Outcome
| Type |
Measure |
Description |
Time frame |
Safety issue |
| Other |
Exit Client Interview |
Exit client interview will be used to measure satisfaction and acceptability of the intervention from the participant's point of view in the intervention arm. A total of 15 mixed qualitative and quantitative questions will be used. Quantitative questions ranges from 0-17, higher scores means both satisfied and accepted intervention while lower score means not satisfied and not accepted the intervention. In addition qualitative question will be asked to understand and know more about the satisfaction and acceptability of intervention among the participants. |
at 1 week post-intervention assessment (T2) |
|
| Primary |
General Health Questionnaire (GHQ-12) |
12 item measures for psychological disorders in non-clinical settings, minimum value=0 maximum value=12; higher scores mean greater distress |
Baseline Assessment (T1); Changes from Baseline assessment, at 1 week post-intervention assessment (6 weeks after Baseline) (T2), Changes from Baseline assessment, at 12 week post-intervention assessment (17 weeks after Baseline) (T3) |
|
| Primary |
Intimate partner violence or domestic violence |
We will document the change in the experience of IPV or domestic violence using modified WHO multi country questionnaire. Defined as violence in the different time frame with participants' husband/male partner/ in-law's. a) Controlling behaviors: "presence of at least one behavior (restrict contact with participants family of birth, ignore participants and treat indifferently etc.)". b) Psychological violence: "insulted participants to made participant's feel bad about herself, belittled or humiliated you in front of other people, yelling and smashing things to scare participants, threat to hurt participants or her close one". c) Physical violence: "slapped, pushed or pulled; hit with fist or something else; kicked, dragged or beating; choked or burnt on purpose; threatened with gun, knife or other weapon". d) Sexual violence: "physically forced participants to have sexual intercourse; forced to do something sexual that is degrading or humiliating etc." |
Baseline(T1),Changes from Baseline, at 1 week post-intervention(6 weeks after Baseline)(T2),change from baseline, at 12 week post-intervention(17 weeks after Baseline) (T3),Changes from Baseline,at 47 week post intervention(52 weeks after baseline) (T4) |
|
| Secondary |
Patient Health Questionnaire (PHQ-9) |
9-item measure of depression symptoms; minimum value = 0, maximum value = 27; higher scores mean more severe depression symptoms support, impaired functioning, symptoms of post-traumatic stress, personally identified problems, and health service utilization. |
Baseline(T1),6 weeks after Baseline(T2), 17 weeks after Baseline(T3) |
|
| Secondary |
Post-traumatic stress Disorder (PTSD)-(PCL-C) |
17-item measure of Post-traumatic stress disorder; minimum value=17 maximum value=85. The 17-29=little to No PTSD symptoms, 28-29=some PTSD symptoms, 30-44=moderate severity of PTSD symptoms and 45-85 =high severity of PTSD symptoms. |
Baseline(T1), 6 weeks after Baseline(T2), 17 weeks after Baseline(T3) |
|
| Secondary |
The Hospital Anxiety and Depression Scale (HADS) |
Measure of anxiety disorders and depression; minimum value=0 maximum value=21. 7 or less indicate non anxiety and non-depression cases, 8 to 10 indicates borderline cases, 11 and above indicates definite cases. |
Baseline(T1), 6 weeks after Baseline(T2), 17 weeks after Baseline(T3) |
|
| Secondary |
Perceived Social Support |
5-items measures of support received from the community; minimum value=5 (less perceived support) maximum value=25(higher perceived support) |
Baseline(T1), 6 weeks after Baseline(T2), 17 weeks after Baseline(T3) |
|
| Secondary |
WHO Disability Assessment Schedule (WHODAS 2.0) |
12-items measure of difficulties of individual in performing the certain activities; minimum value=0 maximum value=48 |
Baseline(T1), 6 weeks after Baseline(T2), 17 weeks after Baseline(T3) |
|
| Secondary |
PSYCHLOPS |
Measures of the problem and its effect in wellbeing and daily functioning over the last week; minimum value=0 maximum value=20 higher score denotes higher severity of psychological stress and functioning. |
Baseline(T1), during intervention (in intervention arm only), 6 weeks after Baseline(T2), 17 weeks after Baseline (T3) |
|
| Secondary |
Safety Behaviour Checklist and Use of Community Resource |
Measure the safety measures adopted by the participants in advance of potentially dangerous situations; the utilization of the local services available in the community for the prevention or the reduction of the violence occurrence |
Baseline(T1), 6 weeks after Baseline(T2), 17 weeks after Baseline(T3), 52 weeks after Baseline (T4) |
|
| Secondary |
Modified Physical Readiness to Manage IPV Survey (PREMIS) |
7-items measures of actual IPV knowledge, 23-items measures of attitude towards IPV, and 10-items measures of practice issues. All these items will be presented in descriptive format i.e. frequency and percentage of each option of each question selected by participants. |
Immediately after Integrated multi component Intervention Training (10 days post -baseline), during Integrated multicomponent supervision (approximately 90-days post-baseline) |
|
| Secondary |
Mental Health knowledge Schedule (MAKS) |
MAKS consists of six stigma-related mental health knowledge areas; employment, recognition, treatment, supports, help-seeking and recovery and knowledge and mental health conditions. MAKS comprises 12 items; among which 4 are negative statements. Each item has 5 points Likert scale score ranging from 1-5. For the positive statement, 'Strongly Agree' scores the highest 5 points, whereas 'Strongly Disagree' scores 1. The points in the ordinal scale are reversed for the negative statements. The totals score is calculated summing up the score of each of the 12 items. Higher score indicates higher participant's knowledge on mental health. We will document the change in the mean scores of mental health literacy between the two arms measured using MAKS. |
Immediately after Integrated multi component Intervention Training (10 days post -baseline, during Integrated multicomponent supervision (approximately 90-days post-baseline) |
|
| Secondary |
Social Distance Scale |
Social Distance Scale is aimed for the healthcare providers to measure their attitude towards the people with mental health. It is 7-item scale consisting 4 points scale each item ranging between 0-3, where 0 = definitely willing, 1= willing, 2= unwilling and 3 = definitely unwilling. Possible scores thus range from 0 to 21, with higher scores representing a greater desire to distance oneself from persons who have mental illness. |
Immediately after Integrated multi component Intervention Training (10 days post -baseline) |
|
| Secondary |
Perceived Dangerousness of the Mental Health Patients |
Perceived Dangerousness scale measures will be used to assess the perceived perceptions of health workers towards mental health patients. The scale consists of 8 items and responses on each item were measured using a six-point scale 0-5; ranging from strongly agree-strongly disagree. Majority of the statements are negative with reversed options order. The total score ranges from 0-40. The score will be obtained in each item by summing up to obtain a total score, which is divided by eight to create a scale varying from 0-5. The high score reflects the belief / perception that the people with mental illness are dangerous. |
Immediately after Integrated multi component Intervention Training (10 days post -baseline) |
|
