Study of Effectiveness of Mental Health Interventions Among Torture Survivors on the Thailand-Burma Border (MHAP)
The aim of the study is to determine the effectiveness of a psychotherapeutic intervention - namely, Components-Based Intervention (CBI) - in reducing the severity of mental health symptoms experienced by torture and violence survivors displaced from Burma into Thailand. Specifically, the intervention seeks to measure reductions (if any) in symptoms of depression and trauma.
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
|Official Title:||Study of Effectiveness of Mental Health Interventions Among Torture Survivors on the Thailand-Burma Border|
- depression symptomology [ Time Frame: 10-12 weeks ] [ Designated as safety issue: No ]Depression symptoms will be measured using a modified, locally validated version of the Hopkins Symptoms Checklist (HSCL. At the end of the intervention, the case group and the wait-control group will be re-interviewed. The mean change in the various subscales between pre and post intervention interviews will be calculated and subtracted from the mean change for the wait-control group.
- trauma symptomology [ Time Frame: 10-12 weeks ] [ Designated as safety issue: No ]Trauma exposure and symptoms will be measured using a modified, locally validated version of the Harvard Trauma Questionnaire (HTQ). At the end of the intervention, the case group and the wait-control group will be reinterviewed. The mean change in the various subscales between pre and post intervention interviews will be calculated and subtracted from the mean change for the wait-control group.
|Study Start Date:||September 2011|
|Estimated Study Completion Date:||September 2012|
|Estimated Primary Completion Date:||September 2012 (Final data collection date for primary outcome measure)|
No Intervention: Wait-Control
Measures of trauma or depression symptoms will be based on the responses to all trauma and depression questions in the screening interview. If this meets or exceeds a cutoff score of 45 for trauma and/or a cutoff score for depression of 13 or more then the person will be invited to join the trial after having been read a consent form. They will then be randomized into the wait-control arm.
Behavioral: Components-Based Intervention
CBI components include:
Other Name: Components Based Intervention
The study is part of an award by the USAID Victims of Torture Fund (USAID/VTF) to JHU to work with local and international organizations serving survivors of torture and systematic violence. For this study, the intent is to assist in the design, implementation, monitoring, and evaluation of programming to understand and address the psychosocial needs of Burmese displaced across the Thai/Burma border who are living in the area of Mae Sot, Tak Province in Thailand. Specifically this project involves collaboration with the Burma Border Project (BBP), the Mae Tao Clinic (MTC), the Assistance Association for Political Prisoners (AAPP), and Social Action for Women (SAW), to help improve the quality and effectiveness of psychosocial and mental health programs.
The Components-Based Intervention includes psycho-education, relaxation, life-enhancing skills (problems solving and safety planning), family support, and cognitive processing of life problems and traumatic events. The CBI model is being tested in a JHU study in Southern Iraq and preliminary results suggest that it may be effective for the population of displaced Burmese in Thailand. The duration of sessions is one hour, the frequency of treatment is weekly, and the recommended number of sessions in the Thailand/Burma border site is 10.
|Mae Sot, Tak Province, Thailand|
|Principal Investigator:||Courtland Robinson, PhD||Johns Hopkins Bloomberg School of Public Health|