Individually Tailored and Culturally Adapted Internet-Based Cognitive Behavioral Therapy for Arabic-Speaking Youths With Mental Health Problems in Sweden: Qualitative Feasibility Study
BackgroundMost forcibly displaced refugees in Sweden originate from the Arab Republic of Syria and Iraq. Approximately half of all refugees are aged between 15 and 26 years. This particular group of youths is at a higher risk for developing various mental disorders. However,...
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| Format: | Article |
| Language: | English |
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JMIR Publications
2023-11-01
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| Series: | JMIR Formative Research |
| Online Access: | https://formative.jmir.org/2023/1/e46253 |
| _version_ | 1797460892179234816 |
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| author | Youstina Demetry Elisabet Wasteson Tomas Lindegaard Amjad Abuleil Anahita Geranmayeh Gerhard Andersson Shervin Shahnavaz |
| author_facet | Youstina Demetry Elisabet Wasteson Tomas Lindegaard Amjad Abuleil Anahita Geranmayeh Gerhard Andersson Shervin Shahnavaz |
| author_sort | Youstina Demetry |
| collection | DOAJ |
| description |
BackgroundMost forcibly displaced refugees in Sweden originate from the Arab Republic of Syria and Iraq. Approximately half of all refugees are aged between 15 and 26 years. This particular group of youths is at a higher risk for developing various mental disorders. However, low use of mental health services across Europe has been reported. Previous research indicates that culturally adapted psychological interventions may be suitable for refugee youths. However, little is known about the feasibility, acceptability, and efficacy of such psychological interventions.
ObjectiveThis study aimed to explore the feasibility, acceptability, and preliminary efficacy of an individually tailored and culturally adapted internet-based cognitive behavioral therapy for Arabic-speaking refugees and immigrant youths in Sweden.
MethodsA total of 17 participants were included to participate in an open trial study of an individually tailored and culturally adapted internet-based cognitive behavioral therapy targeting common mental health problems. To assess the intervention outcome, the Hopkins Symptom Checklist was used. To explore the acceptability of the intervention, in-depth interviews were conducted with 12 participants using thematic analysis. Feasibility was assessed by measuring treatment adherence and by calculating recruitment and retention rates.
ResultsThe intervention had a high dropout rate and low feasibility. Quantitative analyses of the treatment efficacy were not possible because of the high dropout rate. The qualitative analysis resulted in 3 overarching categories: experiences with SahaUng (the treatment), attitudes toward psychological interventions, and personal factors important for adherence.
ConclusionsThe findings from this study indicate that the feasibility and acceptability of the current intervention were low and, based on the qualitative analysis, could be increased by a refinement of recruitment strategies, further simplification of the treatment content, and modifications to the cultural adaptation. |
| first_indexed | 2024-03-09T17:11:38Z |
| format | Article |
| id | doaj.art-9f16e34a9983443588dff4fc4001ff82 |
| institution | Directory Open Access Journal |
| issn | 2561-326X |
| language | English |
| last_indexed | 2024-03-09T17:11:38Z |
| publishDate | 2023-11-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Formative Research |
| spelling | doaj.art-9f16e34a9983443588dff4fc4001ff822023-11-24T14:01:06ZengJMIR PublicationsJMIR Formative Research2561-326X2023-11-017e4625310.2196/46253Individually Tailored and Culturally Adapted Internet-Based Cognitive Behavioral Therapy for Arabic-Speaking Youths With Mental Health Problems in Sweden: Qualitative Feasibility StudyYoustina Demetryhttps://orcid.org/0000-0002-4864-5161Elisabet Wastesonhttps://orcid.org/0000-0002-5314-0336Tomas Lindegaardhttps://orcid.org/0000-0001-5254-7073Amjad Abuleilhttps://orcid.org/0000-0002-6094-0606Anahita Geranmayehhttps://orcid.org/0000-0002-4462-3520Gerhard Anderssonhttps://orcid.org/0000-0003-4753-6745Shervin Shahnavazhttps://orcid.org/0000-0002-7296-4920 BackgroundMost forcibly displaced refugees in Sweden originate from the Arab Republic of Syria and Iraq. Approximately half of all refugees are aged between 15 and 26 years. This particular group of youths is at a higher risk for developing various mental disorders. However, low use of mental health services across Europe has been reported. Previous research indicates that culturally adapted psychological interventions may be suitable for refugee youths. However, little is known about the feasibility, acceptability, and efficacy of such psychological interventions. ObjectiveThis study aimed to explore the feasibility, acceptability, and preliminary efficacy of an individually tailored and culturally adapted internet-based cognitive behavioral therapy for Arabic-speaking refugees and immigrant youths in Sweden. MethodsA total of 17 participants were included to participate in an open trial study of an individually tailored and culturally adapted internet-based cognitive behavioral therapy targeting common mental health problems. To assess the intervention outcome, the Hopkins Symptom Checklist was used. To explore the acceptability of the intervention, in-depth interviews were conducted with 12 participants using thematic analysis. Feasibility was assessed by measuring treatment adherence and by calculating recruitment and retention rates. ResultsThe intervention had a high dropout rate and low feasibility. Quantitative analyses of the treatment efficacy were not possible because of the high dropout rate. The qualitative analysis resulted in 3 overarching categories: experiences with SahaUng (the treatment), attitudes toward psychological interventions, and personal factors important for adherence. ConclusionsThe findings from this study indicate that the feasibility and acceptability of the current intervention were low and, based on the qualitative analysis, could be increased by a refinement of recruitment strategies, further simplification of the treatment content, and modifications to the cultural adaptation.https://formative.jmir.org/2023/1/e46253 |
| spellingShingle | Youstina Demetry Elisabet Wasteson Tomas Lindegaard Amjad Abuleil Anahita Geranmayeh Gerhard Andersson Shervin Shahnavaz Individually Tailored and Culturally Adapted Internet-Based Cognitive Behavioral Therapy for Arabic-Speaking Youths With Mental Health Problems in Sweden: Qualitative Feasibility Study JMIR Formative Research |
| title | Individually Tailored and Culturally Adapted Internet-Based Cognitive Behavioral Therapy for Arabic-Speaking Youths With Mental Health Problems in Sweden: Qualitative Feasibility Study |
| title_full | Individually Tailored and Culturally Adapted Internet-Based Cognitive Behavioral Therapy for Arabic-Speaking Youths With Mental Health Problems in Sweden: Qualitative Feasibility Study |
| title_fullStr | Individually Tailored and Culturally Adapted Internet-Based Cognitive Behavioral Therapy for Arabic-Speaking Youths With Mental Health Problems in Sweden: Qualitative Feasibility Study |
| title_full_unstemmed | Individually Tailored and Culturally Adapted Internet-Based Cognitive Behavioral Therapy for Arabic-Speaking Youths With Mental Health Problems in Sweden: Qualitative Feasibility Study |
| title_short | Individually Tailored and Culturally Adapted Internet-Based Cognitive Behavioral Therapy for Arabic-Speaking Youths With Mental Health Problems in Sweden: Qualitative Feasibility Study |
| title_sort | individually tailored and culturally adapted internet based cognitive behavioral therapy for arabic speaking youths with mental health problems in sweden qualitative feasibility study |
| url | https://formative.jmir.org/2023/1/e46253 |
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