The Experts below are selected from a list of 3708 Experts worldwide ranked by ideXlab platform
Laura Asher - One of the best experts on this subject based on the ideXlab platform.
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Community Based Rehabilitation intervention for people with schizophrenia in ethiopia rise study protocol for a cluster randomised controlled trial
Trials, 2016Co-Authors: Laura Asher, Mary De Silva, Charlotte Hanlon, Helen A Weiss, Rahel Birhane, Dawit A Ejigu, Girmay Medhin, Vikram PatelAbstract:Care for most people with schizophrenia is best delivered in the Community and evidence-Based guidelines recommend combining both medication and a psychosocial intervention, such as Community-Based Rehabilitation. There is emerging evidence that Community-Based Rehabilitation for schizophrenia is effective at reducing disability in middle-income country settings, yet there is no published evidence on the effectiveness in settings with fewer mental health resources. This paper describes the protocol of a study that aims to evaluate the effectiveness of Community-Based Rehabilitation as an adjunct to health facility-Based care in rural Ethiopia. This is a cluster randomised trial set in a rural district in Ethiopia, with sub-district as the unit of randomisation. Participants will be recruited from an existing cohort of people with schizophrenia receiving treatment in primary care. Fifty-four sub-districts will be randomly allocated in a 1:1 ratio to facility-Based care plus Community-Based Rehabilitation (intervention arm) or facility-Based care alone (control arm). Facility-Based care consists of treatment by a nurse or health officer in primary care (antipsychotic medication, basic psychoeducation and follow-up) with referral to a psychiatric nurse-led outpatient clinic or psychiatric hospital when required. Trained Community-Based Rehabilitation workers will deliver a manualised Community-Based Rehabilitation intervention, with regular individual and group supervision. We aim to recruit 182 people with schizophrenia and their caregivers. Potential participants will be screened for eligibility, including enduring or disabling illness. Participants will be recruited after providing informed consent or, for participants without decision-making capacity, after the primary caregiver gives permission on behalf of the participant. The primary outcome is disability measured with the 36-item WHO Disability Assessment Schedule (WHODAS) version 2.0 at 12 months. The sample size will allow us to detect a 20 % difference in WHODAS 2.0 scores between treatment arms with 85 % power. Secondary outcomes include change in symptom severity, economic activity, physical restraint, discrimination and caregiver burden. This is the first trial of Community-Based Rehabilitation for schizophrenia and will determine, as a proof of concept, the added value of Community-Based Rehabilitation compared to facility-Based care alone in a low-income country with scarce mental health resources. Clinical Trials.gov Identifier NCT02160249 . Registered on 3 June 2014.
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development of a Community Based Rehabilitation intervention for people with schizophrenia in ethiopia
PLOS ONE, 2015Co-Authors: Laura Asher, Charlotte Hanlon, Vikram Patel, Abebaw Fekadu, Gemechu Mideksa, Julian Eaton, Mary De SilvaAbstract:Background Community-Based Rehabilitation (CBR) is a multi-sectoral strategy to improve the functioning and quality of life of people with disabilities. The RISE (Rehabilitation Intervention for people with Schizophrenia in Ethiopia) trial will evaluate the effectiveness of CBR for people with schizophrenia in Ethiopia. Nevertheless, the components of CBR that are both feasible and likely to prove effective in low and middle-income countries such as Ethiopia are unclear.
Vikram Patel - One of the best experts on this subject based on the ideXlab platform.
