Disaster mental health in Nepal and Haiti

Not Applicable

Active, not recruiting

Conditions: The primary condition/problem studied is disaster preparedness and mental health (with a focus on symptoms of depression, PTSD, and anxiety).

Registration Number: CTRI/2018/02/012002

Lead Sponsor: Courtney WeltonMitchell

Brief Summary: We developed and tested a hybrid mental health and disaster preparedness intervention in chronically flood-affected communities in Nepal (n = 480 households) and Haiti (n = 480 households). The 3-day intervention was culturally adapted, facilitated by trained laypersons and junior clinicians and focused on enhancing community resilience. Three communities in each country were selected based on disaster impacts. Participants in each community were randomized to intervention or to wait-list control conditions. Interventions were scheduled to occur prior to monsoon/hurricane season in each context. Interview data was collected across three time-points: 1) baseline/pre-intervention; 2) post-intervention; and 3) follow-up, to examine intervention effects on outcomes, including disaster preparedness, mental health symptoms and social cohesion.

Detailed Description: Not available

Recruitment & Eligibility

Status: Closed to Recruitment of Participants

Sex: All

Target Recruitment: 960

Inclusion Criteria

Available to attend 3-day intervention training; able to understand consent procedures; resident of community and present in community during recent hurricane/monsoon season.

Exclusion Criteria

Unable to attend the 3-day intervention training; unable to understand consent procedures.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Hypothesized significant differences in the following primary outcomes at Time 2 and persisting to Time 3 between intervention and control groups:	baseline, 6 months later, 9 months later
Disaster preparedness	baseline, 6 months later, 9 months later
Culturally bound symptoms	baseline, 6 months later, 9 months later
Depression symptoms	baseline, 6 months later, 9 months later
PTSD symptoms	baseline, 6 months later, 9 months later
Functional impairment	baseline, 6 months later, 9 months later
Anxiety symptoms, in Haiti only	baseline, 6 months later, 9 months later
Social cohesion	baseline, 6 months later, 9 months later

Secondary Outcome Measures

Name	Time	Method
Help seeking mental health related	Help giving mental health related

Trial Locations

Locations (2): Kailai District, Nepal
🇮🇳
District,, India
Metropolitan Port-au-Prince, Haiti
🇮🇳
Port-au-Prince,, India
Kailai District, Nepal
🇮🇳District,, India
Courtney WeltonMitchell
Principal investigator
CourtneyMitchell13@gmail.com