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van CCT (UK)

van CCT (UK)

Treating Moroccan an Turkish migrants with depression and anxiety disorders (MIDA study).

- candidate number6395
- NTR NumberNTR1989
- ISRCTNISRCTN wordt niet meer aangevraagd.
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR2-sep-2009
- Secondary IDs09/106 VU University Medical Centre
- Public TitleTreating Moroccan an Turkish migrants with depression and anxiety disorders (MIDA study).
- Scientific TitleEffectiveness of an intercultural module added to the treatment guidelines for Moroccan and Turkish migrants with depressive and anxiety disorders.
- hypothesisIncreasing 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) studiedDepressive Disorder , Anxiety disorders, Cultural competention
- Inclusion criteria1. 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 criteria1. Organic brain syndrom;
2. Psychotic disorder;
3. Bipolar disorder;
4. Severe personality disorder;
5. Substance abuse as the primary diagnose.
- mec approval receivedno
- multicenter trialyes
- randomisedyes
- masking/blindingSingle
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-okt-2009
- planned closingdate1-okt-2012
- Target number of participants150
- InterventionsThe 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 outcomeDropout 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 outcome1. 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).
- Timepoints1. T0: baseline measurement;
2. T1: six months follow up;
3. T2: 12 months follow up.
- Trial web siteN/A
- statusplanned
- Sponsor/Initiator
- Funding
(Source(s) of Monetary or Material Support)
ZON-MW, The Netherlands Organization for Health Research and Development
- PublicationsN/A
- Brief summarySince 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)
- RECORD2-sep-2009 - 12-okt-2009

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