- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05130944
Feasibility of Community Psychosocial Intervention for Women
Integrating Psychosocial Support Into Protection and Community Programs for Women in Ecuador and Panama
The purpose of the current protocol is to describe a cluster randomized feasibility trial examining the integration of a scalable stress management intervention into Entre Nosotras ('among/between us'), a community-based psychosocial intervention for migrant and host community women in Ecuador and Panamá.
Specifically the study aims to:
- Explore the relevance, acceptability, and feasibility of integrating a stress management intervention into community-based participatory women's group
- Examine the feasibility of conducting a fully-powered cluster randomized controlled trial evaluating the effectiveness and implementation of integrating a stress management intervention into a community-based participatory women's group as compared to community-based participatory women's groups alone.
Study Overview
Status
Intervention / Treatment
Detailed Description
The proposed research directly targets two public health areas with major gaps in evidence in the field of humanitarian settings: (1) protection and safety, and (2) mental health and psychosocial wellbeing.
This research will be conducted in three sites in Ecuador and Panama. Latin America has recently experienced increasing levels of forced migration due to political conflict, community violence, and other factors. Panamá and Ecuador host refugees, asylum seekers, and migrants from a range of Central and South American countries (e.g., Colombia, Nicaragua, Venezuela). Migrants in these contexts face mental health and psychosocial problems, threats to their safety, and disrupted social support systems. Gaps in psychosocial services to address these problems despite their high prevalence persist in both countries and have been exacerbated due to the COVID-19 pandemic.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Claire Greene, PhD
- Phone Number: 646 774 6427
- Email: mg4069@cumc.columbia.edu
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Adult (18+ years) women residing in the study community who speak and understand Spanish
- Displaced or host community members
Exclusion Criteria:
- Severe psychological distress (Kessler-6 >=13)
- Moderate or high risk of suicide
- Cognitive impairment
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Entre Nosotras (group psychosocial intervention) + stress management intervention
Experimental condition: Women residing in the study community (displaced and host population) will receive both group psychosocial intervention and stress management intervention.
Participants will be given the Spanish version of the Doing What Matters in Times of Stress illustrated guide, that is published and made publicly available by the World Health Organization.
|
A series of five 2-hour group sessions that are administered weekly by two trained female peer facilitators, who are selected by HIAS outreach workers and/or community leaders. The content of the sessions is based on the principles of Psychological First Aid and the Participatory Action Cycle, which is intended to generate community-led problem solving around priority issues affecting their wellbeing. Entre Nosotras is a community- and strengths-based intervention designed to mobilize social support, strengthen community connectedness, and stimulate collective action to promote the safety and wellbeing of women.
The stress management components are derived from the World Health Organization Doing What Matters in Times of Stress illustrated guide for coping with adversity (World Health Organization, 2020).
The illustrated guide and accompanying audio files are publicly available: https://www.who.int/publications/i/item/9789240003927.
During five sessions, the intervention involves 15-20 minute exercises covering a range of stress management and coping skills.
Other Names:
|
Active Comparator: Entre Nosostras (group psychosocial intervention)
Comparison condition: Women residing in the study community (displaced and host population) will receive group psychosocial intervention only.
|
A series of five 2-hour group sessions that are administered weekly by two trained female peer facilitators, who are selected by HIAS outreach workers and/or community leaders. The content of the sessions is based on the principles of Psychological First Aid and the Participatory Action Cycle, which is intended to generate community-led problem solving around priority issues affecting their wellbeing. Entre Nosotras is a community- and strengths-based intervention designed to mobilize social support, strengthen community connectedness, and stimulate collective action to promote the safety and wellbeing of women. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Proportion of women screened who are eligible to participate
Time Frame: Baseline
|
This is to measure relevance of the intervention in the source population.
Appropriateness of the intervention to population needs will be measured using quantitative indicators and qualitative reports from participants and facilitators during the process evaluation.
|
Baseline
|
Proportion of eligible and enrolled women who engage in sessions and/or complete all five group sessions.
Time Frame: Up to 5 weeks
|
This is to measure the acceptability of the intervention.
Safety, an indicator of acceptability, will also be assessed by adverse events reported during study period.
Qualitative interviews with participants and facilitators will inquire about acceptability and will be integrated with quantitative estimates of intervention engagement and completion.
|
Up to 5 weeks
|
Intervention Usability Scale Score
Time Frame: 5 weeks
|
Usability will be measured using the 10-item Intervention Usability Scale, which will be completed by facilitators after the final session of the intervention.