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Community Based Rehabilitation intervention for people with schizophrenia in ethiopia rise study protocol for a cluster randomised controlled trial
Trials, 2016Co-Authors: Laura Asher, Mary De Silva, Charlotte Hanlon, Helen A Weiss, Rahel Birhane, Dawit A Ejigu, Girmay Medhin, Vikram PatelAbstract:Care for most people with schizophrenia is best delivered in the Community and evidence-Based guidelines recommend combining both medication and a psychosocial intervention, such as Community-Based Rehabilitation. There is emerging evidence that Community-Based Rehabilitation for schizophrenia is effective at reducing disability in middle-income country settings, yet there is no published evidence on the effectiveness in settings with fewer mental health resources. This paper describes the protocol of a study that aims to evaluate the effectiveness of Community-Based Rehabilitation as an adjunct to health facility-Based care in rural Ethiopia. This is a cluster randomised trial set in a rural district in Ethiopia, with sub-district as the unit of randomisation. Participants will be recruited from an existing cohort of people with schizophrenia receiving treatment in primary care. Fifty-four sub-districts will be randomly allocated in a 1:1 ratio to facility-Based care plus Community-Based Rehabilitation (intervention arm) or facility-Based care alone (control arm). Facility-Based care consists of treatment by a nurse or health officer in primary care (antipsychotic medication, basic psychoeducation and follow-up) with referral to a psychiatric nurse-led outpatient clinic or psychiatric hospital when required. Trained Community-Based Rehabilitation workers will deliver a manualised Community-Based Rehabilitation intervention, with regular individual and group supervision. We aim to recruit 182 people with schizophrenia and their caregivers. Potential participants will be screened for eligibility, including enduring or disabling illness. Participants will be recruited after providing informed consent or, for participants without decision-making capacity, after the primary caregiver gives permission on behalf of the participant. The primary outcome is disability measured with the 36-item WHO Disability Assessment Schedule (WHODAS) version 2.0 at 12 months. The sample size will allow us to detect a 20 % difference in WHODAS 2.0 scores between treatment arms with 85 % power. Secondary outcomes include change in symptom severity, economic activity, physical restraint, discrimination and caregiver burden. This is the first trial of Community-Based Rehabilitation for schizophrenia and will determine, as a proof of concept, the added value of Community-Based Rehabilitation compared to facility-Based care alone in a low-income country with scarce mental health resources. Clinical Trials.gov Identifier NCT02160249 . Registered on 3 June 2014.
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development of a Community Based Rehabilitation intervention for people with schizophrenia in ethiopia
PLOS ONE, 2015Co-Authors: Laura Asher, Charlotte Hanlon, Vikram Patel, Abebaw Fekadu, Gemechu Mideksa, Julian Eaton, Mary De SilvaAbstract:Background Community-Based Rehabilitation (CBR) is a multi-sectoral strategy to improve the functioning and quality of life of people with disabilities. The RISE (Rehabilitation Intervention for people with Schizophrenia in Ethiopia) trial will evaluate the effectiveness of CBR for people with schizophrenia in Ethiopia. Nevertheless, the components of CBR that are both feasible and likely to prove effective in low and middle-income countries such as Ethiopia are unclear.
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Community Based Rehabilitation for people with disabilities in low and middle income countries a systematic review
Campbell Systematic Reviews, 2015Co-Authors: Valentina Iemmi, Sally Hartley, Vikram Patel, Karl Blanchet, Lorna Gibson, Gudlavalleti Vs Murthy, Joerg Weber, Suresh K Kumar, Santosh Rath, Hannah KuperAbstract:The authors reviewed the evidence about the impact of Community-Based Rehabilitation on the lives of people with disabilities and their carers in low- and middle-income countries.People with disabilities include those who have long-term physical, mental, intellectual or sensory impairments, which in interaction with various barriers may hinder their full and effective participation in society on an equal basis with others. There are estimated to be over one billion people with disabilities globally and 80% of them live in low- and middle-income countries. They are often excluded from education, health, and employment and other aspects of society leading to an increased risk of poverty. Community-Based Rehabilitation interventions are the strategy endorsed by the World Health Organization and other international organisations (e.g. ILO, IDDC) for addressing the needs of this group of people in low- and middle-income countries. These interventions aim to enhance the quality of life of people with disabilities and their carers, by trying to meet their basic needs and ensuring inclusion and participation using predominantly local resources. These interventions are composed of up to five components: health, education, livelihood, social and empowerment. Currently only few people who need them benefit from these interventions, and so it is important to
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Community-Based Rehabilitation for people with physical and mental disabilities in low- and middle-income countries
Cochrane Database of Systematic Reviews, 2013Co-Authors: Valentina Iemmi, Sally Hartley, Vikram Patel, K Suresh Kumar, Karl Blanchet, Lorna Gibson, Gudlavalleti Vs Murthy, Joerg Weber, Hannah KuperAbstract:This is the protocol for a review and there is no abstract. The objectives are as follows:\ud \ud To assess the effectiveness and cost-effectiveness of Community-Based Rehabilitation for people with physical and mental disabilities in low- and middle-income countries
Sally Hartley - One of the best experts on this subject based on the ideXlab platform.
