Islamic Trauma Healing: A Scalable, Community-based Program for War and Refugee Trauma
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- PTSD
- Sponsor
- University of Washington
- Enrollment
- 200
- Locations
- 2
- Primary Endpoint
- PTSD Scale - Interview for the Diagnostic and Statistical Manual Version 5
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
In low and middle-income countries, access to state-of-the-art mental health care is often limited. Islamic Trauma Healing (ITH) is a manualized mosque-based, lay-led group intervention aimed at healing the individual and communal mental wounds of war and refugee trauma. The investigators will execute a hybrid effectiveness-implementation randomized controlled trial (RCT) of ITH versus delayed ITH to evaluate mental health effectiveness and ease of implementation.
Detailed Description
Background: Somalia has long been in a state of humanitarian crisis; trauma-related mental health needs are extremely high. Access to state-of-the-art mental health care is limited. Islamic Trauma Healing (ITH) is a manualized mosque-based, lay-led group intervention aimed at healing the individual and communal mental wounds of war and refugee trauma. The 6-session intervention combines Islamic principles with empirically-supported exposure and cognitive restructuring principles for posttraumatic stress disorder (PTSD). ITH reduces training time, uses a train the trainers (TTT) model, and relies on local partnerships embedded within the strong communal mosque infrastructure. Methods: The investigators will conduct a hybrid effectiveness-implementation randomized control trial (RCT) in the Somaliland, with implementation in the cities of Hargeisa, Borama, and Burao. In this study, a lay-led, mosque-based intervention, Islamic Trauma Healing (ITH), to promote mental health and reconciliation will be examined in 200 participants, randomizing mosques to either immediate ITH or a delayed (waitlist; WL) ITH conditions. Participants will be assessed by assessors masked to condition at pre, 3 weeks, 6 weeks, and 3 month follow-up. Primary outcome will be assessor-rated posttraumatic stress symptoms (PTSD), with secondary outcomes of depression, somatic symptoms, and well-being. A TTT model will be tested, examining the implementation outcomes. Additional measures include potential mechanisms of change and economic evaluation. Conclusion: This trial has the potential to provide effectiveness and implementation data for an empirically-based principle trauma healing program for the larger Islamic community that may not seek mental health care or does not have access to such care.
Investigators
Lori Zoellner
Professor: Psychology
University of Washington
Eligibility Criteria
Inclusion Criteria
- •Experienced a DSM-5 Criterion A trauma at least 12 weeks ago
- •Report current re-experiencing or avoidance PTSD symptoms
- •Islamic faith
- •18-70 years of age
Exclusion Criteria
- •Immediate suicide risk, with intent or plan
- •Cannot understand consent/visible cognitive impairment
Outcomes
Primary Outcomes
PTSD Scale - Interview for the Diagnostic and Statistical Manual Version 5
Time Frame: Change from pre to week 6 (immediate post intervention)
PTSD Severity, higher score worse severity, 0 to 80
Secondary Outcomes
- World Health Organization-5 Wellbeing Index(Change from pre to week 6 (immediate post intervention))
- Somatic Symptoms Scale-8(Change from pre to week 6 (immediate post intervention))
- Patient Health Questionnaire-9(Change from pre to week 6 (immediate post intervention))