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| Name | Class |
|---|---|
| Case Western Reserve University | OTHER |
| Seattle Pacific University | OTHER |
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This study will examine the initial feasibility of a program called Islamic Trauma Healing by conducting a small feasibility study (N = 26) of Islamic Trauma Healing in Somalia on key targets of PTSD, depression, somatic symptoms, and quality of life. The hypothesis is that those in Islamic Trauma Healing will show a reduction of PTSD symptoms, depressive symptoms, and somatic symptoms and show improvement in quality of well-being. Feasibility will also be examined by examining at retention, satisfaction, and community feedback.
Islamic Trauma Healing is a lay-led, small-group intervention specifically targeting healing mental wounds of trauma within mosques. The six-session intervention combines empirically supported exposure-based and cognitive restructuring techniques with Islamic principles. A lay-led, group program promotes community building, acknowledges trauma's impact in the community, and facilitates wider implementation. The program is not referred to as "therapy" or "treatment" for "mental illness." It incorporates community building (e.g., shared tea, supplication), integrated Islamic principles that utilize cognitive restructuring through discussion of prophet narratives (e.g., faith during hard times, Prophet Job [Ayyub]), and exposure therapy through individual prayer, talking to Allah about the trauma. Ultimately, the program will follow a self-sustaining train-the-trainer model, led by group leaders, empowering lay leaders to facilitate healing in their communities. Further, training time is dramatically reduced to two, 4-hour training sessions, focusing on teaching skills of group discussion leading rather than training as a lay therapist or mental health counselor. Preliminary data from a community sample and from initial men's and women's groups show a strong perceived need and match with the Islamic faith, with large effects obtained for pre- to post-group across measures (g = 0.76-3.22). Qualitative analysis identified the intervention as operating on potential mechanisms of connectedness to the community, faith integration, healing, and growth. The preliminary data point to the program being well-received and offering a promising model for delivery of a trauma-focused intervention to Muslim communities. The next steps are examining Islamic Trauma Healing in low and moderate-income Muslim countries, examining the feasibility of implementing this lay-led program.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PTSD lay-led group treatment program | Experimental | The group will go through the Islamic Trauma Healing Program |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Islamic Trauma Healing | Behavioral | 6 session behavioral intervention program designed to reduce PTSD and related symptomatology |
|
| Measure | Description | Time Frame |
|---|---|---|
| PTSD Scale - Self-Report for DSM-5 (PDS-5; Foa et al., 2016) | PTSD symptoms will be measured using the PTSD Scale - Self-Report for DSM-5 (PDS-5; Foa et al., 2016). Twenty items comprise the PTSD severity scale, with scores ranging from 0 to 80 and higher scores indicating higher PTSD severity. A total score is calculated. | Last 1 Week |
| Measure | Description | Time Frame |
|---|---|---|
| Patient Health Questionnaire-9 (PHQ-9; Kroenke, Spitzer, & Williams, 2001) | The PHQ-9 is a self-report measure of depression symptoms with each question rated from 0-3. Higher scores indicate greater depression severity, with scores ranging from 0 to 27. | Last 1 Week |
| Somatic Symptoms Scale-8 (SSS-8; Gierk et al., 2014) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Lori Zoellner, PhD | University of Washington | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Borama Mosque | Borama | Somalia | ||||
| Hargeisa Mosque |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36204779 | Derived | Klein AB, Egeh MH, Bowling AR, Holloway A, Ali AA, Abdillahi ZA, Abdi MA, Ibrahim SH, Bootan KH, Ibrahim HI, Ali AM, Tubeec AM, Dolezal ML, Angula DA, Bentley JA, Feeny NC, Zoellner LA. WhatsApp supervision for a lay-led Islamic trauma-focused intervention in Somaliland: Qualitative content analysis. J Trauma Stress. 2023 Feb;36(1):59-70. doi: 10.1002/jts.22882. Epub 2022 Oct 6. | |
| 34149468 |
