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Trial registered on ANZCTR
Registration number
ACTRN12623000047695
Ethics application status
Approved
Date submitted
5/12/2022
Date registered
16/01/2023
Date last updated
16/01/2023
Date data sharing statement initially provided
16/01/2023
Date results provided
16/01/2023
Type of registration
Retrospectively registered
Titles & IDs
Public title
Does participation in Nae Umeed (New Hope) group psychosocial intervention improve mental health for carers of people with disability during the acute COVID-19 pandemic in India? A pre-post uncontrolled study.
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Scientific title
Does participation in Nae Umeed (New Hope) group psychosocial intervention improve mental health and social participation for carers of people with disability during the acute COVID-19 pandemic in India? A pre-post uncontrolled study.
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Secondary ID [1]
305443
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Nil
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Universal Trial Number (UTN)
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Trial acronym
NU-COVID
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
mental distress
323817
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social exclusion
323818
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Condition category
Condition code
Mental Health
321317
321317
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0
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Other mental health disorders
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Mental Health
321318
321318
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0
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Anxiety
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Mental Health
325498
325498
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0
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Depression
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Nae Umeed is a 9-module intervention facilitated in groups by a community health worker which focus on skills and knowledge for self-care and caregiving, that is followed by 5 modules related to financial management and budgeting for the household, a critical skill deficit which is even more necessary give the economic impacts of the COVID-19 crisis. Participation in facilitated Curriculum titled Nae Umeed was over 14 sessions in the same group of carers - each session was face to face and lasted 1.5 hours. The sessions were conducted over 14-15 weeks (one module per week).
Session attendance and summary minutes was collected during every session.
We used a convenience sampling technique to invite participation from carers in communities in 3 locations in Dehradun district with whom we have existing relationships as we work with their family members in the Burans programme. There was a total of 21 groups with 5 -7 participants in each ie n=115.
The content of Nae Umeed includes;
Module One: What is a Caregiver?
Module Two: Mental Illness
Module Three: Caring for Someone with Mental Illness I - Communication Skill
Module Four: Caring for Someone with Mental Illness II – Interaction
Module Five: Medication
Module Six: Alcohol and Health
Module Seven: Managing Stress
Module Eight: Self-Care
Module Nine: Being an Effective Caregiver and Review
Module ten to fourteen - Budgeting and home finance management
The sessions were facilitated by community health workers who met with groups of caregivers within the communities of Dehradun, Uttarakhand. They were trained by Project officers and an online platform to deliver Nae Umeed with an interactive and participatory facilitation style. Activities during sessions included brief explanations delivered by the facilitator using visual aids from the manuals, whole group or small group discussions oriented around pre-defined discussion questions, role play activities, group team-building activities, and group revision quizzes.
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Intervention code [1]
321831
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Prevention
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Intervention code [2]
325041
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Treatment: Other
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Any change in mental health measured using Patient Health Questionnaire 9 (PHQ9)
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Assessment method [1]
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Timepoint [1]
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Baseline and 15 weeks post-intervention commencement
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Primary outcome [2]
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Any change in mental health measured using General Health Questionnaire 12 (GHQ12)
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Assessment method [2]
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Timepoint [2]
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Baseline and 15 weeks post-intervention commencement
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Secondary outcome [1]
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Any change in social participation measured with Participation scale (P- scale)
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Assessment method [1]
401504
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Timepoint [1]
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Baseline and 15 weeks post-intervention commencement
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Secondary outcome [2]
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Feasibility, acceptability and relevance of the Nae Umeed intervention for carers duing the COVID-19 crisis using attendance and qualitative interviews. These components will be analysed together as a composite outcome to indicate the acceptability, feasibility and relevance of the study.
