Some peace of mind: assessing a pilot intervention to promote mental health among widows of injecting drug users in north-east India
2008

Mental Health Intervention for Widows of Drug Users in India

Sample size: 74 publication Evidence: moderate

Author Information

Author(s): Kermode Michelle, Devine Alexandra, Chandra Prabha, Dzuvichu Bernice, Gilbert Thomhood, Herrman Helen

Primary Institution: Nossal Institute for Global Health, University of Melbourne, Australia

Hypothesis

The implementation of structured and peer-facilitated participatory action groups (PAGs) among widows of IDUs in Manipur and Nagaland would be associated with improved mental health and a reduced likelihood of engagement in HIV risk behaviours.

Conclusion

The pilot intervention study demonstrated that a participatory approach to mental health promotion can positively impact the lives of vulnerable women and contribute to HIV prevention.

Supporting Evidence

  • Quality of life and mental health improved significantly over the course of the intervention.
  • 70% of participants were possibly experiencing a common mental disorder at baseline, which decreased to 42% by the end.
  • Participants reported fewer somatic symptoms, particularly pain, after the intervention.

Takeaway

This study helped widows of drug users feel better mentally and socially by bringing them together to talk and support each other.

Methodology

The study involved ten peer-facilitated participatory action group meetings with 74 IDU widows, assessing changes in quality of life, mental health, and somatic symptoms.

Potential Biases

Potential bias in self-reported data due to stigma and the sensitive nature of the topics discussed.

Limitations

The study lacked a control group, and the attrition rate was notable, with challenges in collecting sensitive data on HIV risk behaviours.

Participant Demographics

Participants were primarily young widows (mean age 32.5 years) from diverse ethnic and religious backgrounds, with 81% unemployed.

Statistical Information

P-Value

p<0.01

Statistical Significance

p<0.01

Digital Object Identifier (DOI)

10.1186/1471-2458-8-294

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