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NCT05703711 | Active, not recruiting | Psychosis


Combining mHealth and Nurse-delivered Care to Improve the Outcomes of People With Serious Mental Illness in West Africa
Sponsor:

University of Washington

Information provided by (Responsible Party):

Dror Ben-Zeev

Brief Summary:

In West Africa, most people with serious mental illness receive care from traditional or faith healers at prayer camps. The stepped-wedge cluster randomized trial aims to evaluate the effectiveness of a dual-pronged intervention package comprised of a mobile health program designed to train healers to deliver evidence-based psychosocial interventions combined with pharmacotherapy delivered directly to the patients at their prayer camps via a visiting nurse in Ghana.

Condition or disease

Psychosis

Mania

Depression

Intervention/treatment

mHealer

Phase

Not Applicable

Detailed Description:

The study involves deployment of an intervention in Ghanian prayer camps where traditional and faith healers provide care for people with mental illness. The intervention has two components: a visiting nurse that provides medications to patients staying at the prayer camps combined with a smartphone app called M-Healer that is used by the staff working at the camps. The app is designed to provide them with training on how to deliver some psychosocial interventions, monitor the health and well-being of their patients, and protect human rights at the camps. The stepped-wedge cluster randomized study design involves all participant groups beginning the trial receiving enhanced usual care with random sequential crossover of groups to the experimental condition until all groups have been exposed to the full intervention. Throughout the study, participant data will be collected at baseline, mid-treatment, and post-treatment. Following study completion, the intervention will be evaluated by comparing changes in psychiatric symptoms of participants from baseline to post-treatment.}}

Study Type : Interventional
Estimated Enrollment : 360 participants
Masking : None (Open Label)
Primary Purpose : Treatment
Official Title : Combining mHealth and Nurse-delivered Care to Improve the Outcomes of People With Serious Mental Illness in West Africa
Actual Study Start Date : June 30, 2023
Estimated Primary Completion Date : May 31, 2027
Estimated Study Completion Date : May 31, 2027
Arm Intervention/treatment

No Intervention: Enhanced Usual Care

In the Enhanced Usual Care arm, all healers are invited to participate in an interactive session reviewing ways to reduce inhumane and potentially harmful treatments in practices at their camps.

Experimental: M&M Intervention Package

M&M is a 8-week long combination of mHealth designed to train healers to deliver basic psychosocial interventions while preserving human rights with pharmacotherapy delivered directly to their patients via visiting nurse.

Ages Eligible for Study: 18 Years
Sexes Eligible for Study: All
Accepts Healthy Volunteers: Accepts Healthy Volunteers
Criteria
Inclusion Criteria
  • Aged 18 years or older
  • Speaks Twi or English
  • Current inpatient staying at a study prayer camp
  • A diagnosis of psychosis, mania, or depression
Exclusion Criteria
  • Serious physical illness or in need of urgent medical attention

Combining mHealth and Nurse-delivered Care to Improve the Outcomes of People With Serious Mental Illness in West Africa

Location Details


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Combining mHealth and Nurse-delivered Care to Improve the Outcomes of People With Serious Mental Illness in West Africa

How to Participate

Want to participate in this study, select a site at your convenience, send yourself email to get contact details and prescreening steps.

Locations


Not yet recruiting

Ghana,

University of Ghana

Accra, Ghana, GP4236

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