NCT03721848

Impact of a Health and Mental Health Promotion Intervention Among Jordanians and Syrians.

Completed NA Last updated 26 August 2019

What this trial tests

NA trial testing Healthy community clinic NCD+MH in Mental Stress in 600 participants. Completed in 30 April 2019.

Timeline

30 April 2017

Primary endpoint
30 July 2017

30 April 2019

Quick facts

Lead sponsor	University of Illinois at Urbana-Champaign
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	non randomized
Design	parallel
Masking	none
Primary purpose	prevention
Enrollment	600
Start date	30 April 2017
Primary completion	30 July 2017
Estimated completion	30 April 2019
Sites	1 location across Jordan

Drugs / interventions tested

• Healthy community clinic NCD+MH
• Healthy community clinic NCD

Conditions studied

• Mental Stress — all drugs for Mental Stress →
• Hypertension — all drugs for Hypertension →
• Diabetes — all drugs for Diabetes →

Sponsor

University of Illinois at Urbana-Champaign

Who can join

Adults 18 to 75, any sex, with Mental Stress or Hypertension. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Given the heightened risk of NCDs and mental health issues, it is critical for Jordanians and Syrian refugees to have access to prevention based health services. To address this need, the following project seeks to examine the capacity of Primary Care Health Centers to provide preventive services to empower patients to manage NCDs and potential mental health issues for those who are experiencing distress.

The primary research question in this evaluation study is:

Does prevention-based health and mental health services in primary health clinics improve health status of Jordanians and Syrian refugees?

This research proposal will consist of three study conditions examining:

* Condition 1: an existing NCD preventive intervention consisting of 24 sessions, which are 45 minutes covering diabetes, hypertension, obesity, reproductive health, cardiovascular diseases, allergies and smoking;
* Condition 2: The existing NCD preventive intervention with 4 added mental health awareness sessions covering traumatic stress reactions, individual strategies for coping with stress and traumatic events and collective strategies for coping with stress and trauma;
* Condition 3: Treatment as usual

A group randomized study will be conducted in three clinics with patients of the respective clinics. The clinics will be identified prior to the study based on similar demographics, service utilization and staff capacity. Once the three clinics are identified they will be selected to one of the three study conditions. This research will be conducted in collaboration with the University of Illinois (UIUC), AmeriCares, and the Royal Health Awareness Society (RHAS) of Jordan. AmeriCares will work as the operational humanitarian organization collaborating with and providing support to RHAS and UIUC. RHAS's healthy community clinic is a community-based health project launched in 2011 conducted with the Ministry of Health (MOH). The project aims to build the capacity of participating Health Centers to provide better preventative services to empower patients to manage their diseases and reduce future complications. The Healthy Community Clinic, established within existing MOH facilities, provides medical practitioners with the training and resources necessary to implement management and prevention-based care to patients in underserved communities.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

1. Post-traumatic stress, social, and physical health: A mediation and moderation analysis of Syrian refugees and Jordanians in a border community.
   Powell TM, Shin OJ, Li SJ, Hsiao Y. · · 2020 · cited 9× · PMID 33095832 · DOI 10.1371/journal.pone.0241036
2. An integrated physical and mental health awareness education intervention to reduce non-communicable diseases among Syrian refugees and Jordanians in host communities: A natural experiment study.
   Powell TM, Li SJ, Hsiao Y, Thompson M, et al · · 2021 · cited 5× · PMID 33532176 · DOI 10.1016/j.pmedr.2021.101310