Wellbeing
Conditions
Brief summary
This project will strengthen local capacity for mental health care in high-need settings in Colombia by culturally and linguistically adapting the Self-Help+ intervention and delivering participatory, supervised training. Local community leaders will be trained to implement Self Help+ for their own well-being and to train others in their communities. The project will deliver a structured program with hands-on practice, ongoing technical support, and participatory evaluation of psychosocial outcomes and sustainability.
Detailed description
The main goal of the project is to strengthen the mental health capacity of individuals living in low-income settings and community-based, public, and private organizations in Eastern Antioquia, Colombia, by culturally adapting the Self-Help+ intervention and piloting a participatory training program with key community actors, laying the groundwork for future scale-up and sustainability. The following are the objectives of the study: * Culturally and linguistically adapt Self-Help+ to the local context of communities in Eastern Antioquia, Colombia * Co-design a pilot training program on Self-Help+ delivery with key community actors using participatory methods * Implement the pilot training program on Self-Help+ with the selected community actors using participatory approaches * Conduct a preliminary mixed-methods evaluation of acceptability, feasibility, and early psychosocial outcome indicators * Systematize implementation data to support knowledge sharing and ongoing technical monitoring of the strategies in critical contexts.
Interventions
OTHERSelf help plus
Self-Help Plus is the World Health Organization's 5-session stress management course for large groups of up to 30 people. It is delivered by supervised, non-specialist facilitators who complete a short training course and use pre-recorded audio and an illustrated guide to teach stress management skills. The course is suitable for adults who experiences stress, wherever they live and whatever their circumstances.
Sponsors
George Washington University
Universidad Católica De Colombia
Universidad Católica de Oriente
Fundación Universitaria Católica del Norte
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* 18 years old and living in the study area
Exclusion criteria
* Current risk of self-harm or suicide that requires a higher level of care * Significant cognitive impairment that would interfere with the ability to participate in the intervention or provide informed consent * Severe mental health conditions requiring specialized care (for example, psychosis) * Severe substance use or substance use disorders that would interfere with participation or require specialized treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Wellbeing - patient-defined mental health problems and functioning | Baseline | Psychological Outcome Profiles (PSYCHLOPS) is a patient-generated outcome measure designed to assess problems, functioning, and well-being from the participant's perspective. Total scores typically range from 0 to 20, with higher scores indicating worse psychological distress or poorer outcomes. |
| WHO-5 Well-being Index | Baseline | The World Health Organization-Five Well-Being Index (WHO-5) is a 5-item measure of subjective psychological well-being. Raw total scores range from 0 to 25, with higher scores indicating better well-being. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Depression symptom severity | Baseline | The Patient Health Questionnaire-9 (PHQ-9) is a 9-item measure of depressive symptom severity. Total scores range from 0 to 27, with higher scores indicating worse depressive symptoms. |
| Generalized anxiety symptom severity | Baseline | The Generalized Anxiety Disorder-7 (GAD-7) is a 7-item measure of anxiety symptom severity. Total scores range from 0 to 21, with higher scores indicating worse anxiety symptoms. |
Countries
Colombia
Contacts
CONTACTNathalia Rey Gómez
PRINCIPAL_INVESTIGATORNathalia Rey Gómez
Universidad Catolica de Colombia
Outcome results
None listed