Development of a non-specialist worker delivered psychological intervention to address alcohol use disorders and psychological distress among conflict-affected populations in Uganda and Ukraine

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dc.contributor.authorNadkarni, Abhijit en_US
dc.contributor.authorMassazza, Alessandro en_US
dc.contributor.authorTol, Wietse A. en_US
dc.contributor.authorBogdanov, Sergiy en_US
dc.contributor.authorAndersen, Lena en_US
dc.contributor.authorMoore, Quincy en_US
dc.contributor.authorRoberts, Bayard en_US
dc.contributor.authorWeiss, Helen en_US
dc.contributor.authorSingh, Soumya en_US
dc.contributor.authorNeuman, Melissa en_US
dc.contributor.authorMay, Carl en_US
dc.contributor.authorFuhr, Daniela en_US
dc.date.accessioned2025-03-13T06:23:27Z
dc.date.available2025-03-13T06:23:27Z
dc.date.issued2025
dc.description.abstractBackground. Despite the significant burden of alcohol use disorders (AUD), there is a large treatment gap, especially in settings and populations affected by armed conflict. A key barrier to care is the lack of contextually relevant interventions and adequately skilled human resources to deliver them. This paper describes the systematic development of the CHANGE intervention, a potentially scalable psychological intervention for people with co-existing AUD and psychological distress in conflict-affected populations, delivered by non-specialist workers (NSWs). Methods. CHANGE was developed in sequential steps: (1) identifying potential treatment strategies through a metareview and Delphi survey with international experts; (2) in-depth interviews (IDIs) with key stakeholders from the study settings in Uganda and Ukraine; and (3) three consultative workshops with international experts and experts from Uganda and Ukraine to develop a theoretical framework for the intervention informed by outputs of the Delphi and IDIs. Results. In the Delphi survey, experts reached agreement on the acceptability, feasibility and potential effectiveness of the following components: identify high-risk situations, problem solving skills, assessment, handling drinking urges, communication skills, pros and cons of drinking, and identifying high-risk situations. From the IDIs we identified (a) causal attributions for using alcohol e.g., psychosocial stressors; (b) cultural norms related to alcohol consumption such as patriarchal stereotypes; and (c) coping strategies to deal with drinking problems such as distraction. The CHANGE intervention developed through the consultative workshops can be delivered in three sequential phases focussed on assessment, feedback, and information (Phase 1); providing the client with need-based skills for dealing with high-risk situations related to alcohol use (Phase 2), and relapse prevention and management (Phase 3). Conclusions CHANGE is a contextually relevant and potentially scalable treatment for co-existing AUD and psychological distress to be delivered by NSWs to conflict-affected populations. Effectiveness and cost-effectiveness of CHANGE will be tested in Uganda and Ukraine. en_US
dc.identifier.citationDevelopment of a non-specialist worker delivered psychological intervention to address alcohol use disorders and psychological distress among conflict-affected populations in Uganda and Ukraine / Abhijit Nadkarni, Alessandro Massazza, Wietse A. Tol, Sergiy Bogdanov [et al.] // International Journal of Mental Health Systems. - 2025. - Vol. 19 (1). - Article number: 2. - https://doi.org/10.1186/s13033-024-00656-4 en_US
dc.identifier.issn1752-4458
dc.identifier.urihttps://doi.org/10.1186/s13033-024-00656-4
dc.identifier.urihttps://ekmair.ukma.edu.ua/handle/123456789/33927
dc.language.isoen en_US
dc.relation.sourceInternational Journal of Mental Health Systems en_US
dc.statusfirst published en_US
dc.subjectalcohol use disorder en_US
dc.subjectnon-specialist worker en_US
dc.subjecttask sharing en_US
dc.subjectUganda en_US
dc.subjectUkraine en_US
dc.subjectconflict setting en_US
dc.subjectpsychological treatment en_US
dc.subjectarticle en_US
dc.titleDevelopment of a non-specialist worker delivered psychological intervention to address alcohol use disorders and psychological distress among conflict-affected populations in Uganda and Ukraine en_US
dc.typeArticle en_US
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