دورية أكاديمية
Feasibility trial of a scalable transdiagnostic group psychological intervention for Syrians residing in a refugee camp
| العنوان: | Feasibility trial of a scalable transdiagnostic group psychological intervention for Syrians residing in a refugee camp |
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| المؤلفون: | Aemal Akhtar, Luana Giardinelli, Ahmad Bawaneh, Manar Awwad, Hadeel Al-Hayek, Claire Whitney, Mark J. D. Jordans, Marit Sijbrandij, Pim Cuijpers, Katie Dawson, Richard Bryant |
| المصدر: | European Journal of Psychotraumatology, Vol 12, Iss 1 (2021) |
| بيانات النشر: | Taylor & Francis Group, 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Psychiatry |
| مصطلحات موضوعية: | psychological intervention, refugee camp, trial, mental health, psychosocial support, Psychiatry, RC435-571 |
| الوصف: | Background: Approximately 10% of Syrian refugees currently reside in camp settings, which can impose additional post-migration stressors. With elevated rates of psychological distress and few available resources, task-shifting psychosocial programmes are necessary to provide adequate care. One such programme developed by the World Health Organization (WHO) is Group Problem Management Plus (GroupPM+). Objective: This study aimed to test the safety and acceptability of GroupPM+ in a refugee camp and to identify areas for adaptation in preparation for a definitive RCT. Method: A feasibility randomized controlled trial (RCT) was conducted in Azraq refugee camp in Jordan. Inclusion criteria were: (1) Syrian adults aged ≥18 years, (2) parent of a child aged 10–16 years, (3) experiencing psychological distress as defined by a score of ≥16 on the Kessler Distress Scale, and (4) ≥17 on the WHO Disability Assessment Schedule 2.0. Following baseline assessments, participants were randomized to receive GroupPM+ or enhanced treatment-as-usual. Post-assessments were conducted one week following the last GroupPM+ session. Primary outcomes were feasibility and acceptance of GroupPM+; symptoms of anxiety, depression, PTSD, prodromal psychosis, grief, and child’s self-reported psychological distress were also assessed. Results: Of the 207 persons screened, 64 (31%) screened positive for psychological distress. Of the 35 randomized into the GroupPM+ intervention, 24 (69%) completed the intervention. No adverse events were reported throughout the trial. Children whose parents received GroupPM+ had greater reductions in internalizing and externalizing symptoms at posttreatment. 55 (86%) participants completed the post-assessment follow-up. These results demonstrate both the feasibility of conducting the trial in a camp and acceptance of the GroupPM+ intervention by Syrian refugees. Conclusions: Following the feasibility trial, both the implementation procedures and intervention were safe and culturally acceptable. The results support the readiness for a definitive RCT to determine the effectiveness and cost-effectiveness of the intervention in camp settings. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2000-8066 20008198 |
| العلاقة: | https://doaj.org/toc/2000-8066Test |
| DOI: | 10.1080/20008198.2021.1932295 |
| الوصول الحر: | https://doaj.org/article/0ea4f6b077d34529a260387eef675471Test |
| رقم الانضمام: | edsdoj.0ea4f6b077d34529a260387eef675471 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 20008066 20008198 |
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| DOI: | 10.1080/20008198.2021.1932295 |