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Assessment method [2]
417006
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Timepoint [2]
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15 weeks post-intervention commencement
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Eligibility
Key inclusion criteria
Women or men resident in target slums of Dehradun and Selaqui (Sahaspur, Selaqui, Brahmanwala, Kanwali Road, Prem Nagar)
Aged 18 y and older
Carers of person with disability or psychosocial disability
Personally affected by psychosocial disability
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Women or men not residing in the area for the ensuing 15 weeks
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
Pre Post uncontrolled study
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Descriptive analysis and t test to determine significant change in mean scores
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
10/08/2020
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Date of last participant enrolment
Anticipated
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Actual
31/08/2020
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Date of last data collection
Anticipated
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Actual
28/02/2021
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Sample size
Target
100
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Accrual to date
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Final
115
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Recruitment outside Australia
Country [1]
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India
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State/province [1]
24154
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Herbertpur Christian Hosptial
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Address [1]
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Atten Bagh Rd, PO, Herbertpur, Uttarakhand 248142, India
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Country [1]
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India
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Primary sponsor type
Individual
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Name
Kaaren Mathias
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Address
University of Canterbury
20 Kirkwood Avenue, Upper Riccarton, Christchurch 8041
NZ
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Country
New Zealand
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Secondary sponsor category [1]
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Individual
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Name [1]
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Pooja S Pillai
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Address [1]
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Herbertpur Christian Hospital, Emmanuel Hospital Association, Athan Bagh, Herbertpur, Uttarakhand 248142
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Country [1]
314435
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India
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Institutional Ethics Committee Emmanuel Hospital Association
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Ethics committee address [1]
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808/92, Deepali Building, Nehru Place, New Delhi, Delhi 110019, India
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Ethics committee country [1]
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India
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Date submitted for ethics approval [1]
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15/07/2020
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Approval date [1]
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04/08/2020
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Ethics approval number [1]
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Protocol 240
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Summary
Brief summary
Internationally The COVID-19 virus has been declared a global pandemic and is one of the most serious respiratory infections the world has seen since the 1918 influenza epidemic. Locally In both rural and urban communities where we work with Emmanuel Hospital Association (EHA) teams in rural and urban Uttarakhand, we have identified high levels of anxiety and limited knowledge and skills on how to respond to both COVID-19 and the lockdown response. People with disabilities and mental illness are not able to access medicines and usual support services such as Disabled persons organisations and early learning centres are not available. Our interactions with caregivers in the preceding 3 months as well as research we conducted among people with disabilities and their acute mental health impacts which included interviews with their carers demonstrated they are experiencing increased anxiety and distress linked to concerns for themselves and their family members. Due to COVID-19 lockdown and stress there are also widespread reports of increased domestic violence as well as neglect of people with high needs Research gap A Lancet paper published on 16 April 2020 (doi:10.1016/S2215-0366(20)30168-1) outlines key priorities for mental health science research in response to COVID-19. They identify the following research as highest priority: 1. Documenting the mental health effects of the COVID-19 pandemic, and the suppression control measures on the population, with a focus on vulnerable groups 2. Develop, evaluate and refine mechanistically driven interventions to address the psychological, social, and neuro-scientific aspects of the pandemic. Taking all this into account we are keen to increase skills and knowledge for mental health among carers during the COVID-19 crisis using a resource for carers that we have already developed STUDY QUESTION What is the effectiveness of the Nae Umeed intervention in increasing mental health and social participation for caregivers of people with disability and mental health problems during the COVID-19 crisis. What is the feasibility, acceptability and relevance of the Nae Umeed intervention for carers duing the COVID-19 crisis. We wanted to examine whether a 14 module intervention can improve social participation and mental health status among carers in urban and peri-urban Uttarakhand and to assess implementation issues and factors to guide the value and pragmatic issues necessary for scaling.
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Trial website
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Trial related presentations / publications
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Public notes
This study was conducted during COVID-19 period in India.
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Contacts
Principal investigator
Name
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Mrs Pooja Pillai
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Address
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Herbertpur Christian Hospital
Atten Bagh Rd, PO, Herbertpur, Uttarakhand 248142, India
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Country
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India
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Phone
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+1 7300836960
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Pooja Pillai
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Address
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Herbertpur Christian Hospital
Atten Bagh Rd, PO, Herbertpur, Uttarakhand 248142, India
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Country
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India
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Phone
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+1 7300836960
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Kaaren Mathias
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Address
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University of Canterbury
20 Kirkwood Avenue, Upper Riccarton, Christchurch 8041
NZ
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Country
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New Zealand
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Phone
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+64 2041497530
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Fax
114548
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Email
114548
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Sensitive data pertaining to mental health status cannot be shared and needs to maintain confidentiality.
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
17786
Ethical approval
Ethics approval from Emmanuel Hospital Association...
[
More Details
]
382872-(Uploaded-10-12-2022-07-42-28)-Study-related document.pdf
17787
Other
Nae Umeed manual (9 modules) out of the 14 modules...
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More Details
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382872-(Uploaded-05-12-2022-09-51-52)-Study-related document.pdf
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Does the Nae Umeed group intervention improve mental health and social participation? A pre-post study in Uttarakhand, India.
2023
https://dx.doi.org/10.1017/gmh.2023.38
N.B. These documents automatically identified may not have been verified by the study sponsor.
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