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Article Dans Une Revue BMC Public Health Année : 2023

Addressing mental health problems among persons without stable housing in the context of the COVID-19 pandemic: study protocol for a randomised trial. RESPOND – France

1 ERES - Equipe de Recherche en Epidémiologie Sociale [iPLesp]
2 CHU Caen, & Normandie Univ, UNICAEN, INSERM, U1237, PhIND "Physiopathology and Imaging of12 Neurological Disorders", NeuroPresage Team, Cyceron, 14000 Caen, France.
3 Department of Neuroscience, Biomedicine, and Movement Sciences, Section of Psychiatry, WHO15 Collaborating Centre for Research and Training in Mental Health and Service Evaluation, University of16 Verona, Verona, Italy
4 Department of Neuroscience, Biomedicine, and Movement Sciences, Section of Psychiatry, WHO15 Collaborating Centre for Research and Training in Mental Health and Service Evaluation, University of16 Verona, Verona, Italy
5 Department of Psychiatry, Universidad Autónoma de Madrid (UAM), Madrid, Spain, Instituto de Investigación Sanitaria del Hospital Universitario La Princesa, Madrid, Spain, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos23 III, Madrid, Spain
6 Department of Psychiatry, Universidad Autónoma de Madrid (UAM), Madrid, Spain, Instituto de Investigación Sanitaria del Hospital Universitario La Princesa, Madrid, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos23 III, Madrid, Spain
7 Care Policy and Evaluation Centre, Department of Health Policy, London School of Economics and26 Political Science, London, UK
8 Care Policy and Evaluation Centre, Department of Health Policy, London School of Economics and26 Political Science, London, UK
9 Leibniz Institute for Resilience Research (LIR), Mainz, Germany, Neuroimaging Center (NIC), Focus Program Translational Neuroscience (FTN), Johannes Gutenberg31 University Medical Center, Mainz, Germany
10 Leibniz Institute for Resilience Research (LIR), Mainz, Germany, Neuroimaging Center (NIC), Focus Program Translational Neuroscience (FTN), Johannes Gutenberg31 University Medical Center, Mainz, Germany
11 Institute of Health and Society (IRSS), Université Catholique de Louvain, Brussels, Belgium
12 Clinical, Neuro and Developmental Psychology, WHO Collaborating Centre for Research and36 Dissemination of Psychological Interventions, Amsterdam Public Health Institute, VU University,37 Amsterdam, the Netherlands
13 School of Psychology, University of New South Wales, Sydney, Australia
14 Institut de recerca Sant Joan de Déu, Dr. Antoni Pujadas, 4208830 Sant Boi de Llobregat42 (Barcelona), Spain
15 Brighton, UK
James Underhill
  • Fonction : Auteur

Résumé

Abstract Background The COVID-19 pandemic has had an impact on population-wide mental health and well-being. Although people experiencing socioeconomic disadvantage may be especially vulnerable, they experience barriers in accessing mental health care. To overcome these barriers, the World Health Organization (WHO) designed two scalable psychosocial interventions, namely the web-based Doing What Matters in Times of Stress (DWM) and the face-to-face Problem Management Plus (PM+), to help people manage stressful situations. Our study aims to test the effectiveness of a stepped-care program using DWM and PM + among individuals experiencing unstable housing in France – a majority of whom are migrant or have sought asylum. Methods This is a randomised controlled trial to evaluate the effectiveness and cost effectiveness of a stepped-care program using DWM and PM + among persons with psychological distress and experiencing unstable housing, in comparison to enhanced care as usual (eCAU). Participants (N = 210) will be randomised to two parallel groups: eCAU or eCAU plus the stepped-care program. The main study outcomes are symptoms of depression and anxiety measured using the Patient Health Questionnaire Anxiety and Depression Scale (PHQ-ADS). Discussion This randomised controlled trial will contribute to a better understanding of effective community-based scalable strategies that can help address the mental health needs of persons experiencing socioeconomic disadvantage, whose needs are high yet who frequently have limited access to mental health care services. Trial registration this randomised trial has been registered at ClinicalTrials.gov under the number NCT05033210.
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Dates et versions

hal-04381856 , version 1 (09-01-2024)

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Maria Melchior, Natasha Figueiredo, Aurélia Roversi, Alexandre Dubanchet, Eric Bui, et al.. Addressing mental health problems among persons without stable housing in the context of the COVID-19 pandemic: study protocol for a randomised trial. RESPOND – France. BMC Public Health, 2023, 23 (1), pp.2275. ⟨10.1186/s12889-023-17238-7⟩. ⟨hal-04381856⟩
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