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

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

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

Study Overview

• Status: Completed
• Conditions: Depressive Disorder, Major
• Intervention / Treatment: Behavioral: mhGAP-IG

Detailed 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.

• Study Type: Interventional
• Enrollment (Actual): 4081
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Experimental arm; mhGAP-IG psychosocial intervention	Behavioral: mhGAP-IG; psychosocial interventions

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
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 Outcome Measures

Outcome Measure	Measure Description	Time Frame
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

Collaborators and Investigators

• Sponsor: Africa Mental Health Foundation
• Collaborators: Grand Challenges Canada
• Investigators: Principal Investigator: Christine W Musyimi, MSc, Africa Mental Health Foundation

Publications and helpful links

Helpful 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

Study record dates

Study Major Dates

• Study Start (Actual): July 1, 2014
• Primary Completion (Actual): March 20, 2015
• Study Completion (Actual): March 20, 2015

Study Registration Dates

• First Submitted: May 22, 2017
• First Submitted That Met QC Criteria: May 23, 2017
• First Posted (Actual): May 24, 2017

Study Record Updates

• Last Update Posted (Actual): May 24, 2017
• Last Update Submitted That Met QC Criteria: May 23, 2017
• Last Verified: May 1, 2017

More Information

Terms related to this study

• Keywords: depression; Kenya; Traditional healer; faith healer; mhGAP
• Additional Relevant MeSH Terms: Mental Disorders; Mood Disorders; Depressive Disorder; Depressive Disorder, Major
• Other Study ID Numbers: P602/12/2013

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: Deidentified data will be made available to the researchers on request through the principal investigator. A data request form available at AMHF will be used to make the request

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No