Development of a local function assessment tool: A field-based example from the peter c alderman foundation psycho-trauma clinics in northern Uganda
Tuesday, November 5, 2013
: 2:30 p.m. - 2:45 p.m.
Background: PCAF's mission is to heal the emotional wounds of victims of terrorism and mass violence in post-conflict countries. In 2005, PCAF and the Ugandan government collaborated to deliver sustainable treatments for traumatic depression, PTSD and other mental and neurological disorders in the post-conflict, underserved North. There are no locally valid function assessment tools for trauma victims with mental disorders in northern Uganda. Aims: To develop a contextually sensitive function assessment tool for trauma victims with mental disorders attending PCAF's four psycho-trauma clinics in northern Uganda. Method: Items were derived from qualitative interviews with individuals attending Gulu and Kitgum PCAF clinics. A draft was piloted and field-tested among 514 randomly recruited attendees. Internal consistency was assessed using Cronbachs alpha coefficient, inter-rater reliability and test-retest reliability, using Cohens kappa values, and construct validity using principle component analysis with varimax rotation. Results: The overall Cronbachs alpha across the clinic populations (Gulu, Kitgum, Soroti,and Arua) was 0.70. Kappa values for combined inter-rater reliability and test-retest reliability were 0.65 and 0.75 respectively. Work functioning and social functioning were the two factors of the assessment tool identified by principal component analysis. Conclusion: The locally developed functioning assessment tool is a valid and reliable measure of function among individuals with trauma-related mental disorders attending PCAF clinics in northern Uganda. We have been able to demonstrate an inverse correlation between function and symptom-loads of traumatic depression and PTSD. Also, by serially assessing function, we have been able to measure the effectiveness of several therapeutic interventions.
Clinical medicine applied in public health
Diversity and culture
Provision of health care to the public
Social and behavioral sciences
Describe the development of a culturally competent function assessment tool in a non-Western community.
Keyword(s): Mental Health Care, Cultural Competency
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I have co-authored many papers and presentations on the impact of mental health services on patients with traumatic depression and PTSD in Uganda.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.