Poprawa zdrowia psychicznego kobiet poprzez porady online w centrach zdrowia psychicznego w Bangladeszu
Improving Women's Mental Health Through Tele-based Wellbeing Centres in Bangladesh.
W skrócie
Badanie sprawdza, czy poradnictwo psychologiczne przez internet jest równie skuteczne co wizyty w poradni dla kobiet z depresją lub lękiem w Bangladeszu. Uczestniczki będą losowo przydzielone do grupy otrzymującej konsultacje online lub tradycyjne wizyty twarzą w twarz, a naukowcy będą śledzić ich nastrój, stres i jakość życia przez 6 miesięcy. Wyniki pomogą dostępniejszej opiece psychicznej dla kobiet w krajach, gdzie trudno dostać się do psychologa.
Oryginalny opis (angielski)
1. Burden:
Women in Bangladesh face a high mental health burden, with 22% experiencing mental disorders compared to 16% of men. Access to face to face psychological care is limited by stigma, financial barriers, restricted mobility, and shortage of trained professionals, resulting in a major treatment gap.
2. Knowledge gap:
Evidence on tele mental health effectiveness mainly comes from high income countries. In Bangladesh, evidence is limited to observational studies, and it remains unclear whether tele counselling is as effective as in person care for women.
3. Relevance:
This randomized non-inferiority trial will evaluate whether tele counselling can achieve comparable outcomes to face to face care. Findings will support policy decisions and scale up of accessible mental health services for women in Bangladesh, aligned national, global and institutional goals.
Hypothesis (if any):
1\. Tele based counselling through WBC is hypothesised to be non-inferior to in person counselling in improving women's mental health outcomes, quality of life, and overall wellbeing, with comparable acceptability, accessibility, and usefulness.
Objectives:
This study aims to evaluate whether tele based counselling through Wellbeing Centres is a clinically non-inferior and feasible alternative to in person counselling for improving women's mental health and quality of life in Bangladesh.
Methods:
The investigators propose a two-arm randomized controlled non-inferiority trial among 1200 women with moderate to severe depression or anxiety. Participants will be randomized to tele counselling through Wellbeing Centres or standard face to face counselling using identical protocols. Outcomes including PHQ-9, GAD-7, WHOQOL-BREF, WHO-5, and GHQ-12 will be assessed at baseline and 2, 4, and 6 months. Quantitative and qualitative analyses will evaluate clinical effectiveness, feasibility, acceptability, accessibility, usability and treatment experiences.
Outcome measures/variables:
Primary outcomes are changes in depression (PHQ-9) and anxiety (GAD-7) scores. Secondary outcomes include quality of life (WHOQOL-BREF), psychological distress (GHQ-12), mhGAP conditions, wellbeing (WHO-5), and service acceptability, accessibility, and usefulness. All measures will be assessed at baseline and at 2, 4, and 6 months.