Protocol for a randomized controlled trial: peer-to-peer Group Problem Management Plus (PM plus ) for adult Syrian refugees in Turkey

dc.WoS.categoriesMedicine, Research & Experimentalen_US
dc.authorid0000-0001-5430-9810en_US
dc.authorwosidN-6131-2018en_US
dc.contributor.authorDe Graaf, Catharina Aimee
dc.contributor.authorSijbrandij, Marit
dc.date.accessioned2020-05-08T08:10:03Z
dc.date.available2020-05-08T08:10:03Z
dc.date.issued2020-03-20
dc.description.abstractBackground A large proportion of Syrians have been exposed to potentially traumatic events, multiple losses, and breakdown of supportive social networks and many of them have sought refuge in host countries where they also face post-migration living difficulties such as discrimination or integration problems or both. These adversities may put Syrian refugees at high risk for common mental disorders. In response to this, the World Health Organization (WHO) developed a trans-diagnostic scalable psychological intervention called Problem Management Plus (PM+) to reduce psychological distress among populations exposed to adversities. PM+ has been adapted for Syrian refugees and can be delivered by non-specialist peer lay persons in the community. Methods A randomized controlled trial (RCT) will be conducted with 380 Syrian refugees in Turkey. After providing informed consent, participants with high levels of psychological distress (scoring above 15 on the Kessler-10 Psychological Distress Scale (K10)) and functional impairment (scoring above 16 on the WHO Disability Assessment Schedule 2.0, or WHODAS 2.0) will be randomly assigned to Group PM+/enhanced care as usual (Group PM+/E-CAU) (n = 190) or E-CAU (n = 190). Outcome assessments will take place 1 week after the fifth session (post-assessment), 3 months after the fifth session and 12 months after baseline assessment. The primary outcome is psychological distress as measured by the Hopkins Symptom Checklist (HSCL-25). Secondary outcomes include functional impairment, post-traumatic stress symptoms, self-identified problems, and health system and productivity costs. A process evaluation will be conducted to explore the feasibility, challenges and success of the intervention with 25 participants, including participants, facilitators, policy makers and mental health professionals. Discussion The treatment manual of the Syrian-Arabic Group PM+ and training materials will be made available through the WHO once the effectiveness and cost-effectiveness of Group PM+ have been established.en_US
dc.description.sponsorshipSocietal Challengesen_US
dc.fullTextLevelFull Texten_US
dc.identifier.doi10.1186/s13063-020-4166-xen_US
dc.identifier.issn1745-6215
dc.identifier.pmid32192539en_US
dc.identifier.scopus2-s2.0-85082061009en_US
dc.identifier.urihttps://hdl.handle.net/11411/2014
dc.identifier.urihttps://doi.org/10.1186/s13063-020-4166-x
dc.identifier.wosWOS:000522109900001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.issue1en_US
dc.language.isoenen_US
dc.nationalInternationalen_US
dc.numberofauthors16en_US
dc.publisherBMCen_US
dc.relation.ispartofTrialsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.scopus.SNIP0.873en_US
dc.subjectCognitive behavioural therapyen_US
dc.subjectDepressionen_US
dc.subjectAnxietyen_US
dc.subjectPost-traumatic stressen_US
dc.subjectRefugeeen_US
dc.subjectMental healthen_US
dc.subjectGroup interventionsen_US
dc.subjectTask shiftingen_US
dc.subjectTrans-diagnosticen_US
dc.titleProtocol for a randomized controlled trial: peer-to-peer Group Problem Management Plus (PM plus ) for adult Syrian refugees in Turkeyen_US
dc.typeArticleen_US
dc.volume21en_US

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