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)

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.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2000-8066Test

الوصول الحر: https://doaj.org/article/0ea4f6b077d34529a260387eef675471Test

المؤلفون: Marit Sijbrandij, Richard A. Bryant, Katie S. Dawson, Pim Cuijpers, Ahmad Bawaneh, Manar Awwad, Claire Whitney, Luana Giardinelli, Aemal Akhtar, Mark J. D. Jordans, Hadeel Al-Hayek

المساهمون: Anthropology of Health, Care and the Body (AISSR, FMG)

المصدر: European Journal of Psychotraumatology, 12(1):1932295. Co-Action Publishing
European Journal of Psychotraumatology
European Journal of Psychotraumatology, Vol 12, Iss 1 (2021)
article-version (VoR) Version of Record

مصطلحات موضوعية: Male, 050103 clinical psychology, psychosocial support, RC435-571, Psychological intervention, 心理健康, Anxiety, Psychological Distress, Psychosocial Intervention, 0302 clinical medicine, Child, 10. No inequality, soporte psicosocial, Psychiatry, Refugees, Clinical Research Article, ensayo, Depression, Refugee Camps, 05 social sciences, 心理干预, Intervención psicológica, food and beverages, trial, campo de refugiados, Culturally Competent Care, 难民营, salud mental, 3. Good health, 试验, Female, Psychology, mental health, Research Article, Adult, endocrine system, medicine.medical_specialty, Syrian refugees, Adolescent, Refugee, 03 medical and health sciences, medicine, Humans, 0501 psychology and cognitive sciences, Jordan, psychological intervention, Syria, fungi, Stressor, Psychological distress, refugee camp, 030227 psychiatry, 心理社会支持, Feasibility Studies

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.
HIGHLIGHTS Feasibility trial of GroupPM+ in a Syrian refugee camp in Jordan. 64 participants randomized; safety and cultural acceptance was observed. Positive results support the readiness for a definitive RCT to test effectiveness and cost-effectiveness.

وصف الملف: application/pdf

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::dce324fd2e60e0709a09f4b0bbd9b988Test