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Community Based Rehabilitation for people with disabilities in low and middle income countries a systematic review
Campbell Systematic Reviews, 2015Co-Authors: Valentina Iemmi, Sally Hartley, Vikram Patel, Karl Blanchet, Lorna Gibson, Gudlavalleti Vs Murthy, Joerg Weber, Suresh K Kumar, Santosh Rath, Hannah KuperAbstract:The authors reviewed the evidence about the impact of Community-Based Rehabilitation on the lives of people with disabilities and their carers in low- and middle-income countries.People with disabilities include those who have long-term physical, mental, intellectual or sensory impairments, which in interaction with various barriers may hinder their full and effective participation in society on an equal basis with others. There are estimated to be over one billion people with disabilities globally and 80% of them live in low- and middle-income countries. They are often excluded from education, health, and employment and other aspects of society leading to an increased risk of poverty. Community-Based Rehabilitation interventions are the strategy endorsed by the World Health Organization and other international organisations (e.g. ILO, IDDC) for addressing the needs of this group of people in low- and middle-income countries. These interventions aim to enhance the quality of life of people with disabilities and their carers, by trying to meet their basic needs and ensuring inclusion and participation using predominantly local resources. These interventions are composed of up to five components: health, education, livelihood, social and empowerment. Currently only few people who need them benefit from these interventions, and so it is important to
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Community-Based Rehabilitation for people with physical and mental disabilities in low- and middle-income countries
Cochrane Database of Systematic Reviews, 2013Co-Authors: Valentina Iemmi, Sally Hartley, Vikram Patel, K Suresh Kumar, Karl Blanchet, Lorna Gibson, Gudlavalleti Vs Murthy, Joerg Weber, Hannah KuperAbstract:This is the protocol for a review and there is no abstract. The objectives are as follows:\ud \ud To assess the effectiveness and cost-effectiveness of Community-Based Rehabilitation for people with physical and mental disabilities in low- and middle-income countries
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Community Based Rehabilitation opportunity and challenge
The Lancet, 2009Co-Authors: Sally Hartley, Pim Kuipers, Harry Finkenflugel, Maya ThomasAbstract:Community-Based Rehabilitation (CBR) is the main way in which disabled people in most of the world have any chance of accessing Rehabilitation services. CBR was first promoted by WHO in the mid-1970s to address the shortage of Rehabilitation assistance by providing services in the Community with use of local resources. The strategy drew on the principles of primary health care, accepted international Rehabilitation practices of the time, and also existing local practices.
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systematic synthesis of Community Based Rehabilitation cbr project evaluation reports for evidence Based policy a proof of concept study
BMC International Health and Human Rights, 2008Co-Authors: Pim Kuipers, S Wirz, Sally HartleyAbstract:Background This paper presents the methodology and findings from a proof-of-concept study undertaken to explore the viability of conducting a systematic, largely qualitative synthesis of evaluation reports emanating from Community Based Rehabilitation (CBR) projects in developing countries.
Charlotte Hanlon - One of the best experts on this subject based on the ideXlab platform.
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Community Based Rehabilitation intervention for people with schizophrenia in ethiopia rise study protocol for a cluster randomised controlled trial
Trials, 2016Co-Authors: Laura Asher, Mary De Silva, Charlotte Hanlon, Helen A Weiss, Rahel Birhane, Dawit A Ejigu, Girmay Medhin, Vikram PatelAbstract:Care for most people with schizophrenia is best delivered in the Community and evidence-Based guidelines recommend combining both medication and a psychosocial intervention, such as Community-Based Rehabilitation. There is emerging evidence that Community-Based Rehabilitation for schizophrenia is effective at reducing disability in middle-income country settings, yet there is no published evidence on the effectiveness in settings with fewer mental health resources. This paper describes the protocol of a study that aims to evaluate the effectiveness of Community-Based Rehabilitation as an adjunct to health facility-Based care in rural Ethiopia. This is a cluster randomised trial set in a rural district in Ethiopia, with sub-district as the unit of randomisation. Participants will be recruited from an existing cohort of people with schizophrenia receiving treatment in primary care. Fifty-four sub-districts will be randomly allocated in a 1:1 ratio to facility-Based care plus Community-Based Rehabilitation (intervention arm) or facility-Based care alone (control arm). Facility-Based care consists of treatment by a nurse or health officer in primary care (antipsychotic medication, basic psychoeducation and follow-up) with referral to a psychiatric nurse-led outpatient clinic or psychiatric hospital when required. Trained Community-Based Rehabilitation workers will deliver a manualised Community-Based Rehabilitation intervention, with regular individual and group supervision. We aim to recruit 182 people with schizophrenia and their caregivers. Potential participants will be screened for eligibility, including enduring or disabling illness. Participants will be recruited after providing informed consent or, for participants without decision-making capacity, after the primary caregiver gives permission on behalf of the participant. The primary outcome is disability measured with the 36-item WHO Disability Assessment Schedule (WHODAS) version 2.0 at 12 months. The sample size will allow us to detect a 20 % difference in WHODAS 2.0 scores between treatment arms with 85 % power. Secondary outcomes include change in symptom severity, economic activity, physical restraint, discrimination and caregiver burden. This is the first trial of Community-Based Rehabilitation for schizophrenia and will determine, as a proof of concept, the added value of Community-Based Rehabilitation compared to facility-Based care alone in a low-income country with scarce mental health resources. Clinical Trials.gov Identifier NCT02160249 . Registered on 3 June 2014.
