ASHA: Using Participatory Methods to Develop an Asset-building Mental Health Intervention for Bangladeshi Immigrant Women

Karasz, Alison; Raghavan, Sumithra; Patel, Viraj V.; Zaman, Moumita; Akhter, Laila; Kabita, Mahbhooba

doi:10.1353/cpr.2015.0080

Cited by 16 publications

(42 citation statements)

References 48 publications

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“…Relational A pilot study of community intervention, 'Action to improve Self-esteem and Health through Asset building' (Karasz et al, 2015), with 53 Bangladeshi American immigrant women in New York addressed the goal of improving mental health and social independence. The intervention group which underwent a 6-month long participatory program (comprising group activities like team building, goal setting and finance education) saw a statistically significant decrease in depression and tension levels.…”

Section: Taskmentioning

confidence: 99%

Engaging South Asian youth and families: A clinical review

Sharma

Shaligram

Yoon

2020

Int J Soc Psychiatry

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Objective: South Asians (SAs), a rapidly growing minority group in the United States are underrepresented in mental health research. They represent a unique sub-group of Asian immigrants in that their journey to the United States in the last 50 years was driven by the pursuit of academic and career opportunities. Our goal is to provide a topical overview of factors contributing to the mental health challenges of South Asian American (SAA) youth and to describe culturally sensitive approaches that would provide effective treatment for SAA youth and their families. Methods: We conducted a review of published literature in PubMed and PsycInfo search engines using the key words South Asian immigrants, South Asian Americans, psychological, psychiatric, mental health treatment, therapy and interventions. Results: The challenges faced by these highly educated families are distinctive in that there is a struggle to maintain ethnic identity based on collectivism while embracing American ideals of individualism. These opposing values along with model minority expectations put SAs at high risk for mental health concerns and acculturative family distancing. Furthermore, mental health stigma impedes help-seeking. Mental health practitioners must navigate the different value systems of the parent–child dyad without ostracizing either generation and deliver effective care. Hence, culturally adapted family therapy and community-based approaches may be particularly relevant in SA youth. Conclusion: Our article outlines common family attitudes and issues pertinent to mental health in youth and discusses useful clinical approaches to dealing with SAA youth and their families.

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Section: Taskmentioning

confidence: 99%

Engaging South Asian youth and families: A clinical review

Sharma

Shaligram

Yoon

2020

Int J Soc Psychiatry

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“…Previous successful PHR initiatives to involve migrants in the adaptation of health services include: the development and implementation of guidelines to improve communication in cross‐cultural consultations in 4 European countries, 43 the co‐production of a breast screening video by Asian migrant women in the UK, 44 the co‐design of a child obesity intervention, 45 a diabetes prevention programme with Sikh Asian Indians in New York, 46 the development of a mental health intervention with Bangladeshi women in the Bronx, 47 an HIV prevention programme with Latinos in the USA 48 and the development of a computer‐assisted safer sex intervention 49 . These initiatives involved migrants in the design and implementation of the initiative from start to finish and at multiple levels within health‐care organizations and processes.…”

Section: Resultsmentioning

confidence: 99%

Participatory health research with migrants: Opportunities, challenges, and way forwards

Roura

Dias

LeMaster

et al. 2021

Health Expectations

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Context Migration is one of the most politically pressing issues of the 21st century but migrant health remains an under‐researched area. The International Collaboration for Participatory Health Research (ICPHR) working group on migration developed this position statement to address opportunities and challenges in relation to migrant health. It aims to contribute to a shift from a deficit model that sees migrants as passively affected by policies to their reconceptualization as citizens who are engaged in the co‐creation of solutions. Methods This paper examines the opportunities and challenges posed by the use of PHR with migrants. It draws on a broad literature to provide examples of successful PHR with migrants and highlights critical issues for consideration. Findings Successful initiatives illustrate the value of engaging migrants in the definition of the research agenda, the design and implementation of health interventions, the identification of health‐protective factors and the operationalization and validation of indicators to monitor progress. Within increasingly super diverse contexts, fragmented community landscapes that are not necessarily constructed along ethnicity traits, inadequate structures of representation, local tensions and operational barriers can hamper meaningful PHR with migrants. Conclusion For each research context, it is essential to gauge the ‘optimal’ level and type of participation that is more likely to leverage migrants’ empowerment. The development of Monitoring and Evaluation tools and methodological strategies to manage inter‐stakeholder discrepancies and knowledge translation gaps are steps in this direction. Patient or public contribution This paper draws from contributions of migrant populations and other stakeholders to policymaking.

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“…34 Even when partnerships overcome challenges of culture, expectations and trust, there remain other practical challenges to operationalising these partnerships. 29,33 Challenges in ensuring equitability in research understanding, and balancing the participatory nature of a project, with the standards expected by the wider scientific community were also highlighted. 18,31 Furthermore, one study cited the difficulty of navigating acknowledgement and authorship of non-academics in published materials.…”

Section: Challenges Of Participatory Approaches To Research With Migrantsmentioning

confidence: 99%

Participatory research in health intervention studies involving migrants: a systematic review

Rustage

Crawshaw

Majeed-Hajaj

et al. 2021

Preprint

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Objective To analyse the use of participatory approaches in research of health interventions for migrants, and how utilised approaches embody core participatory principles of democracy and power distribution. Design A systematic review of original articles. Electronic searchers were carried out in the databases MEDLINE, Embase, Global Health and PsychINFO (from inception to Nov 2020). Eligibility criteria for study selection The analysis included original peer reviewed research which reported on attempts to develop and implement a health intervention for migrants using participatory approaches. We defined migrants as foreign born individuals; studies using definitions demonstrably outside of this were excluded. Only articles reporting the full research cycle (inception, design, implementation, analysis, evaluation, dissemination) were included. Data extraction Information related to who was involved in research (migrants or other non academic stakeholders), the research stage at which they were involved (inception, design, implementation, analysis, evaluation, dissemination), and how this involvement aligned with the core principles of participatory research, categorising studies as exhibiting active, pseudo, or indirect participation of migrants. Results 1793 publication were screened of which 28 were included in our analysis. We found substantial variation in the application of participatory research approaches: across 168 individual research stages analysed across the 28 studies, we recorded 46 instances of active participation of migrants; 30 instances of proxy participation; and 24 instances of indirect participation. Whilst all studies involved at least one non-academic stakeholder group in at least one stage of the research, just two studies exhibited evidence of active participation of migrants across all research stages. Conclusions These data highlight important shortfalls in the inclusion of migrant groups in developing health interventions that affect their lives and suggest a more rigorous and standardised approach to defining and delivering participatory research is urgently needed to improve the quality of participatory research. Registration This review followed PRISMA guidelines and is registered on the Open Science Framework (osf.io/2bnz5)

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ASHA: Using Participatory Methods to Develop an Asset-building Mental Health Intervention for Bangladeshi Immigrant Women

Abstract: ASHA was effective in improving depression and increasing financial independence. Using a culturally synchronous approach to psychological treatment may be effective in ameliorating distress in immigrant populations.

Cited by 16 publications

References 48 publications

Engaging South Asian youth and families: A clinical review

Engaging South Asian youth and families: A clinical review

Participatory health research with migrants: Opportunities, challenges, and way forwards

Participatory research in health intervention studies involving migrants: a systematic review

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