Ignite Creation Date:
2024-05-05 @ 4:38 PM
Last Modification Date:
2024-10-26 @ 9:22 AM
Study NCT ID:
NCT00280319
Status:
COMPLETED
Last Update Posted:
2017-03-14
First Post:
2006-01-20
Brief Title:
Study of Treatments for Depression Among Displaced Adolescents in Northern Uganda
Sponsor:
Boston University
Organization:
Boston University
Study Overview
Official Title:
Randomized Controlled Study of Non-pharmacologic Treatments for Depression Among Displaced Adolescents in Northern Uganda
Status:
COMPLETED
Status Verified Date:
2017-03
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
That interpersonal psychotherapy and creative play therapies can reduce symptoms of depression among adolescents with depressive-type illness in northern Uganda
Detailed Description:
This study represents the third phase of a project aimed at developing validating and using locally-relevant assessments of emotional and behavioral problems in Acholi war-affected children to evaluate interventions being delivered by non-governmental organizations in the N of Uganda It is positioned to make a unique contribution to the field by both developing culturally appropriate screening and assessment methods and then using them to assess the efficacy of an adapted manualized treatment both pre-and post-intervention
The intent of the proposed intervention study is to test the efficacy of group interpersonal psychotherapy IPT for treatment of specific psychosocial problems and associated impairment in Acholi IDP adolescents living in the Unyama and Awer camps of Gulu District Northern Uganda These interventions represent the existing standard of care provided by NGOs working in this region but for tje first time collaboration of the NGOs in this study will help ensure systematic assessment of participants to investigate the efficacy of interventions being offered
The proposed research study aims to test the efficacy of a group treatment for emotional and behavioral problems in war-affected adolescents Emotional and behavioral problems will be assessed using a locally-validated scale of psychosocial problems and functional impairment developed from ethnographic work conducted in the same IDP camps in Gulu District in July 2004 The intervention to be tested will be group interpersonal therapy IPT which has shown efficacy for use in treating depression in Ugandan adults In Masaka and Rakai provinces The decision to use IPT in this IDP population was based on the fact that symptoms similar to depression and comorbid anxiety for which IPT is indicated dominated in the ethnographic assessment of emotional and behavioral problems collected in July Additionally we have prior direct experience in Uganda that IPT can be easily trained and systematically delivered in a low-resource environment lay practitioners and that it is effective in treating depression Furthermore our ethnographic work has resulted in a suitable measure for assessing emotional and behavioral problems in war- affected Acholi youth living in the Northern Uganda for use in screening adolescents into intervention groups The application of valid instruments to assess psychosocial problems and the degree of impairment both pre and post- intervention will be invaluable to our implementing partners - World VisionWar Child - for developing effective interventions to address the ongoing mental health needs of the young people they serve in Northern Uganda
Specific Objectives 1 To assess symptoms of locally described depression-like syndromes KumuParTwo Tam a local anxiety syndrome Ma Lwor and social problems Gin lugerotic marac in Acholi war-affected adolescents using the Acholi Psychosocial Assessment Instrument APAI a locally-derived tool for assessment of emotional and behavioral problems in children and youth available in the Luo language
2 To randomly assign screened individuals found to have these problems to one of three treatment conditions including a group IPT b a facilitated arts recreation control condition and c a wait-list control condition
3 To conduct post-intervention testing and comparison of all treatment conditions using the APAI This will be done immediately after the IPT intervention is completed and repeated 6 months later
The intent of the proposed intervention study is to test the efficacy of group interpersonal psychotherapy IPT for treatment of specific psychosocial problems and associated impairment in Acholi IDP adolescents living in the Unyama and Awer camps of Gulu District Northern Uganda These interventions represent the existing standard of care provided by NGOs working in this region but for tje first time collaboration of the NGOs in this study will help ensure systematic assessment of participants to investigate the efficacy of interventions being offered
The proposed research study aims to test the efficacy of a group treatment for emotional and behavioral problems in war-affected adolescents Emotional and behavioral problems will be assessed using a locally-validated scale of psychosocial problems and functional impairment developed from ethnographic work conducted in the same IDP camps in Gulu District in July 2004 The intervention to be tested will be group interpersonal therapy IPT which has shown efficacy for use in treating depression in Ugandan adults In Masaka and Rakai provinces The decision to use IPT in this IDP population was based on the fact that symptoms similar to depression and comorbid anxiety for which IPT is indicated dominated in the ethnographic assessment of emotional and behavioral problems collected in July Additionally we have prior direct experience in Uganda that IPT can be easily trained and systematically delivered in a low-resource environment lay practitioners and that it is effective in treating depression Furthermore our ethnographic work has resulted in a suitable measure for assessing emotional and behavioral problems in war- affected Acholi youth living in the Northern Uganda for use in screening adolescents into intervention groups The application of valid instruments to assess psychosocial problems and the degree of impairment both pre and post- intervention will be invaluable to our implementing partners - World VisionWar Child - for developing effective interventions to address the ongoing mental health needs of the young people they serve in Northern Uganda
Specific Objectives 1 To assess symptoms of locally described depression-like syndromes KumuParTwo Tam a local anxiety syndrome Ma Lwor and social problems Gin lugerotic marac in Acholi war-affected adolescents using the Acholi Psychosocial Assessment Instrument APAI a locally-derived tool for assessment of emotional and behavioral problems in children and youth available in the Luo language
2 To randomly assign screened individuals found to have these problems to one of three treatment conditions including a group IPT b a facilitated arts recreation control condition and c a wait-list control condition
3 To conduct post-intervention testing and comparison of all treatment conditions using the APAI This will be done immediately after the IPT intervention is completed and repeated 6 months later
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None