In-person vs mobile app facilitated life skills education to improve the mental health of internally displaced persons in Nigeria: protocol for the RESETTLE-IDPs cluster randomized hybrid type 2 effectiveness-implementation trial
Abstract Background Internally displaced persons (IDPs) in Nigeria face a high burden of mental health disorders, with limited access to evidence-based, culturally relevant interventions. Life skills education (LSE) is a promising approach to promote mental health and psychosocial well-being in huma...
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BMC
2024-10-01
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| Online Access: | https://doi.org/10.1186/s12913-024-11762-x |
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| author | Ejemai Eboreime Chisom Obi-Jeff Rita Orji Tunde M Ojo Ihoghosa Iyamu Bala I Harri Jidda M Said Funmilayo Oguntimehin Abdulrahman Ibrahim Omolayo Anjorin Andem Effiong Etim Duke Umar Baba Musami Linda Liebenberg Raquel Crider Lydia Wagami Asmau MC Dahiru Jesse C. Uneke Sanni Yaya Vincent IO Agyapong |
| author_facet | Ejemai Eboreime Chisom Obi-Jeff Rita Orji Tunde M Ojo Ihoghosa Iyamu Bala I Harri Jidda M Said Funmilayo Oguntimehin Abdulrahman Ibrahim Omolayo Anjorin Andem Effiong Etim Duke Umar Baba Musami Linda Liebenberg Raquel Crider Lydia Wagami Asmau MC Dahiru Jesse C. Uneke Sanni Yaya Vincent IO Agyapong |
| author_sort | Ejemai Eboreime |
| collection | DOAJ |
| description | Abstract Background Internally displaced persons (IDPs) in Nigeria face a high burden of mental health disorders, with limited access to evidence-based, culturally relevant interventions. Life skills education (LSE) is a promising approach to promote mental health and psychosocial well-being in humanitarian settings. This study aims to evaluate the effectiveness and implementation of a culturally adapted LSE program delivered through in-person and mobile platforms among IDPs in Northern Nigeria. Methods This cluster-randomized hybrid type 2 effectiveness-implementation trial will be conducted in 20 IDP camps or host communities in Maiduguri, Nigeria. Sites will be randomly assigned to receive a 12-week LSE program delivered either through in-person peer support groups or WhatsApp-facilitated mobile groups. The study will recruit 500 participants aged 13 years and older. Intervention effectiveness outcomes include the primary outcome of change in post-traumatic stress disorder (PTSD) symptoms assessed using the PCL-5 scale, and secondary outcomes of depression, anxiety, well-being, and life skills acquisition. Implementation outcomes will be assessed using the Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), and Feasibility of Intervention Measure (FIM). Both sets of outcomes will be compared between the in-person and mobile delivery groups. Quantitative data will be analyzed using mixed-effects linear regression models, while qualitative data will be examined through reflexive thematic analysis. The study will be guided by the Reach-Effectiveness-Adoption-Implementation-Maintenance (RE-AIM) framework. Discussion The RESETTLE-IDPs study addresses key gaps in the evidence base on mental health interventions for conflict-affected populations. It focuses on underserved IDP populations, evaluates the comparative effectiveness of in-person and mobile-delivered LSE, and incorporates implementation science frameworks to assess contextual factors influencing adoption, fidelity, and sustainability. The study employs a community-based participatory approach to enhance cultural relevance, acceptability, and ownership. Findings will inform the development and scale-up of evidence-based, sustainable mental health interventions for IDPs in Nigeria and other humanitarian contexts. Trial sponsor Dalhousie University, 6299 South St, Halifax, NS B3H 4R2, Canada. Trial registration ClinicalTrials.gov, NCT06412679 Registered 15 May 2024. |
| format | Article |
| id | doaj-art-66e2993799d8452da0190b8a39b69ba3 |
| institution | Kabale University |
| issn | 1472-6963 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-66e2993799d8452da0190b8a39b69ba32025-08-20T03:45:23ZengBMCBMC Health Services Research1472-69632024-10-0124111210.1186/s12913-024-11762-xIn-person vs mobile app facilitated life skills education to improve the mental health of internally displaced persons in Nigeria: protocol for the RESETTLE-IDPs cluster randomized hybrid type 2 effectiveness-implementation trialEjemai Eboreime0Chisom Obi-Jeff1Rita Orji2Tunde M Ojo3Ihoghosa Iyamu4Bala I Harri5Jidda M Said6Funmilayo Oguntimehin7Abdulrahman Ibrahim8Omolayo Anjorin9Andem Effiong Etim Duke10Umar Baba Musami11Linda Liebenberg12Raquel Crider13Lydia Wagami14Asmau MC Dahiru15Jesse C. Uneke16Sanni Yaya17Vincent IO Agyapong18Department of Psychiatry, Faculty of Medicine, Dalhousie UniversityBrooks InsightsFaculty of Computer Science, Dalhousie UniversityDepartment of Public Health, Federal Ministry of Health and Social WelfareBritish Columbia Centre for Disease ControlDepartment of Health Planning, Research and Statistics, Federal Ministry of HealthDepartment of Mental health, University of Maiduguri Teaching hospitalBrooks InsightsBrooks InsightsDepartment of Psychiatry, Faculty of Medicine, Dalhousie UniversityDepartment of Psychiatry, Faculty of Medicine, Dalhousie UniversityMental Health Department, University of MaiduguriDepartment of