Scores are scaled to range from 0-100 with scores exceeding 68 considered to indicate usable interventions.
|
5 weeks
|
Recruitment rate
Time Frame: Study period
|
The number of individuals enrolled per month will be used to determine the feasibility of a fully-powered definitive trial.
|
Study period
|
Number of baseline imbalances between study conditions
Time Frame: Baseline
|
The number of socio-demographic or study outcome imbalances between the intervention and comparison condition will be used to determine the feasibility of a fully-powered definitive trial and the success of the randomization process.
|
Baseline
|
Attrition - proportion of enrolled individuals who drop out of the study
Time Frame: Up to 10 weeks
|
The proportion of enrolled individuals who drop out of the study will be used to indicate the feasibility of a fully-powered definitive trial.
|
Up to 10 weeks
|
Contamination - proportion of sessions that did not include coping skills intervention components
Time Frame: Up to 5 weeks
|
The proportion of experimental sessions that did not include coping skills intervention components and the proportion of control sessions that did include coping skills intervention components from the Doing What Matters in Times of Stress intervention.
|
Up to 5 weeks
|
Fidelity checklist score
Time Frame: Up to 5 weeks
|
Average level of compliance with the intervention activities as intended within the manual.
Assessed using a fidelity checklist with average item scores ranging from 0 = not implemented to 2 = implemented well.
Scores between 0 and 2 indicate that the activities were partially implemented and/or could be improved.
|
Up to 5 weeks
|
Facilitator competence score
Time Frame: Up to 5 weeks
|
This is to measure the feasibility of the intervention.
Facilitator competencies assessed using items from ENACT along qualitative interviews with facilitators will be assessed together.
For the quantitative items, we selected six domains that are each scored on a scale from 1=needs improvement to 3=done well.
|
Up to 5 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Personal Wellbeing Index
Time Frame: Baseline, Post-Intervention (approximately 5 Weeks), 5 Weeks Post-Intervention (approximately 10 Weeks)
|
This is to measure psychosocial wellbeing; Subscales include satisfaction with standard of living, health, life achievement, personal relationships, personal safety, community connectedness, and future security. Each of the nine items is measured on a 0-to-10 scale (0 = No satisfaction at all; 10 = Very satisfied). |
Baseline, Post-Intervention (approximately 5 Weeks), 5 Weeks Post-Intervention (approximately 10 Weeks)
|
Kessler 6 scale score
Time Frame: Baseline, Post-Intervention (approximately 5 Weeks), 5 Weeks Post-Intervention (approximately 10 Weeks)
|
This is to measure psychological distress.
The Kessler 6 includes six items measured on 5-point Likert scale where respondents indicate the frequency they have experienced a given symptom (from none of the time to all of the time).
|
Baseline, Post-Intervention (approximately 5 Weeks), 5 Weeks Post-Intervention (approximately 10 Weeks)
|
Brief COPE scale score
Time Frame: Baseline, Post-Intervention (approximately 5 Weeks), 5 Weeks Post-Intervention (approximately 10 Weeks)
|
This is to measure coping.
The 28-item scale rates the frequency of using certain coping skills on a 4-point Likert scale from "I haven't been using this at all" to "I've been doing this a lot".
|
Baseline, Post-Intervention (approximately 5 Weeks), 5 Weeks Post-Intervention (approximately 10 Weeks)
|
WHODAS Score
Time Frame: Baseline, Post-Intervention (approximately 5 Weeks), 5 Weeks Post-Intervention (approximately 10 Weeks)
|
This is to measure functioning.
This 12-item scale rates the difficulty individuals have had completing certain tasks on a 5-point Likert Scale from "none" to "extreme or cannot do"
|
Baseline, Post-Intervention (approximately 5 Weeks), 5 Weeks Post-Intervention (approximately 10 Weeks)
|
Oslo Social Support Scale Score
Time Frame: Baseline, Post-Intervention (approximately 5 Weeks), 5 Weeks Post-Intervention (approximately 10 Weeks)
|
This is to measure social support.
This 3-item measure assesses different domains of social support on a 5-point Likert scale with higher values indicating greater levels of social support.
Response options vary by item.
|
Baseline, Post-Intervention (approximately 5 Weeks), 5 Weeks Post-Intervention (approximately 10 Weeks)
|
Collaborators and Investigators
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- AAAT7637
- AID-OAAA17-00002 (Other Grant/Funding Number: United States Agency for International Development)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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