices and enhancing complementary practices. The informal sector will also be trained on how to use WHO mhGAP-IG component on depression for routine screening in order to ameliorate functional and social outcomes and refer complicated cases to the formal sector for biological interventions

Description:

This study seeks to empower, supervise, support and include the informal traditional and faith healers to deliver evidence-based mhGAP-IG adapted psychosocial interventions to reduce mental health treatment gap in Kenya. This will be achieved through establishing a dialogue and collaboration between the formal and the informal sector and training the informal sector on the use of mental health Gap Action Programme Intervention Guideline (mhGAP-IG) to identify and manage depression. It will take place in Makueni County among 100 randomly selected TH/FH. A descriptive (prospective cohort) study will be used to determine the impact of training TH/FH on the use of mhGAP-IG in the identification and management of depression. A mental health specialist will also determine the accuracy of diagnosis made by the informal sector using randomly selected patients (true positives and true negatives for depression) by an independent person. Moreover, patients identified to have depression will be followed up at 6 and 12 weeks to assess their health outcomes using BECKs Depression Inventory Scale, Suicidality Scale and WHO quality of life.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 4081
• Est. completion date: March 20, 2015
• Est. primary completion date: March 20, 2015
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

1. Traditional and faith healers residing in Kibwezi West constituency

2. Traditional and faith healers who are willing to participate in the study.

3. Traditional and faith healers' patients' above 18 years who agree to participate in the study

Exclusion Criteria:

1. Traditional and faith healers not residing in Kibwezi West constituency

2. Traditional and faith healers who are not willing to participate in the study.

3. Traditional and faith healers' patients' above 18 years who do not agree to sign an informed consent

Related Conditions & MeSH terms

• Depression
• Depressive Disorder
• Depressive Disorder, Major

Intervention

Behavioral:
• mhGAP-IG
psychosocial interventions

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
Africa Mental Health Foundation	Grand Challenges Canada

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Depression symptoms on the Becks Depression Inventory Scale	Changes in depression scores (over time) on the Becks Depression Inventory Scale	Baseline, 6 weeks and 12 weeks
Secondary	Quality of life outcomes on the WHO Quality of Life-BREF (WHOQOL-BREF)	Changes in quality of life domains using WHO Quality of Life-BREF (WHOQOL-BREF)	baseline, 6 weeks and 12 weeks

External Links

•   Forming a joint dialogue article
•   Mental Health Outcomes of Psychosocial Intervention Among Traditional Health Practitioner Depressed Patients in Kenya.
•   Quality of life of depressed and suicidal patients seeking services from traditional and faith healers in rural Kenya