Anxiety Generalized, Depressive Symptoms, Trauma, Psychological
Conditions
Brief summary
The goal of this parallel cluster randomized control (CRT) trial is to evaluate a group-based mind-body intervention (Move with HaRT) in survivors of human trafficking. The main study aims are: 1. Determine effectiveness of the Move with HaRT intervention on PTSD, depression, and anxiety symptoms among survivors of human trafficking in Uganda 2. Explore participant characteristics (e.g., age, trafficking history, food security) that may moderate the intervention effectiveness. 3. Understand potential barriers and facilitators to future implementation and scale-up. Participants will complete: * Complete three surveys (baseline, endline, and 3 month follow-up) * Participate in either Services as Usual or Move with HaRT groups * Qualitative in-depth interviews Researchers will compare Move with HaRT with Services as Usual to see effects on mental health symptoms.
Detailed description
Despite significant mental health challenges experienced by human trafficking survivors, a lack of research on effective interventions exists. The proposed parallel cluster randomized control trial aims to evaluate the mental health impact of Move with HaRT with human trafficking survivors in Uganda. Move with HaRT is a group-based intervention facilitated by paraprofessionals that includes breathwork, yoga poses, meditation, and discussions. The proposed study will use a parallel cluster randomized control (CRT) trial with 302 survivors randomized in groups to either Move with HaRT or Services as Usual. The main study aims are: 1) Determine effectiveness of the Move with HaRT intervention on PTSD, depression, and anxiety symptoms among survivors of human trafficking in Uganda; 2) Explore participant characteristics (e.g., age, trafficking history, food security) that may moderate the intervention effectiveness; 3) Understand potential barriers and facilitators to future implementation and scale-up. Surveys at baseline, endline, and 3-month follow-up assess mental health outcomes, as well as secondary outcomes on physical and social wellbeing. Qualitative research will inform barriers and facilitators to future implementation and scale-up. Results of this study have the potential to inform protection services in Uganda and beyond.
Interventions
BEHAVIORALMove with HaRT
Move with HaRT is a group-based, manualized mind-body intervention.
Sponsors
Innovations for Poverty Action
University of Alabama, Tuscaloosa
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
Outcome assessors will not be informed of the arm of participants prior to conducting assessments.
Eligibility
Sex/Gender
FEMALE
Age
14 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* identify as female; * history of forced labor or sex trafficking; * aged 14 and above;
Exclusion criteria
* physically unable to perform basic day-to-day activities without assistance * does not provide consent (or assent if a minor)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient Health Questionnaire (PHQ-9) | Past two weeks | Severity of depressive symptoms |
| PTSD Checklist (PCL-5) | Past one month | Severity of post-traumatic stress symptoms |
| GAD-7 | Past one month | Severity of generalized anxiety symptoms |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Brief Pain Inventory (Short Form) | 24 hours | Severity of pain |
| Women's Health Initiative Insomnia Rating Scale (WHIIRS) | Past four weeks | Severity of insomnia symptoms |
| Multidimensional Scale of Perceived Social Support (MSPSS) | Past three months | Degree of perceived social support |
Countries
Uganda
Contacts
Primary ContactGloria E Ayesiga, MA
Outcome results
None listed