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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)
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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)
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Journal Article
Problem Management Plus (PM+) for common mental disorders in a humanitarian setting in Pakistan; study protocol for a randomised controlled trial (RCT)
2015
Overview
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
Publisher
BioMed Central,Springer Nature B.V
Subject
/ Adult
/ Altruism
/ Anxiety Disorders - economics
/ Anxiety Disorders - etiology
/ Depressive Disorder - economics
/ Depressive Disorder - etiology
/ Drug use
/ Female
/ Humans
/ Male
/ Medicine
/ Pakistan
/ Post traumatic stress disorder
/ Primary Health Care - economics
/ Social psychiatry therapy and provision of mental health care
/ Stress Disorders, Post-Traumatic - economics
/ Stress Disorders, Post-Traumatic - etiology
/ Stress, Psychological - economics
/ Stress, Psychological - therapy
/ Trauma
