None listed
Conditions
Brief summary
Refugee men exhibit elevated rates of Post-traumatic Stress Disorder (PTSD), an impairing psychological disorder. Refugee men are also highly vulnerable to the effects of self-stigma, which is associated with a range of negative outcomes, including unemployment and income loss, interpersonal difficulties, decreased self-esteem, and low treatment-seeking behaviour. This project proposes to test the efficacy of an evidence-based online intervention (“Tell Your Story” website) targeting self-stigma for refugee men with PTSD. Refugee men will be invited to take part in the study, recruited via caseworkers at refugee settlement agencies and advertisements within refugee networks, with 200 men expected to enter the study following telephone eligibility screening, information and consent processes. Participants will be randomly assigned to either receive the intervention immediately (intervention condition) or will be placed on an eight week waiting list (waitlist control condition), before access to the intervention is granted. From then on participants in the waitlist will go through the same procedure as the intervention group, The ‘Tell your Story” online intervention comprises of twelve short interactive web-based modules, containing short videos, activities and integrated measurement tools. It is available in Tamil, Farsi and Arabic. Community consultants from refugee communities have been involved in the design of the study and intervention and will continue to be consulted throughout the project. Participants will complete pre-intervention, post-intervention (4 weeks after commencing intervention) and follow-up (8 weeks after commencing intervention) measures of self-stigma, help-seeking intentions, help-seeking behaviours, PTSD symptoms and mental health-related quality of life online, with telephone support if required. Please see attached document 'Procedure Diagram' for an overview of study flow.
Interventions
The ‘Tell your Story” online intervention comprises of twelve short interactive web-based modules, containing short videos, activities and integrated measurement tools. A minimum of two weeks is needed to completed the twelve sessions, access is granted for a maximum of 30 days. These sessions cover topics including psychoeducation about PTSD (Modules 1-4), self-stigma and concerns about seeking about seeking help (Modules 5-8) and potential benefits of help-seeking and help-seeking planning tas
The ‘Tell your Story” online intervention comprises of twelve short interactive web-based modules, containing short videos, activities and integrated measurement tools. A minimum of two weeks is needed to completed the twelve sessions, access is granted for a maximum of 30 days. These sessions cover topics including psychoeducation about PTSD (Modules 1-4), self-stigma and concerns about seeking about seeking help (Modules 5-8) and potential benefits of help-seeking and help-seeking planning tasks (Modules 9-12). Each module takes between 1 and 10 minutes to complete. The intervention will be available in Tamil, Farsi and Arabic. Community consultants from refugee communities have been involved in the design of the intervention and study, and will continue to be consulted throughout the project. Intervention adherence is assessed by number of modules completed. Strategies to improve fidelity include automated reminder emails.
Sponsors
The Refugee Trauma & Recovery Program, School of Psychology, UNSW Australia
Study design
Allocation
Randomised controlled trial
Intervention model
Other
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
Male
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Male, Refugee, Speaks Arabic, Farsi or Tamil.. Subsyndromal Post-Traumatic Stress Disorder (PTSD). Assessed via telephone screening process.
Exclusion criteria
Actively suicidal. Assessed via telephone screening process.
Outcome results
None listed