Islamic trauma healing (ITH): A scalable, community-based program for trauma: Cluster randomized control trial design and method.

Autor:	Zoellner LA; University of Washington, Department of Psychology, Seattle, WA, USA., Feeny NC; Case Western Reserve University, Department of Psychological Sciences, Cleveland OH, USA., Angula DA; University of Washington, Department of Global Health, Seattle, WA, USA., Aideed MH; Somaliland Youth Development and Voluntary Organization (SOYDAVO), Burao, Somalia., Liban EN; University of Burao, Burao, Somalia., Egeh MH; Somaliland Youth Development and Voluntary Organization (SOYDAVO), Burao, Somalia., Awke AI; Somaliland Youth Development and Voluntary Organization (SOYDAVO), Burao, Somalia., Ismail AS; University of Burao, Department of Management, Burao, Somalia., Kunle MA; University of Burao, Department of Research Studies, Burao, Somalia., Ali E; University of Washington, Department of Psychology, Seattle, WA, USA., Levin CE; University of Washington, Department of Global Health, Seattle, WA, USA., Burant CJ; Case Western Reserve University, Frances Payne Bolton School of Nursing, Cleveland OH, USA., Bentley JA; University of Washington, Department of Rehabilitation Medicine, Seattle, WA, USA.
Jazyk:	angličtina
Zdroj:	Contemporary clinical trials communications [Contemp Clin Trials Commun] 2023 Dec 10; Vol. 37, pp. 101237. Date of Electronic Publication: 2023 Dec 10 (Print Publication: 2024).
DOI:	10.1016/j.conctc.2023.101237
Abstrakt:	Background: Somalia has long been in a state of humanitarian crisis; trauma-related mental health needs are extremely high. Access to state-of-the-art mental health care is limited. Islamic Trauma Healing (ITH) is a manualized mosque-based, lay-led group intervention aimed at healing the individual and communal mental wounds of war and refugee trauma. The 6-session intervention combines Islamic principles with empirically-supported exposure and cognitive restructuring principles for posttraumatic stress disorder (PTSD). ITH reduces training time, uses a train the trainers (TTT) model, and relies on local partnerships embedded within the strong communal mosque infrastructure. Methods: We will conduct a hybrid effectiveness-implementation randomized control trial (RCT) in the Somaliland, with implementation in the cities of Hargeisa, Borama, and Burao. In this study, a lay-led, mosque-based intervention, Islamic Trauma Healing (ITH), to promote mental health and reconciliation will be examined in 200 participants, randomizing mosques to either immediate ITH or a delayed (waitlist; WL) ITH conditions. Participants will be assessed by assessors masked to condition at pre, 3 weeks, 6 weeks, and 3-month follow-up. Primary outcome will be assessor-rated posttraumatic stress symptoms (PTSD), with secondary outcomes of depression, somatic symptoms, and well-being. A TTT model will be tested, examining the implementation outcomes. Additional measures include potential mechanisms of change and cost effectiveness. Conclusion: This trial has the potential to provide effectiveness and implementation data for an empirically-based principle trauma healing program for the larger Islamic community who may not seek mental health care or does not have access to such care. Clinical Trial Registration Number: ClinicalTrials.gov NCT05890482. World Health Organization Trial Registration Data Set Information: See Supplemental Appendix 1. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2023 The Authors.)
Databáze:	MEDLINE
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