Author:
Melchior Maria,Figueiredo Natasha,Roversi Aurélia,Dubanchet Alexandre,Bui Eric,Vadell-Martínez Julian,Barbui Corrado,Purgato Marianna,Ayuso-Mateos José Luis,Mediavilla Roberto,McDaid David,Park A-La,Petri-Romão Papoula,Kalisch Raffael,Nicaise Pablo,Lorant Vincent,Sijbrandij Marit,Witteveen Anke B.,Bryant Richard,Felez Mireia,Underhill James,Pollice Giulia,Tortelli Andrea
Abstract
Abstract
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.
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health