Psychiatry, Faculty of Medicine, Dalhousie UniversityDepartment of Statistics, Food Ingredient and Health Research InstituteNational Emergency Management AgencyFederal Neuropsychiatric HospitalAfrican Institute for Health Policy & Health Systems II, David Umahi Federal University of Health SciencesImperial College London, The George Institute for GlobalDepartment of Psychiatry, Faculty of Medicine, Dalhousie UniversityAbstract Background Internally displaced persons (IDPs) in Nigeria face a high burden of mental health disorders, with limited access to evidence-based, culturally relevant interventions. Life skills education (LSE) is a promising approach to promote mental health and psychosocial well-being in humanitarian settings. This study aims to evaluate the effectiveness and implementation of a culturally adapted LSE program delivered through in-person and mobile platforms among IDPs in Northern Nigeria. Methods This cluster-randomized hybrid type 2 effectiveness-implementation trial will be conducted in 20 IDP camps or host communities in Maiduguri, Nigeria. Sites will be randomly assigned to receive a 12-week LSE program delivered either through in-person peer support groups or WhatsApp-facilitated mobile groups. The study will recruit 500 participants aged 13 years and older. Intervention effectiveness outcomes include the primary outcome of change in post-traumatic stress disorder (PTSD) symptoms assessed using the PCL-5 scale, and secondary outcomes of depression, anxiety, well-being, and life skills acquisition. Implementation outcomes will be assessed using the Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), and Feasibility of Intervention Measure (FIM). Both sets of outcomes will be compared between the in-person and mobile delivery groups. Quantitative data will be analyzed using mixed-effects linear regression models, while qualitative data will be examined through reflexive thematic analysis. The study will be guided by the Reach-Effectiveness-Adoption-Implementation-Maintenance (RE-AIM) framework. Discussion The RESETTLE-IDPs study addresses key gaps in the evidence base on mental health interventions for conflict-affected populations. It focuses on underserved IDP populations, evaluates the comparative effectiveness of in-person and mobile-delivered LSE, and incorporates implementation science frameworks to assess contextual factors influencing adoption, fidelity, and sustainability. The study employs a community-based participatory approach to enhance cultural relevance, acceptability, and ownership. Findings will inform the development and scale-up of evidence-based, sustainable mental health interventions for IDPs in Nigeria and other humanitarian contexts. Trial sponsor Dalhousie University, 6299 South St, Halifax, NS B3H 4R2, Canada. Trial registration ClinicalTrials.gov, NCT06412679 Registered 15 May 2024.https://doi.org/10.1186/s12913-024-11762-xInternally displaced personsMental healthLife skills educationArmed conflictSexual violenceMHealth |
| spellingShingle | Ejemai Eboreime Chisom Obi-Jeff Rita Orji Tunde M Ojo Ihoghosa Iyamu Bala I Harri Jidda M Said Funmilayo Oguntimehin Abdulrahman Ibrahim Omolayo Anjorin Andem Effiong Etim Duke Umar Baba Musami Linda Liebenberg Raquel Crider Lydia Wagami Asmau MC Dahiru Jesse C. Uneke Sanni Yaya Vincent IO Agyapong In-person vs mobile app facilitated life skills education to improve the mental health of internally displaced persons in Nigeria: protocol for the RESETTLE-IDPs cluster randomized hybrid type 2 effectiveness-implementation trial BMC Health Services Research Internally displaced persons Mental health Life skills education Armed conflict Sexual violence MHealth |
| title | In-person vs mobile app facilitated life skills education to improve the mental health of internally displaced persons in Nigeria: protocol for the RESETTLE-IDPs cluster randomized hybrid type 2 effectiveness-implementation trial |
| title_full | In-person vs mobile app facilitated life skills education to improve the mental health of internally displaced persons in Nigeria: protocol for the RESETTLE-IDPs cluster randomized hybrid type 2 effectiveness-implementation trial |
| title_fullStr | In-person vs mobile app facilitated life skills education to improve the mental health of internally displaced persons in Nigeria: protocol for the RESETTLE-IDPs cluster randomized hybrid type 2 effectiveness-implementation trial |
| title_full_unstemmed | In-person vs mobile app facilitated life skills education to improve the mental health of internally displaced persons in Nigeria: protocol for the RESETTLE-IDPs cluster randomized hybrid type 2 effectiveness-implementation trial |
| title_short | In-person vs mobile app facilitated life skills education to improve the mental health of internally displaced persons in Nigeria: protocol for the RESETTLE-IDPs cluster randomized hybrid type 2 effectiveness-implementation trial |
| title_sort | in person vs mobile app facilitated life skills education to improve the mental health of internally displaced persons in nigeria protocol for the resettle idps cluster randomized hybrid type 2 effectiveness implementation trial |
| topic | Internally displaced persons Mental health Life skills education Armed conflict Sexual violence MHealth |
| url | https://doi.org/10.1186/s12913-024-11762-x |
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