Reassessing the Significance of Mycobacterium in Neglected Tropical Diseases: A Study Protocol in Nigeria.

Journal: International journal of mycobacteriology

Volume: 13

Issue: 4

Year of Publication: 2024

Affiliated Institutions:  Programme Department, RedAid, Enugu, Enugu State, Nigeria. Department of Community Medicine, College of Health Sciences, Ebonyi State University, Abakaliki, Ebonyi State, Nigeria. Programmes Department, German Leprosy and Tuberculosis Relief Association (DAHW) West African Regional Office, Dakar, Senegal.

Abstract summary 

Neglected tropical diseases (NTDs) significantly impact the physical and mental well-being of affected individuals, particularly in Nigeria. This study aims to evaluate the effectiveness of integrating mental health services with self-care practices for individuals suffering from leprosy, Buruli ulcer (BU), and lymphatic filariasis (LF). The role of trained Healthcare Workers (HCWs) and NTD champions (NTD-Cs) will be explored to enhance health outcomes in this population.A cluster-randomized controlled trial was conducted in four local government areas (clusters) with the highest incidence of leprosy, BU, or LF. Clusters were purposively selected and randomized into intervention and control groups: three clusters received interventions, while one served as a control. The intervention arms include (a) Mental health and self-care interventions by NTD-Cs. (b) Mental health and self-care interventions by HCWs. (c) Self-care interventions only by HCWs. d) Control group receiving standard care. Data were collected at baseline and postintervention using validated questionnaires, including the Patient Health Questionnaire and World Health Organization Quality of Life (QOL-BREF), among others. The intervention will last for 8 months, with monthly self-help group meetings providing support and resources.The study aims to provide evidence on the effectiveness of integrated mental health and self-care interventions for NTD patients by evaluating outcomes such as mental health status, quality of life (QOL), and socioeconomic factors.This trial aims to inform policy and practice by demonstrating the potential benefits of integrating mental health services within the care framework for individuals affected by NTDs in Nigeria. If successful, the findings will contribute to the enhancement of healthcare delivery and may be incorporated into the National Tuberculosis and Leprosy Control Program for broader implementation across the country.Trial registration: PACTR Registration number: PACTR202404852537141.https://pactr.samrc.ac.za/Default.aspx?Logout=TrueRetrospectively registered.

Authors & Co-authors:  Ekeke Ngozi N Iyama Francis Sunday FS Ossai Edmund Ndudi EN Chukwu Joseph Ngozi JN Eze Chinwe Chika CC Egbule Daniel D Nwafor Charles C Njoku Martin I MI Meka Anthony O AO Odama Michael M Ezeakile Okechukwu E OE Murphy-Okpala Ngozi N NN

Study Outcome 

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Statistics
Citations :  Carrion C, Robles N, Sola-Morales O, Aymerich M, Ruiz Postigo JA. Mobile health strategies to tackle skin neglected tropical diseases with recommendations from innovative experiences: Systematic review. JMIR Mhealth Uhealth 2020;8:e22478.
Authors :  12
Identifiers
Doi : 10.4103/ijmy.ijmy_145_24
SSN : 2212-554X
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Study Design
Randomized Control Trial
Study Approach
Country of Study
Niger
Publication Country
India