Effectiveness of a peer-refugee delivered psychological intervention to reduce psychological distress among adult Syrian refugees in the Netherlands: study protocol
Background: Syrian refugees face multiple hardships and adversities which put them at risk for the development of mental health problems. However, access to adequate mental health care in host countries is limited. The WHO has developed Problem Management Plus (PM+), a brief, scalable psychological...
| Main Authors: | , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2020-12-01
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| Series: | European Journal of Psychotraumatology |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/20008198.2019.1694347 |
| _version_ | 1797954502631882752 |
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| author | Anne M. de Graaff Pim Cuijpers Ceren Acarturk Richard Bryant Sebastian Burchert Daniela C. Fuhr Anja C. Huizink Joop de Jong Barbara Kieft Christine Knaevelsrud David McDaid Naser Morina A-La Park Jana Uppendahl Peter Ventevogel Claire Whitney Nana Wiedemann Aniek Woodward Marit Sijbrandij |
| author_facet | Anne M. de Graaff Pim Cuijpers Ceren Acarturk Richard Bryant Sebastian Burchert Daniela C. Fuhr Anja C. Huizink Joop de Jong Barbara Kieft Christine Knaevelsrud David McDaid Naser Morina A-La Park Jana Uppendahl Peter Ventevogel Claire Whitney Nana Wiedemann Aniek Woodward Marit Sijbrandij |
| author_sort | Anne M. de Graaff |
| collection | DOAJ |
| description | Background: Syrian refugees face multiple hardships and adversities which put them at risk for the development of mental health problems. However, access to adequate mental health care in host countries is limited. The WHO has developed Problem Management Plus (PM+), a brief, scalable psychological intervention, delivered by non-specialist helpers, that addresses common mental disorders in people affected by adversity. This study is part of the STRENGTHS project, that aims to evaluate peer-refugee delivered psychological interventions for Syrian refugees in Europe and the Middle East. Objective: To evaluate the effectiveness and cost-effectiveness of the peer-refugee delivered PM+ intervention among Syrian refugees with elevated levels of psychological distress in the Netherlands. Methods: PM+ will be tested in a randomized controlled trial (RCT) among Arabic-speaking Syrian refugees in the Netherlands aged 18 years and above with self-reported psychological distress (Kessler Psychological Distress Scale; K10 >15) and impaired daily functioning (WHO Disability Assessment Schedule; WHODAS 2.0 >16). Participants (N = 380) will be randomized into care as usual with PM+ (CAU/PM+, n = 190) or CAU only (CAU, n = 190). Baseline, 1-week post-intervention, and 3-month and 12-month follow-up assessments will be conducted. Primary outcomes are symptoms of depression and anxiety. Secondary outcomes are functional impairment, posttraumatic stress disorder symptoms, self-identified problems, anger, health and productivity costs, and hair cortisol concentrations. A process evaluation will be carried out to evaluate treatment dose, protocol fidelity and stakeholder views on barriers and facilitators to implementing PM+. Results and Conclusions: PM+ has proved effectiveness in other populations and settings. After positive evaluation, the adapted manual and training materials for individual PM+ will be made available through the WHO to encourage further replication and scaling up. Trial registration: Trial registration Dutch Trial Registry, NL7552, registered prospectively on March 1, 2019. Medical Ethics Review Committee VU Medical Center Protocol ID 2017.320, 7 September 2017. |
| first_indexed | 2024-04-10T23:19:36Z |
| format | Article |
| id | doaj.art-27f7c6cc0b1240418b1c05445e407deb |
| institution | Directory Open Access Journal |
| issn | 2000-8066 |
| language | English |
| last_indexed | 2024-04-10T23:19:36Z |
| publishDate | 2020-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | European Journal of Psychotraumatology |
| spelling | doaj.art-27f7c6cc0b1240418b1c05445e407deb2023-01-12T15:31:31ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662020-12-0111110.1080/20008198.2019.16943471694347Effectiveness of a peer-refugee delivered psychological intervention to reduce psychological distress among adult Syrian refugees in the Netherlands: study protocolAnne M. de Graaff0Pim Cuijpers1Ceren Acarturk2Richard Bryant3Sebastian Burchert4Daniela C. Fuhr5Anja C. Huizink6Joop de Jong7Barbara Kieft8Christine Knaevelsrud9David McDaid10Naser Morina11A-La Park12Jana Uppendahl13Peter Ventevogel14Claire Whitney15Nana Wiedemann16Aniek Woodward17Marit Sijbrandij18Vrije Universiteit AmsterdamVrije Universiteit AmsterdamKoç UniversityUniversity of New South WalesFreie Universität BerlinLondon School of Hygiene and Tropical MedicineVrije Universiteit AmsterdamAmsterdam UMCi-Psy Mental Health CareFreie Universität BerlinLondon School