INNOV5-MH-MAROC: Integrated Mental Health Care for Adolescents and Adults in Primary Care Centers and Schools in Morocco
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: INNOV5 Integrated Mental Health Program, Enhanced Treatment as Usual (TAU+).
- Кому может быть актуально
- Состояния в реестре: Depression in Adolescence, Depression in Adults, Anxiety, Mental and Behavioural Disorders. Базовые параметры: от 12 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Швейцария
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
INNOV5-MH-MAROC: Multicenter Pragmatic Randomized Controlled Trial Evaluating an Integrated Program of Five WHO Innovations in Mental Health in Morocco
Обзор
Depression and anxiety are highly prevalent among adolescents and adults in Morocco, while access to evidence-based care in primary care centers and schools remains limited. This multicenter pragmatic randomized controlled trial evaluates an integrated mental health program inspired by WHO priorities. The INNOV5 intervention combines: (1) a collaborative care model in primary care; (2) mhGAP-based task-shifting and stepped care; (3) validated digital mental health interventions; (4) virtual reality exposure therapy for selected anxiety- or trauma-related cases; and (5) a school-based mental health promotion component in participating high schools. The primary objective is to compare the change in depressive symptoms (PHQ-9) at 6 months between INNOV5 and enhanced treatment as usual (TAU+). Secondary objectives include effects on anxiety (GAD-7), quality of life (WHOQOL-BREF), suicidal ideation and behavior (C-SSRS), functioning, school attendance, and feasibility and acceptability of the program.
Вмешательства
- Поведенческое INNOV5 Integrated Mental Health Program
Integrated multicomponent mental health program combining: (1) a collaborative care model in primary care; (2) mhGAP-based task-shifting and stepped care; (3) validated digital mental health interventions (apps and online tools); (4) virtual reality exposure therapy for selected anxiety- or trauma-related cases; and (5) a school-based mental health promotion component in participating high schools. - Поведенческое Enhanced Treatment as Usual (TAU+)
Usual mental health care and referrals available at participating primary care centers and schools, with minimal enhancements such as WHO mhGAP materials and basic information and referral resources, but without access to the INNOV5 integrated program components.
Первичные конечные точки
- Change in depressive symptoms (PHQ-9) [Срок оценки: Baseline to 6 months]
Вторичные конечные точки (1)
- Change in anxiety symptoms (GAD-7) [Срок оценки: Baseline to 6 months]
Критерии участия
Критерии включения
- Adolescents (12-17 years) and adults (≥18 years) attending participating primary care centres or high schools in Morocco.
- Clinically significant depressive and/or anxiety symptoms identified by screening (PHQ-9 and/or GAD-7) according to study thresholds.
- Able to understand study procedures and provide informed consent (or parental consent and adolescent assent for minors).
- Planning to remain in the study area for at least 12 months.
Критерии исключения
- Acute psychiatric emergency requiring immediate specialised care (e.g. psychosis, high-risk suicidal crisis, severe substance use disorder).
- Cognitive impairment or severe medical condition preventing participation in the intervention or assessments.
- Current participation in another interventional mental health trial.
- Any other situation judged by the investigator to make participation unsafe or inappropriate.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Открытое
- Основная цель
- Лечение
Центры проведения
Швейцария · 1 центр
- Swiss Medical Academy Maroc — Sion
Идентификаторы
NCT: NCT07258095 · SMA-INNOV5-MH-MAROC-01 · SMA-INNOV5-MH-MAROC-01