Strengthening Resilience to Climate Change by Improving Mental Health: Evidence from a Randomized Intervention in Southwestern Uganda
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 904
- 试验地点
- 1
- 主要终点
- Food insecurity
研究概览
简要总结
The study aims to evaluate if enhancing the mental health of refugee mothers can make them better able to implement new farming methods that are meant to improve food security in the face of climate change. It is a cluster-randomized controlled trial involving 900 pairs consisting of refugee mothers and their children aged 36-59 months, living in Nakivale refugee settlement in Uganda. The mothers will be randomly assigned to one of three groups:
- Control group: Mothers will receive Enhanced Usual Care (EUC).
- HGI group: Mothers will receive the Home Gardening Intervention, consisting of training and supplies for home gardening.
- HGI/SH+ group: Mothers will receive both the Home Gardening Intervention and the Self-Help Plus mental health intervention.
The main goal is to see if the gardening program alone can reduce food insecurity after 12 months compared to the EUC control group. It also aims to see if reducing psychological distress by adding the mental health component boosts the effects of the gardening intervention.
Secondary goals are to look at impacts on dietary diversity, child malnutrition, and mothers' mental health levels across all three groups.
The study also gathers survey data on participant mothers' migration history, social capital, exposure to potentially traumatic events, exposure to natural hazards and environmental stressors, mental health, and parenting style. Both mothers and their children will furthermore play incentivized economic games to measure their economic preferences (time, risk, social preferences). Additionally, the study will assess children's well-being and functioning. Children will also be asked to carry out gamified tasks designed to measure their cognitive development.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Psychological distress (score 5 or above on K-6)
- •Ability to speak and understand Kiswahili
- •Have a child aged 36-59 months
- •Availability of plot of land for farming
- •Access of water for farming
- •Written informed consent to enter the study
排除标准
- •Imminent risk of suicide
- •Observable signs of psychosis
- •Manic behaviors
- •Intellectual disability
- •Inclusion criteria (children):
- •Age 36-59 months
- •Written parental consent to enter the study
- •Assent to enter the study
- •Exclusion criteria (children):
- •Intellectual disability
- •Not living with mother
结局指标
主要结局
Food insecurity
时间窗: 12 months
Food insecurity will be assessed using the Food Insecurity Experience Scale (FIES). The FIES was developed by the FAO, and consists of 8 questions regarding the availability of sufficient food in the past thirty days. The questions form a scale calibrated against a global reference from the 2014-2016 Gallup World Poll for comparability across countries. Responses are analyzed as a scale using Item Response Theory (IRT) models, ensuring comparability of food insecurity prevalence rates.
次要结局
- Dietary diversity(12 months)
- Child malnutrition(12 months)
- Psychological distress(12 months)