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CompletedNCT02593734JFRUpdated Nov 2, 2015

Integrating Psychotropic Medication Into the Care of People With Mental Disorders in a Prayer Camp in Ghana

A Phase 4 interventional study of olanzapine and risperidone in Schizophrenia, Mood Disorders, and Anxiety Disorder, sponsored by University of Ghana Medical School. Completed at 1 site in Ghana. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2015-11-02.

Sponsored by University of Ghana Medical School · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
139
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate a bundled intervention of psychotropic drugs and daily contact with a nurse for people with mental health disorders in a prayer camp and secondly to assess whether the attitudes of the prayer camp staff toward mental health disorders and conventional medicines remain the same after the intervention.

Read the detailed description

The purpose of this study is to evaluate a bundled intervention of psychotropic drugs and daily contact with a nurse for people with mental health disorders in a prayer camp and secondly to assess whether the attitudes of the prayer camp staff toward mental health disorders and conventional medicines remain the same after the intervention.

In the proposed study, residents of the sanatorium at the Mount Horeb Prayer Center located in Mamfe, Ghana will be screened for psychiatric disorders by a psychiatrist. Those who are diagnosed with a psychiatric disorder requiring treatment (schizophrenia, or mood disorder) and who meet the other inclusion criteria (see below) will be randomly assigned to receive a daily dose of the appropriate psychotropic drug (according to standard procedures of care) as well as regular prayer camp treatment (intervention group) or to receive only regular prayer camp treatment (control group). After randomization, the patients in the intervention group will receive the bundled treatment for 6 weeks, while control group patients will receive regular prayer camp treatment, e.g. encouragement to pray. Psychiatrists blinded to group assignments will assess outcomes over a 6 - 8 week period. Following this, patients will be referred for continued care with health care facilities as close to their homes as possible on discharge and if they so desire. At the start of the intervention, pastors and attendants at the prayer camp will be qualitatively assessed through a semi-structured interview concerning their attributions of mental illness causation. They will be assessed -0, -6 weeks after and again -12 weeks after intervention. The investigators hypothesize that patients who receive the bundled intervention will have improved mental health outcomes and functioning and that prayer camp staff will develop more positive attitudes toward conventional medicine and will begin to conceptualize mental health disorders as treatable illnesses, rather than only as a spiritual disorder. The results will provide empirical evidence for or against an integrated model of community based care which encompasses the medical and spiritual. This is the first intervention study in Sub-Saharan Africa to promote the use of psychotropic drugs in a traditional or spiritual healing setting. Its findings may inform the implementation of national policies governing collaboration between primary health care and faith healing centers, expanding access to and improving the quality of mental health care services.

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Conditions studied

  • Schizophrenia
  • Mood Disorders,
  • Anxiety Disorder
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In context

Schizophrenia

3,563 studies on the registry are indexed under Schizophrenia; 491 are open to participants now.

This study's enrollment of 139 is above the median of 71 across 2,944 interventional studies indexed under Schizophrenia.

Browse Schizophrenia studies →

Lead sponsor

University of Ghana Medical School is the lead sponsor of 6 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. > 18 years,\<70
  2. Will benefit from treatment
  3. Not suffering from physical condition
  4. Resident at the prayer camp
  5. Not likely to be discharged from camp within six weeks
  6. Speaks either English or twi
  7. Able to give consent
  8. Not already on medication

Exclusion criteria

Exclusion Criteria:

  1. likely to be discharged within 6 weeks of commencement of medication
  2. Patients already on medication
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Investigator)
Enrollment
139 participants (actual)

Study arms

  • No intervention
    Control

    No intervention

  • Experimental
    Experimental

    The intervention is prescription and dispensing by a nurse of oral antipsychotic or antidepressant medication as clinically indicated. The mediations to be selected from include oral olanzapine, risperidone, amitryptaline or fluoxetine at doses prescribed by the treating psychiatrist.

    Drug: olanzapine · Drug: risperidone · Drug: amitryptaline · Drug: fluoxetine

Interventions

  • oral antipsychotic drug therapy

    Also known as: Zyprexa

  • oral antipsychotic drug therapy

    Also known as: Risperdal

  • oral antidepressant drug therapy

    Also known as: Elavil

  • oral drug therapy for depression

    Also known as: Prozac

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What researchers measure

Primary outcomes

  1. Brief Psychiatric Rating Scale (BPRS)

    Time frame: 6 weeks

Secondary outcomes

  1. Clinical Global Impressions(CGI)

    Time frame: 6 weeks

  2. Global Assessment of functioning(GAF)

    Time frame: 6 weeks

  3. De-chaining,

    The number of days in each week that the patient was NOT restrained with physical restraints such as chains

    Time frame: 6 weeks

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Study locations

1 site
  • Mount Horeb Prayer Centre
    Mamfe, 00233, Ghana
08

References and documents

Publications

  • Ofori-Atta A, Attafuah J, Jack H, Baning F, Rosenheck R; Joining Forces Research Consortium. Joining psychiatric care and faith healing in a prayer camp in Ghana: randomised trial. Br J Psychiatry. 2018 Jan;212(1):34-41. doi: 10.1192/bjp.2017.12. PubMed 29433613 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 2, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02593734
Lead sponsor
University of Ghana Medical School
Responsible party
Sponsor
First posted
Nov 2, 2015
Start date
Jul 2013
Primary completion
Jul 2015
Completion
Jul 2015
Last update
Nov 2, 2015

Study contacts

Angela L Ofori-Atta, PhD
principal investigator · University of Ghana Medical School

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2015. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Olanzapine · Risperidone · Amitriptyline · Fluoxetine

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