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dc.contributor.authorDawson, KS
dc.contributor.authorSchafer, A
dc.contributor.authorAnjuri, D
dc.contributor.authorNdogoni, L
dc.contributor.authorMusyoki, C
dc.contributor.authorSijbrandij, M
dc.contributor.authorvan Ommeren, M
dc.contributor.authorBryant, RA
dc.date.accessioned2020-12-18T03:24:26Z
dc.date.available2020-12-18T03:24:26Z
dc.date.issued2016-11-18
dc.identifierpii: 10.1186/s12888-016-1117-x
dc.identifier.citationDawson, K. S., Schafer, A., Anjuri, D., Ndogoni, L., Musyoki, C., Sijbrandij, M., van Ommeren, M. & Bryant, R. A. (2016). Feasibility trial of a scalable psychological intervention for women affected by urban adversity and gender-based violence in Nairobi.. BMC Psychiatry, 16 (1), pp.410-. https://doi.org/10.1186/s12888-016-1117-x.
dc.identifier.issn1471-244X
dc.identifier.urihttp://hdl.handle.net/11343/255754
dc.description.abstractBACKGROUND: Living in conditions of chronic adversity renders many women more vulnerable to experiencing gender-based violence (GBV). In addition to GBV's physical and social consequences, the psychological effects can be pervasive. Access to evidence-based psychological interventions that seek to support the mental health of women affected by such adversity is rare in low- and middle-income countries. METHODS: The current study evaluates a brief evidence-informed psychological intervention developed by the World Health Organization for adults impacted by adversity (Problem Management Plus; PM+). A feasibility randomised control trial (RCT) was conducted to inform a fully powered trial. Community health workers delivered the intervention to 70 women residing in three peri-urban settings in Nairobi, Kenya. Women, among whom 80% were survivors of GBV (N = 56), were randomised to receive five sessions of either PM+ (n = 35) by community health workers or enhanced treatment as usual (ETAU; n = 35). RESULTS: PM+ was not associated with any adverse events. Although the study was not powered to identify effects and accordingly did not identify effects on the primary outcome measure of general psychological distress, women survivors of adversity, including GBV, who received PM+ displayed greater reductions in posttraumatic stress disorder symptoms following treatment than those receiving ETAU. CONCLUSIONS: This feasibility study suggests that PM+ delivered by lay health workers is an acceptable and safe intervention to reach women experiencing common mental disorders and be inclusive for those affected by GBV and can be studied in a RCT in this setting. The study sets the stage for a fully powered, definitive controlled trial to assess this potentially effective intervention. TRIAL REGISTRATION: ACTRN12614001291673 , 10/12/2014, retrospectively registered during the recruitment phase.
dc.languageeng
dc.publisherSpringer Science and Business Media LLC
dc.rights.urihttps://creativecommons.org/licenses/by/4.0
dc.titleFeasibility trial of a scalable psychological intervention for women affected by urban adversity and gender-based violence in Nairobi.
dc.typeJournal Article
dc.identifier.doi10.1186/s12888-016-1117-x
melbourne.affiliation.departmentPsychiatry
melbourne.source.titleBMC Psychiatry
melbourne.source.volume16
melbourne.source.issue1
melbourne.source.pages410-
dc.rights.licenseCC BY
melbourne.elementsid1202971
melbourne.openaccess.pmchttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC5116169
melbourne.contributor.authorBryant, Richard
dc.identifier.eissn1471-244X
melbourne.accessrightsOpen Access


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