of Economics and Political ScienceUniversity Hospital Zurich, University of ZurichLondon School of Economics and Political ScienceVrije Universiteit AmsterdamUnited Nations High Commissioner for RefugeesInternational Medical CorpsInternational Federation of Red Cross and Red Crescent Societies Reference Centre for Psychosocial SupportKIT Royal Tropical InstituteVrije Universiteit AmsterdamBackground: Syrian refugees face multiple hardships and adversities which put them at risk for the development of mental health problems. However, access to adequate mental health care in host countries is limited. The WHO has developed Problem Management Plus (PM+), a brief, scalable psychological intervention, delivered by non-specialist helpers, that addresses common mental disorders in people affected by adversity. This study is part of the STRENGTHS project, that aims to evaluate peer-refugee delivered psychological interventions for Syrian refugees in Europe and the Middle East. Objective: To evaluate the effectiveness and cost-effectiveness of the peer-refugee delivered PM+ intervention among Syrian refugees with elevated levels of psychological distress in the Netherlands. Methods: PM+ will be tested in a randomized controlled trial (RCT) among Arabic-speaking Syrian refugees in the Netherlands aged 18 years and above with self-reported psychological distress (Kessler Psychological Distress Scale; K10 >15) and impaired daily functioning (WHO Disability Assessment Schedule; WHODAS 2.0 >16). Participants (N = 380) will be randomized into care as usual with PM+ (CAU/PM+, n = 190) or CAU only (CAU, n = 190). Baseline, 1-week post-intervention, and 3-month and 12-month follow-up assessments will be conducted. Primary outcomes are symptoms of depression and anxiety. Secondary outcomes are functional impairment, posttraumatic stress disorder symptoms, self-identified problems, anger, health and productivity costs, and hair cortisol concentrations. A process evaluation will be carried out to evaluate treatment dose, protocol fidelity and stakeholder views on barriers and facilitators to implementing PM+. Results and Conclusions: PM+ has proved effectiveness in other populations and settings. After positive evaluation, the adapted manual and training materials for individual PM+ will be made available through the WHO to encourage further replication and scaling up. Trial registration: Trial registration Dutch Trial Registry, NL7552, registered prospectively on March 1, 2019. Medical Ethics Review Committee VU Medical Center Protocol ID 2017.320, 7 September 2017.http://dx.doi.org/10.1080/20008198.2019.1694347refugee mental healthrandomized controlled trialpsychological interventiontask-shiftingnon-specialist counsellorscommon mental disordersdepressionanxietyposttraumatic stress disorderhair cortisol |
| spellingShingle | Anne M. de Graaff Pim Cuijpers Ceren Acarturk Richard Bryant Sebastian Burchert Daniela C. Fuhr Anja C. Huizink Joop de Jong Barbara Kieft Christine Knaevelsrud David McDaid Naser Morina A-La Park Jana Uppendahl Peter Ventevogel Claire Whitney Nana Wiedemann Aniek Woodward Marit Sijbrandij Effectiveness of a peer-refugee delivered psychological intervention to reduce psychological distress among adult Syrian refugees in the Netherlands: study protocol European Journal of Psychotraumatology refugee mental health randomized controlled trial psychological intervention task-shifting non-specialist counsellors common mental disorders depression anxiety posttraumatic stress disorder hair cortisol |
| title | Effectiveness of a peer-refugee delivered psychological intervention to reduce psychological distress among adult Syrian refugees in the Netherlands: study protocol |
| title_full | Effectiveness of a peer-refugee delivered psychological intervention to reduce psychological distress among adult Syrian refugees in the Netherlands: study protocol |
| title_fullStr | Effectiveness of a peer-refugee delivered psychological intervention to reduce psychological distress among adult Syrian refugees in the Netherlands: study protocol |
| title_full_unstemmed | Effectiveness of a peer-refugee delivered psychological intervention to reduce psychological distress among adult Syrian refugees in the Netherlands: study protocol |
| title_short | Effectiveness of a peer-refugee delivered psychological intervention to reduce psychological distress among adult Syrian refugees in the Netherlands: study protocol |
| title_sort | effectiveness of a peer refugee delivered psychological intervention to reduce psychological distress among adult syrian refugees in the netherlands study protocol |
| topic | refugee mental health randomized controlled trial psychological intervention task-shifting non-specialist counsellors common mental disorders depression anxiety posttraumatic stress disorder hair cortisol |
| url | http://dx.doi.org/10.1080/20008198.2019.1694347 |
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