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

Maria Melchior; Natasha Figueiredo; Aurélia Roversi; Alexandre Dubanchet; Eric Bui; Julian Vadell-Martínez; Corrado Barbui; Marianna Purgato; José Luis Ayuso-Mateos; Roberto Mediavilla; David McDaid; A. La Park; Papoula Petri-Romão; Raffael Kalisch; Pablo Nicaise; Vincent Lorant; Marit Sijbrandij; Anke B. Witteveen; Richard Bryant; Mireia Felez; James Underhill; Giulia Pollice; Andrea Tortelli

doi:10.1186/s12889-023-17238-7

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

Maria Melchior^*
, Natasha Figueiredo
, Aurélia Roversi
, Alexandre Dubanchet
, Eric Bui
, Julian Vadell-Martínez
, Corrado Barbui
, Marianna Purgato
, José Luis Ayuso-Mateos
, Roberto Mediavilla
, David McDaid
, A. La Park
, Papoula Petri-Romão
, Raffael Kalisch
, Pablo Nicaise
, Vincent Lorant
, Marit Sijbrandij
, Anke B. Witteveen
, Richard Bryant
, Mireia Felez

James Underhill, Giulia Pollice, Andrea Tortelli

^*Corresponding author for this work

Research output: Contribution to Journal › Article › Academic › peer-review

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.

Original language	English
Article number	2275
Pages (from-to)	1-10
Number of pages	10
Journal	BMC Public Health
Volume	23
Early online date	17 Nov 2023
DOIs	https://doi.org/10.1186/s12889-023-17238-7
Publication status	Published - 2023

Bibliographical note

Funding Information:
This study is embedded in the larger, EU Horizon 2020 H2020-SC1-PHE-CORONAVIRUS-2020-2 funded RESPOND (Improving the Preparedness of Health Systems to Reduce Mental Health and Psychosocial Concerns resulting from the COVID-19 Pandemic) project (Grant Agreement 101016127). The RESPOND project is composed of a consortium of eight countries: the Netherlands, France, Spain, Italy, Belgium, United Kingdom, Sweden, Australia. The funder has no influence in study design; collection, management, analysis, and interpretation of data; writing of the report; and the decision to submit the report for publication.

Funding Information:
The authors wish to acknowledge WHO staff who have contributed to the development of Doing What Matters and Problem Management+, as well as ANRS-MIE staff who were involved in helping finalize the study protocol and obtain all necessary ethical and regulatory authorizations.

Publisher Copyright:
© 2023, The Author(s).

Funding

This study is embedded in the larger, EU Horizon 2020 H2020-SC1-PHE-CORONAVIRUS-2020-2 funded RESPOND (Improving the Preparedness of Health Systems to Reduce Mental Health and Psychosocial Concerns resulting from the COVID-19 Pandemic) project (Grant Agreement 101016127). The RESPOND project is composed of a consortium of eight countries: the Netherlands, France, Spain, Italy, Belgium, United Kingdom, Sweden, Australia. The funder has no influence in study design; collection, management, analysis, and interpretation of data; writing of the report; and the decision to submit the report for publication. The authors wish to acknowledge WHO staff who have contributed to the development of Doing What Matters and Problem Management+, as well as ANRS-MIE staff who were involved in helping finalize the study protocol and obtain all necessary ethical and regulatory authorizations.

Funders	Funder number
World Health Organization
EU Horizon 2020 H2020-SC1-PHE-CORONAVIRUS-2020-2	101016127
???publication-publication-funding-organisation-not-added???	101016127

Keywords

COVID-19
Doing what matters in times of stress
Economic evaluation
France
Housing instability
Migrant
Problem management plus
Psychological distress
Randomized controlled trial

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10.1186/s12889-023-17238-7

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Cite this

Melchior, M., Figueiredo, N., Roversi, A., Dubanchet, A., Bui, E., Vadell-Martínez, J., Barbui, C., Purgato, M., Ayuso-Mateos, J. L., Mediavilla, R., McDaid, D., Park, A. L., Petri-Romão, P., Kalisch, R., Nicaise, P., Lorant, V., Sijbrandij, M., Witteveen, A. B., Bryant, R., ... Tortelli, A. (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. BMC Public Health, 23, 1-10. Article 2275. https://doi.org/10.1186/s12889-023-17238-7

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title = "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",

