Combining a guided self-help and brief alcohol intervention to improve mental health and reduce substance use among refugee men in Uganda: a cluster-randomized feasibility trial

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dc.contributor.authorGreene, M. Claire
dc.contributor.authorAndersen, Lena S
dc.contributor.authorLeku, Marx R
dc.contributor.authorAu, Teresa
dc.contributor.authorAkellot, Josephine
dc.contributor.authorUpadhaya, Nawaraj
dc.contributor.authorOdokonyero, Raymond
dc.contributor.authorWhite, Ross
dc.contributor.authorVentevogel, Peter
dc.contributor.authorGarcia-Moreno, Claudia
dc.contributor.authorTol, Wietse A
dc.date.accessioned2024-11-13T08:39:30Z
dc.date.available2024-11-13T08:39:30Z
dc.date.issued2024-11
dc.description.abstractAbstract Evidence on the effectiveness and implementation of mental health and psychosocial support (MHPSS) interventions for men in humanitarian settings is limited. Moreover, engagement and retention of men in such interventions has been challenging. Adaptations may therefore be required to improve the appropriateness and acceptability of these interventions for men. This study conducted formative research and examined the feasibility of combining an MHPSS intervention, Self-Help Plus, with a brief intervention to reduce harmful alcohol use among refugee men in Uganda. We conducted a cluster randomized feasibility trial comparing the combined alcohol intervention and Self-Help Plus, Self-Help Plus alone and enhanced usual care. Participants were 168 South Sudanese refugee men in Rhino Settlement who reported moderate or high levels of psychological distress. Session attendance was adequate: all sessions had at least 69% of participants present. Participant outcome measures, including symptoms of psychological distress, functional impairment, self-defined problems, depressive symptoms, post-traumatic stress symptoms, overall substance use risk, substance specific risk (alcohol, cannabis, stimulants and sedatives) and well-being, were sensitive to change. A combined approach to addressing mental health and alcohol use appears feasible among men in refugee settings, but further research is needed to examine the effectiveness of combined interventions among men.
dc.identifier.citationGreene, M. Claire, Lena S. Andersen, Marx R. Leku, et al. 'Combining a Guided Self-Help and Brief Alcohol Intervention to Improve Mental Health and Reduce Substance use among Refugee Men in Uganda: A Cluster-Randomized Feasibility Trial', Global Mental Health, vol. 11/(2024), .
dc.identifier.issnEISSN 2054-4251
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/9708
dc.language.isoen
dc.publisherCambridge University Press
dc.titleCombining a guided self-help and brief alcohol intervention to improve mental health and reduce substance use among refugee men in Uganda: a cluster-randomized feasibility trial
dc.typeArticle
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