TY - JOUR
T1 - Addressing mental health problems among persons without stable housing in the context of the COVID-19 pandemic
T2 - study protocol for a randomised trial. RESPOND – France
AU - Melchior, Maria
AU - Figueiredo, Natasha
AU - Roversi, Aurélia
AU - Dubanchet, Alexandre
AU - Bui, Eric
AU - Vadell-Martínez, Julian
AU - Barbui, Corrado
AU - Purgato, Marianna
AU - Ayuso-Mateos, José Luis
AU - Mediavilla, Roberto
AU - McDaid, David
AU - Park, A. La
AU - Petri-Romão, Papoula
AU - Kalisch, Raffael
AU - Nicaise, Pablo
AU - Lorant, Vincent
AU - Sijbrandij, Marit
AU - Witteveen, Anke B.
AU - Bryant, Richard
AU - Felez, Mireia
AU - Underhill, James
AU - Pollice, Giulia
AU - Tortelli, Andrea
N1 - Funding Information: This study is embedded in the larger, EU Horizon 2020 H2020-SC1-PHE-CORONAVIRUS-2020-2 funded RESPOND (Improving the Preparedness of Health Systems to Reduce Mental Health and Psychosocial Concerns resulting from the COVID-19 Pandemic) project (Grant Agreement 101016127). The RESPOND project is composed of a consortium of eight countries: the Netherlands, France, Spain, Italy, Belgium, United Kingdom, Sweden, Australia. The funder has no influence in study design; collection, management, analysis, and interpretation of data; writing of the report; and the decision to submit the report for publication. Funding Information: The authors wish to acknowledge WHO staff who have contributed to the development of Doing What Matters and Problem Management+, as well as ANRS-MIE staff who were involved in helping finalize the study protocol and obtain all necessary ethical and regulatory authorizations. Publisher Copyright: © 2023, The Author(s).
PY - 2023/12/1
Y1 - 2023/12/1
N2 - Background: The COVID-19 pandemic has had an impact on population-wide mental health and well-being. Although people experiencing socioeconomic disadvantage may be especially vulnerable, they experience barriers in accessing mental health care. To overcome these barriers, the World Health Organization (WHO) designed two scalable psychosocial interventions, namely the web-based Doing What Matters in Times of Stress (DWM) and the face-to-face Problem Management Plus (PM+), to help people manage stressful situations. Our study aims to test the effectiveness of a stepped-care program using DWM and PM + among individuals experiencing unstable housing in France – a majority of whom are migrant or have sought asylum. Methods: This is a randomised controlled trial to evaluate the effectiveness and cost effectiveness of a stepped-care program using DWM and PM + among persons with psychological distress and experiencing unstable housing, in comparison to enhanced care as usual (eCAU). Participants (N = 210) will be randomised to two parallel groups: eCAU or eCAU plus the stepped-care program. The main study outcomes are symptoms of depression and anxiety measured using the Patient Health Questionnaire Anxiety and Depression Scale (PHQ-ADS). Discussion: This randomised controlled trial will contribute to a better understanding of effective community-based scalable strategies that can help address the mental health needs of persons experiencing socioeconomic disadvantage, whose needs are high yet who frequently have limited access to mental health care services. Trial registration: this randomised trial has been registered at ClinicalTrials.gov under the number NCT05033210.
AB - Background: The COVID-19 pandemic has had an impact on population-wide mental health and well-being. Although people experiencing socioeconomic disadvantage may be especially vulnerable, they experience barriers in accessing mental health care. To overcome these barriers, the World Health Organization (WHO) designed two scalable psychosocial interventions, namely the web-based Doing What Matters in Times of Stress (DWM) and the face-to-face Problem Management Plus (PM+), to help people manage stressful situations. Our study aims to test the effectiveness of a stepped-care program using DWM and PM + among individuals experiencing unstable housing in France – a majority of whom are migrant or have sought asylum. Methods: This is a randomised controlled trial to evaluate the effectiveness and cost effectiveness of a stepped-care program using DWM and PM + among persons with psychological distress and experiencing unstable housing, in comparison to enhanced care as usual (eCAU). Participants (N = 210) will be randomised to two parallel groups: eCAU or eCAU plus the stepped-care program. The main study outcomes are symptoms of depression and anxiety measured using the Patient Health Questionnaire Anxiety and Depression Scale (PHQ-ADS). Discussion: This randomised controlled trial will contribute to a better understanding of effective community-based scalable strategies that can help address the mental health needs of persons experiencing socioeconomic disadvantage, whose needs are high yet who frequently have limited access to mental health care services. Trial registration: this randomised trial has been registered at ClinicalTrials.gov under the number NCT05033210.
KW - COVID-19
KW - Doing what matters in times of stress
KW - Economic evaluation
KW - France
KW - Housing instability
KW - Migrant
KW - Problem management plus
KW - Psychological distress
KW - Randomized controlled trial
UR - http://www.scopus.com/inward/record.url?scp=85177452913&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85177452913&partnerID=8YFLogxK
U2 - https://doi.org/10.1186/s12889-023-17238-7
DO - https://doi.org/10.1186/s12889-023-17238-7
M3 - Article
C2 - 37978577
SN - 1471-2458
VL - 23
SP - 1
EP - 10
JO - BMC public health
JF - BMC public health
IS - 1
M1 - 2275
ER -