None listed
Conditions
Brief summary
Recovering from a bushfire, drought or COVID-19 can impact individuals emotionally, physically and financially. This study is a randomised controlled trial and aims to help people recover from these impacts by randomly allocating participants to one of two groups: (i) the SOLAR program which is a low intensity psychosocial intervention involving 5 face-to-face or telehealth sessions with a “Coach” who is trained and supervised by Phoenix Australia, OR (ii) an ONLINE program where participants receive weekly emails for 5 weeks with fact sheets and links to resources. Participants will also be asked to complete self-report measures at pre-treatment, post-treatment and follow-up. We hypothesise that the SOLAR program will be more effective then the ONLINE program in reducing the severity of distress at post-treatment and follow-up. The outcomes for this study have the potential to influence large scale roll-out of the SOLAR program in disaster impacted communities.
Interventions
Participants randomised to the SOLAR program will receive 5 face-to-face or telehealth sessions of the SOLAR program. The first session runs for 80 minutes and subsequent sessions for 50 minutes each. Sessions involve practical and skills-based one-on-one sessions with a trained “Coach”. The intervention will be delivered by trained “Coaches” who may be psychologists, social workers, community workers or teachers that are trained and provided with weekly supervision by Phoenix Australia. Participants will be allocated to a Coach within their workplace for face-to-face treatment or telehealth. The SOLAR program comprises elements drawn from evidence based treatments for individuals experiencing mental health problems with behavioural skill development, psychoeducation, and cognitive strategies. Specifically, these elements include components on psychoeducation about healthy living, information about keeping relationships healthy, values based behavioural activation, arousal and affective management, emotional writing of the disaster experience, and dealing with worry and rumination. Session 1: Healthy lifestyle; physical activity and sleep, managing strong emotions with controlled breathing. Relaxing activities; Session 2: Diet, grounding exercises, expressive writing; Session 3: Healthy relationships, behavioural activation; Session 4: Dealing with worry and rumination; and Session 5: Reviewing achievements and planning for the future. Following each session the participant will be encouraged to complete homework activities which includes the following: Session 1: 1 physical activity, 1 relaxing activity, practice controlled breathing, 1 good sleeping habit (1 – 2 hours); Session 2: 1 healthy diet change, 1 grounding exercise, writing their disaster story (1 – 2 hours); Session 3: Behavioural activation, complete 3 activities with others (1 – 2 hours); Session 4: practice a strategy for dealing with worry and rumination, behavioural activation, complete 3 new activities (1 – 2 hours); Session 5: None. All Coaches will undergo training delivered by Phoenix Australia in both self-directed online learning and group based training via videoconferencing and will be provided with a Coach manual, Participant workbook and Training PowerPoint. During the training there will be didactic delivery of information, group discussion, demonstration videos and skill rehearsal via videoconferencing. Training will include 2.5 hours of self-directed online learning, 4 hours group based videoconferencing training, 2 hours optional group based videoconferencing counselling skills session for those without a background in counselling, and 2 hour preparation supervision session prior to intervention commencement, and 1 hour supervision sessions once intervention has commenced. Strategies to monitor adherence to the intervention include evaluating coaches' knowledge and confidence pre- and post-training and rating level of competence across specified criteria when coaches engage in role plays during training (e.g., demonstrated rationale when explaining skill). As part of a SOLAR accreditation process, 1 session for each coach was recorded and provided to Phoenix Australia for fidelity monitoring purposes. SOLAR coaches will also engage in weekly supervision during the study period.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Adults aged 18 years and over and residing in a disaster affected rural or regional community, or who experienced a disaster in a rural or regional community, in Victoria and broader rural/regional Australia; 2.Have been substantially impacted by disasters including drought, bushfires, and/or COVID-19; 3. English comprehension sufficient to provide informed consent; 4. Elevated psychological distress, as measured by scores greater than or equal to 4 on the PHQ-9 or GAD-7 AND report functional impairment in daily life as a result of the distress symptoms; 5. Interest in taking part in a 5 week program involving either SOLAR or a minimal intervention.
Exclusion criteria
1. Report having a severe mental disorder or cognitive impairment (e.g., severe intellectual disability, dementia, psychosis, mania) 2. Are at risk of self-harm or suicide; 3. Scores “>19” on PHQ-9 or “>14” on GAD-7 AND wish to obtain more intensive psychological treatment from a mental health professional over the 5 week intervention period.