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.",

keywords = "COVID-19, Doing what matters in times of stress, Economic evaluation, France, Housing instability, Migrant, Problem management plus, Psychological distress, Randomized controlled trial",

author = "Maria Melchior and Natasha Figueiredo and Aur{\'e}lia Roversi and Alexandre Dubanchet and Eric Bui and Julian Vadell-Mart{\'i}nez and Corrado Barbui and Marianna Purgato and Ayuso-Mateos, \{Jos{\'e} Luis\} and Roberto Mediavilla and David McDaid and Park, \{A. La\} and Papoula Petri-Rom{\~a}o and Raffael Kalisch and Pablo Nicaise and Vincent Lorant and Marit Sijbrandij and Witteveen, \{Anke B.\} and Richard Bryant and Mireia Felez and James Underhill and Giulia Pollice and Andrea Tortelli",

note = "Funding Information: This study is embedded in the larger, EU Horizon 2020 H2020-SC1-PHE-CORONAVIRUS-2020-2 funded RESPOND (Improving the Preparedness of Health Systems to Reduce Mental Health and Psychosocial Concerns resulting from the COVID-19 Pandemic) project (Grant Agreement 101016127). The RESPOND project is composed of a consortium of eight countries: the Netherlands, France, Spain, Italy, Belgium, United Kingdom, Sweden, Australia. The funder has no influence in study design; collection, management, analysis, and interpretation of data; writing of the report; and the decision to submit the report for publication. Funding Information: The authors wish to acknowledge WHO staff who have contributed to the development of Doing What Matters and Problem Management+, as well as ANRS-MIE staff who were involved in helping finalize the study protocol and obtain all necessary ethical and regulatory authorizations. Publisher Copyright: {\textcopyright} 2023, The Author(s).",

year = "2023",

doi = "10.1186/s12889-023-17238-7",

language = "English",

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Melchior, M, Figueiredo, N, Roversi, A, Dubanchet, A, Bui, E, Vadell-Martínez, J, Barbui, C, Purgato, M, Ayuso-Mateos, JL, Mediavilla, R, McDaid, D, Park, AL, Petri-Romão, P, Kalisch, R, Nicaise, P, Lorant, V, Sijbrandij, M , Witteveen, AB, Bryant, R, Felez, M, Underhill, J, Pollice, G & Tortelli, A 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', BMC Public Health, vol. 23, 2275, pp. 1-10. https://doi.org/10.1186/s12889-023-17238-7

TY - JOUR

T1 - 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

AU - Melchior, Maria

AU - Figueiredo, Natasha

AU - Roversi, Aurélia

AU - Dubanchet, Alexandre

AU - Bui, Eric

AU - Vadell-Martínez, Julian

AU - Barbui, Corrado

AU - Purgato, Marianna

AU - Ayuso-Mateos, José Luis

AU - Mediavilla, Roberto

AU - McDaid, David

AU - Park, A. La

AU - Petri-Romão, Papoula

AU - Kalisch, Raffael

AU - Nicaise, Pablo

AU - Lorant, Vincent

AU - Sijbrandij, Marit

AU - Witteveen, Anke B.

AU - Bryant, Richard

AU - Felez, Mireia

AU - Underhill, James

AU - Pollice, Giulia

AU - Tortelli, Andrea

N1 - Funding Information: This study is embedded in the larger, EU Horizon 2020 H2020-SC1-PHE-CORONAVIRUS-2020-2 funded RESPOND (Improving the Preparedness of Health Systems to Reduce Mental Health and Psychosocial Concerns resulting from the COVID-19 Pandemic) project (Grant Agreement 101016127). The RESPOND project is composed of a consortium of eight countries: the Netherlands, France, Spain, Italy, Belgium, United Kingdom, Sweden, Australia. The funder has no influence in study design; collection, management, analysis, and interpretation of data; writing of the report; and the decision to submit the report for publication. Funding Information: The authors wish to acknowledge WHO staff who have contributed to the development of Doing What Matters and Problem Management+, as well as ANRS-MIE staff who were involved in helping finalize the study protocol and obtain all necessary ethical and regulatory authorizations. Publisher Copyright: © 2023, The Author(s).

PY - 2023

Y1 - 2023

N2 - 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.

AB - 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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KW - Doing what matters in times of stress

KW - Economic evaluation

KW - France

KW - Housing instability

KW - Migrant

KW - Problem management plus

KW - Psychological distress

KW - Randomized controlled trial

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UR - https://www.scopus.com/pages/publications/85177452913#tab=citedBy

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DO - 10.1186/s12889-023-17238-7

M3 - Article

C2 - 37978577

AN - SCOPUS:85177452913

SN - 1471-2458

VL - 23

SP - 1

EP - 10

JO - BMC Public Health

JF - BMC Public Health

M1 - 2275

ER -

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

Abstract

Bibliographical note

Funding

Keywords

Access to Document

Persistent URL (handle)

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