The main objective is to optimalize the treatment of Moroccan and Turkish patients with depressive and/or anxiety disorders by increasing the cultural competence of the mental health workers who treat these patients. The mental health workers will…
ID
Source
Brief title
Condition
- Other condition
- Psychiatric disorders
Synonym
Health condition
tevens angststoornissen
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Drop-out is the primary outcome measure. Drop out is defined as :not attending
follow up sessions against the advise of the therapist. Therapists and doctors
will try to motivate the patients and if they do not visit the clinic, try to
make a new appointment twice. If they do not succeed in motivating the patient,
the therapists will register the drop-out in the electronic patient dossier
(EPD).
Secondary outcome
From the Electronic Patient Dossier no-show and the treatment modalities that
have been offered,will be extracted . Additionally we will administer the
Nivel Consumers Panel Questionnaire on Trust in Mental Health Care) , the
Perceived Needs for Care Questionnaire (Meadows).
To assess determinants of drop-out we will administer the following
questionnaires: WHO-DAS II (WHO disability assessment schedule), Social support
(Close Person Inventory), Acculturation (Lowlands Acculturation Scale),
Discrimination (from the *National Survey of Midlife Development in the United
States*), severity of anxiety and depression symptoms(IDS and BAI). Most of
these questionnaires were used in the ' Amsterdamse Gezondheidsmonitor ' and
are translated in Turkish and Arabic.
Background summary
Since the sixties of the last century, many people from Morocco and Turkey have
come to work and live in the Netherlands. It has been found that depression and
anxiety symptoms are very common among these immigrants. In the last decade,
Moroccan and Turkish patients have found their way to organizations for mental
health care. However, they often drop-out from treatment, and therefore they do
not receive adequate treatment as proposed in treatment guidelines for
depressive and anxiety disorders . If not adequately treated, they have a
higher risk to develop a chronic course of the depressive and anxiety
disorders, leading to long term disabilities in daily functioning. Problems in
the communication with the therapists and different expectations regarding
treatment seem to be causal factors for the early drop- out from therapy .
Study objective
The main objective is to optimalize the treatment of Moroccan and Turkish
patients with depressive and/or anxiety disorders by increasing the cultural
competence of the mental health workers who treat these patients. The mental
health workers will be trained in the cultural interview and in techniques
bridging the (cultural) gaps between them and their patients. We hypothesize
that this intercultural module for mental health workers will result in a
decrease in the drop-out percentages.
We will also study whether the patients in the intervention condition will be
offered more often evidence based treatment modalities than patients in the
control condition, and we will compare treatment effectiveness in both
conditions.
Study design
A randomized clinical trial will be performed.
Intervention
Therapists will be trained in an intercultural module. They will learn about
Turkish and Moroccan cultural aspects, and will practice in using the Cultural
Formulation. They will also be trained in working with a translator.
Furthermore attention will be payed to the existing Dutch intercultural addenda
to depression and anxiety treatment guidelines.
Study burden and risks
This research carries no specific risks for the participants . They will have
to fill out several questionnaires.
AJ Ernststraat 887
1081 HL Amsterdam
NL
AJ Ernststraat 887
1081 HL Amsterdam
NL
Listed location countries
Age
Inclusion criteria
Patients of Turkish and Moroccan origin with depressive and/or anxiety disorders (age 18-65)
Exclusion criteria
organic brainsyndrome, psychotic disorder, bipolar disorder, severe personality disorder (cluster A personality , antisocial-, borderline personality disorder, alcohol abuse and dependence as a main diagnoses.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| Other | is aangevraagd |
| CCMO | NL26186.029.09 |