Psycho-social Support on Mental Health and Hope of Adolescents Affected by Earthquake in Nepal

NCT03387007 | Completed DMC

• 1 other identifier: TUniversity
• Study Type: interventional
• Target: 1,912
• Locations: 0 countries
• Sites: N/A

Brief Summary

Adolescents are prone to mental health problems such as post-traumatic stress disorder (PTSD) and depression which could become worse in the aftermath of disasters. However, hope can help adolescents cope with the challenges better. For resource poor disaster prone settings, school teachers can provide timely psycho-social support that could improve mental health and hope among adolescents. Nepal is a disaster prone country that faced a devastating earthquake in 2015 that claimed thousands of lives and left many homeless which could have affected the mental health of adolescents.This study was conducted in schools of Dhading, a severely earthquake affected district and schools of Myagdi, a least affected district by earthquake in Nepal. The intervention focused on training school teachers on psycho-social support for adolescents.

Conditions

Mental Health Issue (E.G., Depression, Psychosis, Personality Disorder, Substance Abuse)

Keywords

adolescent; mental health; hope; psycho-social support; school teachers; earthquake

Outcome Measures

Primary Outcomes (3)

• Change from baseline post traumatic stress symptoms at 6 months

  Post traumatic stress disorder symptoms among adolescents using Child post traumatic symptom scale symptom scale which is a 17 item scale. The minimum score is 0 and maximum score is 52. Higher score indicates higher symptoms for PTSD.

  baseline and 6 month follow up

• Change from baseline depression symptoms at 6 months

  Depression symptoms among adolescents using depression self rating scale which is an 18 item scale. The minimum score is 0 and maximum score is 36. Higher scores indicate higher symptoms for depression.

  baseline and 6 month follow up

• Change from baseline hope at 6 months

  Hope as an antecedent of resilience and positive aspect of mental health using Children's Hope scale which is a 6 item scale. The minimum score is 0 and maximum score is 1 and maximum score is 36. The higher score indicate higher hope.

  baseline and 6 month follow up

Study Arms (2)

Intervention

EXPERIMENTAL

Two teachers from each of the schools included in this arm received training on providing psycho-social support to their students to be implemented in their regular routine school activities

Behavioral: Psychosocial support training for school teachers

Control

NO INTERVENTION

The teachers from the schools in this arm did not receive training on psycho-social support

Interventions

Psychosocial support training for school teachers BEHAVIORAL

The intervention for this study was schoolteachers' training on psychosocial support.A clinical psychologist provided 2-day training (a total of 16 hours) training on psychosocial support for the schoolteachers

Intervention

Eligibility Criteria

• Age: 10 Years - 17 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Adolescents studying in grade 6, 7 and 8 of the selected schools at the time of data collection
• Adolescents with written consent from themselves and their guardian

You may not qualify if:

• Adolescent who refused to participate

Sponsors & Collaborators

• Tokyo University: lead

Related Publications (1)

• Dhital R, Shibanuma A, Miyaguchi M, Kiriya J, Jimba M. Effect of psycho-social support by teachers on improving mental health and hope of adolescents in an earthquake-affected district in Nepal: A cluster randomized controlled trial. PLoS One. 2019 Oct 1;14(10):e0223046. doi: 10.1371/journal.pone.0223046. eCollection 2019.

  PMID: 31574127 DERIVED

MeSH Terms

Conditions

Depression; Psychotic Disorders; Personality Disorders; Substance-Related Disorders; Psychological Well-Being

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Schizophrenia Spectrum and Other Psychotic Disorders; Mental Disorders; Chemically-Induced Disorders; Personal Satisfaction

Study Officials

• Rolina Dhital, MHSc

  Tokyo University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD Candidate

Study Record Dates

• First Submitted: December 21, 2017
• First Posted: December 29, 2017
• Study Start: June 1, 2016
• Primary Completion: March 1, 2017
• Study Completion: December 1, 2017
• Last Updated: December 29, 2017

Record last verified: 2017-12