|- candidate number||6395|
|- NTR Number||NTR1989|
|- ISRCTN||ISRCTN wordt niet meer aangevraagd.|
|- Date ISRCTN created|
|- date ISRCTN requested|
|- Date Registered NTR||2-sep-2009|
|- Secondary IDs||09/106 VU University Medical Centre|
|- Public Title||Treating Moroccan an Turkish migrants with depression and anxiety disorders (MIDA study).|
|- Scientific Title||Effectiveness of an intercultural module added to the treatment guidelines for Moroccan and Turkish migrants with depressive and anxiety disorders.|
|- ACRONYM||MIDA study|
|- hypothesis||Increasing the intercultural competence of mental health workers will reduce therapy dropout in Moroccan and Turkish patients with depressive and anxiety disorders.|
|- Healt Condition(s) or Problem(s) studied||Depressive Disorder , Anxiety disorders, Cultural competention|
|- Inclusion criteria||1. Moroccan and Turkish patients of the first and second generation referred for treatment at an outpatient clinic for mood and anxiety disorders;|
2. Anxiety and/or depressive disorder;
3. Age 18 to 65.
|- Exclusion criteria||1. Organic brain syndrom;|
2. Psychotic disorder;
3. Bipolar disorder;
4. Severe personality disorder;
5. Substance abuse as the primary diagnose.
|- mec approval received||no|
|- multicenter trial||yes|
|- Type||2 or more arms, randomized|
|- planned startdate ||1-okt-2009|
|- planned closingdate||1-okt-2012|
|- Target number of participants||150|
|- Interventions||The mental health workers will be trained in using the Cultural Formulation and in techniques bridging the cultural gaps between them en the Turkish and Moroccan patients.|
|- Primary outcome||Dropout of treatment. Dropout defined as: According to the therapist the patient is in need for more therapy, but the patient ignores at least two invitations of the therapist. Time of dropout over 12 months will be recorded by the therapist. |
|- Secondary outcome||1. No-show and the treatment modalities that have been offered,will be extracted from the Electronic Patient Dossier;|
2. Patients perspective (NIVEL Consumers Panel Questionnaire on Trust in Mental Health CARE;Perceived Needs for Care Questionnaire (Meadows);
3. Severity of depressive and anxiety symptoms (Inventory of Depressive Symptoms and Beck Anxiety index);
4. General functioning (TIC-P and WHO-DAS II).
|- Timepoints||1. T0: baseline measurement;|
2. T1: six months follow up;
3. T2: 12 months follow up.
|- Trial web site||N/A|
|- CONTACT FOR PUBLIC QUERIES|| Annelies Loon, van|
|- CONTACT for SCIENTIFIC QUERIES||MD. PhD. DJF Schaik, van|
|- Sponsor/Initiator |
(Source(s) of Monetary or Material Support)
|ZON-MW, The Netherlands Organization for Health Research and Development|
|- Brief summary||Since the sixties of the last century, many people from Morocco and Turkey have migrated into the Netherlands. Depressive and anxiety symptoms are very common among these immigrants. In the last decade, Moroccan and Turkish patients have found their way to organizations for mental health care. However, they often drop-out from treatment.
Problems in the communication with the therapists and different expectations regarding treatment seem to be causal factors for the early drop- out from therapy .
The main objective of the study is to optimalize the treatment of Moroccan and Turkish patients with depressive and/or anxiety disorders by increasing the cultural competence of the mental health workers.
A randomized clinical trial will be performed.
Turkish and Moroccan patients (18-65) who are referred to an outpatient clinic for mood and anxiety disorders will be randomly assigned to mental health workers who are trained in the intercultural module and to those who are not. Exclusion criteria: organic brain syndrome, psychotic disorder, bipolar disorder, severe personality disorder, substance abuse as the primary diagnosis.
Intervention: Therapists will be trained in the cultural interview and in techniques bridging the (cultural) gaps between them and their patients.
Dropout is the primary outcome measure.
The study will give an answer to the question whether increasing cultural competence of the therapists reduces drop-out from treatment.
|- Main changes (audit trail)|
|- RECORD||2-sep-2009 - 12-okt-2009|