Reassessing the Significance of Mycobacterium in Neglected Tropical Diseases: A Study Protocol in Nigeria
Background: Neglected tropical diseases (NTDs) significantly impact the physical and mental well-being of affected individuals, particularly in Nigeria. This study aims to evaluate the effectiveness of integrating mental health services with self-care practices for individuals suffering from leprosy...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | International Journal of Mycobacteriology |
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| Online Access: | https://journals.lww.com/10.4103/ijmy.ijmy_145_24 |
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| author | Ngozi Ekeke Francis Sunday Iyama Edmund Ndudi Ossai Joseph Ngozi Chukwu Chinwe Chika Eze Daniel Egbule Charles Nwafor Martin I. Njoku Anthony O. Meka Michael Odama Okechukwu E. Ezeakile Ngozi N. Murphy-Okpala |
| author_facet | Ngozi Ekeke Francis Sunday Iyama Edmund Ndudi Ossai Joseph Ngozi Chukwu Chinwe Chika Eze Daniel Egbule Charles Nwafor Martin I. Njoku Anthony O. Meka Michael Odama Okechukwu E. Ezeakile Ngozi N. Murphy-Okpala |
| author_sort | Ngozi Ekeke |
| collection | DOAJ |
| description | Background:
Neglected tropical diseases (NTDs) significantly impact the physical and mental well-being of affected individuals, particularly in Nigeria. This study aims to evaluate the effectiveness of integrating mental health services with self-care practices for individuals suffering from leprosy, Buruli ulcer (BU), and lymphatic filariasis (LF). The role of trained Healthcare Workers (HCWs) and NTD champions (NTD-Cs) will be explored to enhance health outcomes in this population.
Methods:
A cluster-randomized controlled trial was conducted in four local government areas (clusters) with the highest incidence of leprosy, BU, or LF. Clusters were purposively selected and randomized into intervention and control groups: three clusters received interventions, while one served as a control. The intervention arms include (a) Mental health and self-care interventions by NTD-Cs. (b) Mental health and self-care interventions by HCWs. (c) Self-care interventions only by HCWs. d) Control group receiving standard care. Data were collected at baseline and postintervention using validated questionnaires, including the Patient Health Questionnaire and World Health Organization Quality of Life (QOL-BREF), among others. The intervention will last for 8 months, with monthly self-help group meetings providing support and resources.
Results:
The study aims to provide evidence on the effectiveness of integrated mental health and self-care interventions for NTD patients by evaluating outcomes such as mental health status, quality of life (QOL), and socioeconomic factors.
Conclusion:
This trial aims to inform policy and practice by demonstrating the potential benefits of integrating mental health services within the care framework for individuals affected by NTDs in Nigeria. If successful, the findings will contribute to the enhancement of healthcare delivery and may be incorporated into the National Tuberculosis and Leprosy Control Program for broader implementation across the country.
Trial registration: PACTR Registration number: PACTR202404852537141.
https://pactr.samrc.ac.za/Default.aspx?Logout=True
Retrospectively registered. |
| format | Article |
| id | doaj-art-8ccfacbbfa484bb092645c62826f9199 |
| institution | OA Journals |
| issn | 2212-5531 2212-554X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Mycobacteriology |
| spelling | doaj-art-8ccfacbbfa484bb092645c62826f91992025-08-20T01:48:26ZengWolters Kluwer Medknow PublicationsInternational Journal of Mycobacteriology2212-55312212-554X2024-12-0113442042910.4103/ijmy.ijmy_145_24Reassessing the Significance of Mycobacterium in Neglected Tropical Diseases: A Study Protocol in NigeriaNgozi EkekeFrancis Sunday IyamaEdmund Ndudi OssaiJoseph Ngozi ChukwuChinwe Chika EzeDaniel EgbuleCharles NwaforMartin I. NjokuAnthony O. MekaMichael OdamaOkechukwu E. EzeakileNgozi N. Murphy-OkpalaBackground: Neglected tropical diseases (NTDs) significantly impact the physical and mental well-being of affected individuals, particularly in Nigeria. This study aims to evaluate the effectiveness of integrating mental health services with self-care practices for individuals suffering from leprosy, Buruli ulcer (BU), and lymphatic filariasis (LF). The role of trained Healthcare Workers (HCWs) and NTD champions (NTD-Cs) will be explored to enhance health outcomes in this population. Methods: A cluster-randomized controlled trial was conducted in four local government areas (clusters) with the highest incidence of leprosy, BU, or LF. Clusters were purposively selected and randomized into intervention and control groups: three clusters received interventions, while one served as a control. The intervention arms include (a) Mental health and self-care interventions by NTD-Cs. (b) Mental health and self-care interventions by HCWs. (c) Self-care interventions only by HCWs. d) Control group receiving standard care. Data were collected at baseline and postintervention using validated questionnaires, including the Patient Health Questionnaire and World Health Organization Quality of Life (QOL-BREF), among others. The intervention will last for 8 months, with monthly self-help group meetings providing support and resources. Results: The study aims to provide evidence on the effectiveness of integrated mental health and self-care interventions for NTD patients by evaluating outcomes such as mental health status, quality of life (QOL), and socioeconomic factors. Conclusion: This trial aims to inform policy and practice by demonstrating the potential benefits of integrating mental health services within the care framework for individuals affected by NTDs in Nigeria. If successful, the findings will contribute to the enhancement of healthcare delivery and may be incorporated into the National Tuberculosis and Leprosy Control Program for broader implementation across the country. Trial registration: PACTR Registration number: PACTR202404852537141. https://pactr.samrc.ac.za/Default.aspx?Logout=True Retrospectively registered.https://journals.lww.com/10.4103/ijmy.ijmy_145_24buruli ulcerintegrated careleprosylymphatic filariasismental healthneglected tropical diseasesnigeria |
| spellingShingle | Ngozi Ekeke Francis Sunday Iyama Edmund Ndudi Ossai Joseph Ngozi Chukwu Chinwe Chika Eze Daniel Egbule Charles Nwafor Martin I. Njoku Anthony O. Meka Michael Odama Okechukwu E. Ezeakile Ngozi N. Murphy-Okpala Reassessing the Significance of Mycobacterium in Neglected Tropical Diseases: A Study Protocol in Nigeria International Journal of Mycobacteriology buruli ulcer integrated care leprosy lymphatic filariasis mental health neglected tropical diseases nigeria |
| title | Reassessing the Significance of Mycobacterium in Neglected Tropical Diseases: A Study Protocol in Nigeria |
| title_full | Reassessing the Significance of Mycobacterium in Neglected Tropical Diseases: A Study Protocol in Nigeria |
| title_fullStr | Reassessing the Significance of Mycobacterium in Neglected Tropical Diseases: A Study Protocol in Nigeria |
| title_full_unstemmed | Reassessing the Significance of Mycobacterium in Neglected Tropical Diseases: A Study Protocol in Nigeria |
| title_short | Reassessing the Significance of Mycobacterium in Neglected Tropical Diseases: A Study Protocol in Nigeria |
| title_sort | reassessing the significance of mycobacterium in neglected tropical diseases a study protocol in nigeria |
| topic | buruli ulcer integrated care leprosy lymphatic filariasis mental health neglected tropical diseases nigeria |
| url | https://journals.lww.com/10.4103/ijmy.ijmy_145_24 |
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