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Monitoring of persistent Post-Traumatic Stress Disorder and resilience through research electronic data capture in people affected by the 2017 “El Niño Costero” phenomenon in Piura and Lima, Peru.
Peru (IFMSA-Peru) - Universidad Privada Antenor Orrego Filial Piura, Piura
Private classrooms of the library of the Antenor Orrego Private University, Sector Norte, Parcela 03 highway a, Los Ejidos, Piura 20009, Peru.
Mario Valladares Garrido
Mario Valladares Garrido
Type of Research Project
- Clinical Project without Laboratory work
What is the background of the project?
In 2017, the “El Niño Costero” phenomenon in Peru caused massive floods that affected more than 567,465 victims and displaced 116,995 people in the Piura and Lima regions, causing 225 deaths. This phenomenon affected these areas with socio-economic, physical, mental, emotional, affective, and health consequences. An example of this was the dengue outbreak in the Piura Region, 5924 confirmed cases of dengue were recorded nationwide, distributed in 19 regions of the country. From these cases, 1503 were detected in Piura. The economy of this region was also hit by this phenomenon, which led to an increase in unemployment and poverty in the endemic areas. With all these social problems in this population, a collective stress syndrome was developed by the traumatic experience during the floods and the consequences that this brought, affecting the resilience capacity of the population and affecting mental health. Post-traumatic stress disorder (also known as PTSD) is a disorder that some people develop after experiencing or witnessing a shocking, terrifying, or dangerous event. The project hypothesis is that there are differences in the levels of resilience and the prevalence of persistent Post-Traumatic Stress Disorder among the affected communities.
What is the aim of the project?
The purpose of this investigation is to monitor the population affected by the events of the “el niño costero” phenomenon in Lima and Piura and also to analyze their resilience and its relation to chronic patterns of persistent post-traumatic stress disorder (PTSD) with a mixed-method approach.
What techniques and methods are used?
1. Data collection in the city Piura´s population using: 1.1 The "PCL civilian" questionnaire (PCL- C) to assess persistent PTSD 1.2 The Connor-Davidson resilience scale (CD-RISC) to assess abilities of resilience and to measure resilience globally. 1.3 In-depth interviews to explore traumatic experiences that lead to persistent PTSD. 2. Building of an online database with REDCap (Research Electronic Data Capture), which is a browser-based, metadata-driven EDC software and workflow methodology for designing clinical and translational research databases 3. Analysis of the data from the “PCL civilian” questionnaire with statistical methods to estimate prevalence ratio (PR). 4. Pearson´s Chi Squared Test will be used to evaluate association between persistent PTSD and Resilience and other co-variables of interest. 5. Interpretation and reporting of the research findings using the scientific report model provided by the SCORE International Team.
What is the role of the student?
- The student will observe the practical experiments but will be highly involved in the analysis of the results
- If the project is clinical
- the student will take active part in the clinical examination
- If the project is clinical
- the student will be allowed to work with patients
- The tasks of the student will be performed on his/her own
- The tasks will be done under supervision
What are the tasks expected to be accomplished by the student?
Data collection in the population of Piura, where the student will collect the answers given by the participants that fill in the tests (PCL.C, CD-RISC) and the answers from the interview. Building of an online database according to the answers collected. Analysis of the data from the “PCL civilian” questionnaire with statistical methods to estimate prevalence ratio (PR). Statistical analysis between persistent PTSD and resilience using the Pearson´s Chi Squared Test. Writing of a research article to report the results of the original research following the structure: Introduction (Introducing the topic in context) Methods. (Describing the questionnaires and interviews done according to the kind of data used. Describing the statistical analysis done). Results (The results of the study will be shown through the use of tables and figures) Discussion (Analysis and evaluation of the findings) and finally the conclusion of our project. We expect the student to do a presentation of the project on the related topic even if the project is still in process the incoming can present the progress of it. The project will be carried out based on the specific questionnaire "PCL civilian" to measure PTSD. The incoming will only work in the city of Piura, Peru collecting data extracted from this questionnaire.
Will there be any theoretical teaching provided (preliminary readings, lectures, courses, seminars etc)
The tutor in charge of the project, will give the theoretical classes about epidemiology research with preliminary readings and epidemiological articles related to the subject. It will take place twice a week, according to the tutor's schedule. The tutor in charge is Mario Valladares Garrido.
What is expected from the student at the end of the research exchange? What will be the general outcome of the student?
- The student will prepare a poster - The student will prepare a presentation - The student will prepare a scientific report
What skills are required of the student? Is there any special knowledge or a certain level of studies needed?
Skills: Researcher, easygoing, being able to work as a team, the incoming must have passed basic clinic courses such as anatomy, patology, embriology, histology, biochemistry, genetics, infectology, epidemiology, pharmacology, semiology, scientific investigation methodology. Knowledge: - Subjects passed anatomy, patology, embriology, histology, biochemistry, genetics, infectology, epidemiology, pharmacology, semiology, scientific investigation methodology. - Previous experience with: scientific writing - Certificate of: certificate in ethics on protection of human subjects which you can get in CITI program, and certificate in the course epidemiology: basic science in public health which you can find in the virtual platform COURSERA.
Are there any legal limitations in the student’s involvement
Type of students accepted
This project accepts: - Medical students
- 1. Espinoza-Neyra C; Jara-Pereda M; Díaz-Vélez C. Trastorno de estrés postraumático en una población afectada por inundaciones ocasionadas por el niño costero en Perú. Rev Peru Med Exp Salud Pública. 30th November 2017;34(4):751-2.
- 2. Alderman K; Turner LR; Tong S. Floods and human health: A systematic review. Environ Int. 15th October 2012;47:37-47.
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