Anxiety Symptoms, Common Mental Health Problems, Depressive Symptoms, Grief, Insomnia, Marital Relationship, Psychological Trauma, Psychological Well Being, Resilience, Rumination, Stress, Wellbeing
Conditions
Keywords
Refugee, Cognitive behavioral therapy, Psychological problems, Persian speaking, Psychological well-being, Youth, Mental problems, Resilience, Asylum seeker
Brief summary
The aim of this randomized controlled trial (RCT) is to investigate the effectiveness of a culturally adapted internet-based cognitive behavioral therapy (i-CBT) intervention in reducing symptoms of common mental health issues among Farsi/Dari-speaking youth migrants and refugees. Investigator hypothesizes that there will be a significant decrease in psychological symptoms after participants receive the intervention compared to a control group.
Detailed description
Participants who are included in the study will be allocated to the experimental group and the control group (waiting list). Participants will be invited to participate tailored i-CBT intervention over 10-weeks. Intervention covers common psychological issues. Participants will have access to support through a chatting function, during the interventional period. Intervention effects will be measured prior-treatment, post-treatment, and 6 months post-treatment.
Interventions
BEHAVIORALCulturally adapted i-CBT
A culturally and language adapted i-CBT intervention for Farsi/Dari speaking youth migrants and refugees. The intervention targets mild to moderate common mental health problems.
Sponsors
Linkoeping University
Karolinska Institutet
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Masking description
No masking
Eligibility
Sex/Gender
ALL
Age
15 Years to 29 Years
Healthy volunteers
No
Inclusion criteria
* Between the ages of 15 and 29. * A score above the cut-off 1.75 on HSCL-25 * Has a refugee or migrant background * Has a good and stable internet connection * Has access to a computer, tablet or smartphone * Is fluent in reading and writing Arabic * Has the ability to dedicate time to take part in the intervention for 6-10 weeks.
Exclusion criteria
* Is suffering from a severe mental illness, such as psychosis or severe depression. * Is suffering from substance abuse * Is undergoing a psychological treatment * Has a high risk of suicide
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hopkins Symptom Checklist-25 (HSCL-25) | Pre-intervention, up to 5 weeks, immediately after the intervention, 6 months after completion of the intervention | Assessment of anxiety and depressive symptoms. HSCL-25 consists of 25 items.Each item is rated on a scale from 1 to 4, where 1 means Not at all and 4 means Extremely.Higher scores indicate a worse outcome, as they reflect greater severity of symptoms. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Insomnia Severity Index (ISI) | Pre-intervention, immediately after the intervention, 6 months after completion of the intervention | Assessment of severity of insomnia symptoms. ISI consists of 7 items, each rated on a scale from 0 to 4.Higher scores indicate a worse outcome, as they reflect more severe insomnia symptoms. |
| Prolonged Grief Disorder (PG-13) | Pre-intervention, immediately after the intervention, 6 months after completion of the intervention | Assessment of prolonged grief disorder. The PG-13 consists of 13 items, each rated on a scale from 1 to 5, where 1 means Not at all and 5 means Several times a day. Higher scores indicate a worse outcome, as they reflect more severe symptoms of prolonged grief. |
| Posttraumatic Stress Disorder Checklist (PCL-5) | Pre-intervention, immediately after the intervention, 6 months after completion of the intervention | Assessment of symptoms of post-traumatic stress disorder. The PCL-5 consists of 20 items, each rated on a scale from 0 to 4. The total score ranges from 0 to 80. Higher scores indicate a worse outcome, as they reflect greater severity of PTSD symptoms. |
| Psychological Outcome Profiles (PSYCHLOPS) | Pre-intervention, immediately after the intervention, 6 months after completion of the intervention | Impact of problematic area on function. PSYCHLOPS questionnaire consists of 4 items. These items are designed to capture the patient's main problem, the impact of this problem on their daily life, and their overall well-being. Each question in PSYCHLOPS is scored on a scale from 0 to 5, where 0 indicates no problem and 5 indicates the most severe problem. Higher scores indicate a worse outcome, as they reflect greater severity of problems or distress. |
| Brief Resilience Scale (BRS) | Pre-intervention, immediately after the intervention, 6 months after completion of the intervention | Assessment of resilience.The BRS consists of 6 items, each rated on a scale from 1 to 5. Higher scores indicate a better outcome, as they reflect greater resilience. |
| Client Satisfaction Questionnaire (CSQ-3) | Immediately after the intervention, 6 months after completion of the intervention | Assessment of the levels of satisfaction of the participant with the intervention.CSQ-3 consists of 3 items. Each item is rated on a scale from 1 to 4. Higher scores indicate a better outcome, as they reflect greater satisfaction with the services received. |
| The World Health Organization-Five Well-Being Index (WHO-5) | Pre-intervention, immediately after the intervention, 6 months after completion of the intervention | Assessment of subjective psychological well-being.The WHO-5 consists of 5 items, each rated on a scale from 0 to 5. Higher scores indicate a better outcome, as they reflect higher levels of well-being. |
Countries
Sweden
Contacts
Primary ContactShervin Shahnavaz, PhD
Backup ContactAnahita Geranmayeh, MSc
Outcome results
None listed