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development of a Community Based Rehabilitation intervention for people with schizophrenia in ethiopia
PLOS ONE, 2015Co-Authors: Laura Asher, Charlotte Hanlon, Vikram Patel, Abebaw Fekadu, Gemechu Mideksa, Julian Eaton, Mary De SilvaAbstract:Background Community-Based Rehabilitation (CBR) is a multi-sectoral strategy to improve the functioning and quality of life of people with disabilities. The RISE (Rehabilitation Intervention for people with Schizophrenia in Ethiopia) trial will evaluate the effectiveness of CBR for people with schizophrenia in Ethiopia. Nevertheless, the components of CBR that are both feasible and likely to prove effective in low and middle-income countries such as Ethiopia are unclear.
Mary De Silva - One of the best experts on this subject based on the ideXlab platform.
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Community Based Rehabilitation intervention for people with schizophrenia in ethiopia rise study protocol for a cluster randomised controlled trial
Trials, 2016Co-Authors: Laura Asher, Mary De Silva, Charlotte Hanlon, Helen A Weiss, Rahel Birhane, Dawit A Ejigu, Girmay Medhin, Vikram PatelAbstract:Care for most people with schizophrenia is best delivered in the Community and evidence-Based guidelines recommend combining both medication and a psychosocial intervention, such as Community-Based Rehabilitation. There is emerging evidence that Community-Based Rehabilitation for schizophrenia is effective at reducing disability in middle-income country settings, yet there is no published evidence on the effectiveness in settings with fewer mental health resources. This paper describes the protocol of a study that aims to evaluate the effectiveness of Community-Based Rehabilitation as an adjunct to health facility-Based care in rural Ethiopia. This is a cluster randomised trial set in a rural district in Ethiopia, with sub-district as the unit of randomisation. Participants will be recruited from an existing cohort of people with schizophrenia receiving treatment in primary care. Fifty-four sub-districts will be randomly allocated in a 1:1 ratio to facility-Based care plus Community-Based Rehabilitation (intervention arm) or facility-Based care alone (control arm). Facility-Based care consists of treatment by a nurse or health officer in primary care (antipsychotic medication, basic psychoeducation and follow-up) with referral to a psychiatric nurse-led outpatient clinic or psychiatric hospital when required. Trained Community-Based Rehabilitation workers will deliver a manualised Community-Based Rehabilitation intervention, with regular individual and group supervision. We aim to recruit 182 people with schizophrenia and their caregivers. Potential participants will be screened for eligibility, including enduring or disabling illness. Participants will be recruited after providing informed consent or, for participants without decision-making capacity, after the primary caregiver gives permission on behalf of the participant. The primary outcome is disability measured with the 36-item WHO Disability Assessment Schedule (WHODAS) version 2.0 at 12 months. The sample size will allow us to detect a 20 % difference in WHODAS 2.0 scores between treatment arms with 85 % power. Secondary outcomes include change in symptom severity, economic activity, physical restraint, discrimination and caregiver burden. This is the first trial of Community-Based Rehabilitation for schizophrenia and will determine, as a proof of concept, the added value of Community-Based Rehabilitation compared to facility-Based care alone in a low-income country with scarce mental health resources. Clinical Trials.gov Identifier NCT02160249 . Registered on 3 June 2014.
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development of a Community Based Rehabilitation intervention for people with schizophrenia in ethiopia
PLOS ONE, 2015Co-Authors: Laura Asher, Charlotte Hanlon, Vikram Patel, Abebaw Fekadu, Gemechu Mideksa, Julian Eaton, Mary De SilvaAbstract:Background Community-Based Rehabilitation (CBR) is a multi-sectoral strategy to improve the functioning and quality of life of people with disabilities. The RISE (Rehabilitation Intervention for people with Schizophrenia in Ethiopia) trial will evaluate the effectiveness of CBR for people with schizophrenia in Ethiopia. Nevertheless, the components of CBR that are both feasible and likely to prove effective in low and middle-income countries such as Ethiopia are unclear.