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| ID | Title | Description |
|---|---|---|
| FG000 | PTSD Lay-led Group Treatment Program | The group will go through the Islamic Trauma Healing Program Islamic Trauma Healing: 6 session behavioral intervention program designed to reduce PTSD and related symptomatology |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | PTSD Lay-led Group Treatment Program | The group will go through the Islamic Trauma Healing Program Islamic Trauma Healing: 6 session behavioral intervention program designed to reduce PTSD and related symptomatology |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | PTSD Scale - Self-Report for DSM-5 (PDS-5; Foa et al., 2016) | PTSD symptoms will be measured using the PTSD Scale - Self-Report for DSM-5 (PDS-5; Foa et al., 2016). Twenty items comprise the PTSD severity scale, with scores ranging from 0 to 80 and higher scores indicating higher PTSD severity. A total score is calculated. | Posted | Mean | Standard Deviation | score on a scale | Last 1 Week |
|
|
6 weeks
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | PTSD Lay-led Group Treatment Program | The group will go through the Islamic Trauma Healing Program Islamic Trauma Healing: 6 session behavioral intervention program designed to reduce PTSD and related symptomatology |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Lori Zoellner | University of Washington | 206 685 3617 | ContactUWCATS@uw.edu |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Aug 5, 2018 | Nov 29, 2018 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D013313 | Stress Disorders, Post-Traumatic |
| ID | Term |
|---|---|
| D040921 | Stress Disorders, Traumatic |
| D000068099 | Trauma and Stressor Related Disorders |
| D001523 | Mental Disorders |
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This is an active intervention feasibility study, using a pre-post clinical trial design; there is no randomization and no control intervention.
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The Somatic Symptoms Scale is an 8 item version of the PHQ-15; self-report assessment of somatic symptoms (e.g., stomach pain, headaches, dizziness). The current version scored items on the original PHQ-15 scale from 0 to 2, with a range from 0 to 16. |
| Last 1 Week |
| Quality of Well-being Index | The WHO-5 Wellbeing Index (WHO-5; Bech, Olsen, Kjoller, & Rasmussen, 2003) will be used to measure well-being. This five-item measure assesses emotional well-being on a 0-5 scale, with higher scores reflecting better well-being. Range of scores is from 0 to 25. | Last 1 Week |
| Hargeisa |
| Somalia |
| Derived |
| Zoellner LA, Bentley JA, Feeny NC, Klein AB, Dolezal ML, Angula DA, Egeh MH. Reaching the Unreached: Bridging Islam and Science to Treat the Mental Wounds of War. Front Psychiatry. 2021 Jun 2;12:599293. doi: 10.3389/fpsyt.2021.599293. eCollection 2021. |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| PTSD Severity (PDS-5) | Mean | Standard Deviation | score on a scale |
|
| Depression Symptoms (PHQ-9) | Mean | Standard Deviation | score on a scale |
|
| Somatic Symptoms (SSS-8) | Mean | Standard Deviation | score on a scale |
|
| Well-Being (WHO-5) | Mean | Standard Deviation | score on a scale |
|
| Participants |
|
|
| Secondary | Patient Health Questionnaire-9 (PHQ-9; Kroenke, Spitzer, & Williams, 2001) | The PHQ-9 is a self-report measure of depression symptoms with each question rated from 0-3. Higher scores indicate greater depression severity, with scores ranging from 0 to 27. | Posted | Mean | Standard Deviation | score on scale | Last 1 Week |
|
|
|
| Secondary | Somatic Symptoms Scale-8 (SSS-8; Gierk et al., 2014) | The Somatic Symptoms Scale is an 8 item version of the PHQ-15; self-report assessment of somatic symptoms (e.g., stomach pain, headaches, dizziness). The current version scored items on the original PHQ-15 scale from 0 to 2, with a range from 0 to 16. | Posted | Mean | Standard Deviation | score on a scale | Last 1 Week |
|
|
|
| Secondary | Quality of Well-being Index | The WHO-5 Wellbeing Index (WHO-5; Bech, Olsen, Kjoller, & Rasmussen, 2003) will be used to measure well-being. This five-item measure assesses emotional well-being on a 0-5 scale, with higher scores reflecting better well-being. Range of scores is from 0 to 25. | Posted | Mean | Standard Deviation | score on a scale | Last 1 Week |
|
|
|
| 0 |
| 26 |
| 0 |
| 26 |
| 0 |
| 26 |
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