Investigating the potential of a novel internet-based cognitive behavioural intervention for Dari and Farsi speaking refugee youth: A feasibility study

Lindegaard, Tomas; Wasteson, Elisabet; Demetry, Youstina; Andersson, Gerhard; Richards, Derek; Shahnavaz, Shervin

doi:10.1016/j.invent.2022.100533

Cited by 16 publications

(29 citation statements)

References 52 publications

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“…Furthermore, the identified interventions were at different stages of their evaluation process. We included two RCTs (Nickerson et al, 2019 ; Röhr et al, 2021 ) and two pilot RCTs (Lindegaard et al, 2021b ; Spanhel et al, 2022 ), three feasibility studies (Holmes et al, 2017 ; Lindegaard et al, 2021a , 2022 ), two qualitative studies on the development process (Burchert et al, 2019 ), and the cultural adaptation of interventions (Spanhel et al, 2019 ). Moreover, two peer-reviewed study protocols (Böge et al, 2020 ; Fischer et al, 2021 ) and three interventions without any published study reports were identified.…”

Section: Resultsmentioning

confidence: 99%

“…Dropout rates also varied widely between studies. While most reported low dropout rates (2.9–18.5%; Nickerson et al, 2019 ; Röhr et al, 2021 ; Spanhel et al, 2022 ), some reported high rates (37.9–80%; Lindegaard et al, 2021b , 2022 ). Lastly, few participants worked on all modules offered throughout the interventions or used the interventions as recommended.…”

Section: Resultsmentioning

confidence: 99%

“…Lastly, few participants worked on all modules offered throughout the interventions or used the interventions as recommended. On average, participants completed 37.51% of the respective intervention (10–72%; Lindegaard et al, 2022 ; Spanhel et al, 2022 ). Overall, most study reports lack clear information about the recommended dose of intervention.…”

Section: Resultsmentioning

confidence: 99%

“…In particular, the qualitative studies identified relevant themes regarding feasibility, usability, treatment barriers, and content. Six study reports included statements about the acceptance of the respective intervention (Holmes et al, 2017 ; Burchert et al, 2019 ; Nickerson et al, 2019 ; Lindegaard et al, 2021b , 2022 ; Spanhel et al, 2022 ). With the exception of one study (Lindegaard et al, 2022 ), the findings indicated a general acceptance of the interventions by refugees.…”

Section: Resultsmentioning

confidence: 99%

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Smartphone-delivered mental health care interventions for refugees: A systematic review of the literature

El-Haj-Mohamad

Nohr

Niemeyer

et al. 2022

Camb. prisms Glob. ment. health

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According to the United Nations, an estimated 26.6 million people worldwide were refugees in 2021. Experiences before, during, and after flight increase psychological distress and contribute to a high prevalence of mental disorders. The resulting high need for mental health care is generally not reflected in the actual mental health care provision for refugees. A possible strategy to close this gap might be to offer smartphone-delivered mental health care. This systematic review summarizes the current state of research on smartphone-delivered interventions for refugees, answering the following research questions: (1) Which smartphone-delivered interventions are available for refugees? (2) What do we know about their clinical (efficacy) and (3) non-clinical outcomes (e.g., feasibility, appropriateness, acceptance, barriers)? (4) What are their dropout rates and dropout reasons? (5) To what extent do smartphone-delivered interventions consider data security? Relevant databases were systematically searched for published studies, gray literature, and unpublished information. In total, 456 data points were screened. Twelve interventions were included (nine interventions from eleven peer-reviewed articles and three interventions without published study reports), comprising nine interventions for adult refugees and three for adolescent and young refugees. Study participants were mostly satisfied with the interventions, indicating adequate acceptability. Only one RCT (from two RCTs and two pilot RCTs) founda significant reduction in the primary clinical outcome compared to the control group. Dropout rates ranged from 2.9 -80%. In the discussion, the heterogeneous findings are integrated into the current state of literature. Impact StatementRefugees are a large population with special mental health care needs which are nowadays not adequately addressed by most of the host countries. Experiences before, during, and after flight increase psychological distress and contribute to a high prevalence of mental disorders. The resulting high need for mental health care is generally not reflected in the actual mental health care provision for refugees. Potential reasons for low utilization include language difficulties, limited treatment offer, and lack of knowledge

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Smartphone-delivered mental health care interventions for refugees: A systematic review of the literature

El-Haj-Mohamad

Nohr

Niemeyer

et al. 2022

Camb. prisms Glob. ment. health

View full text Add to dashboard Cite

show abstract

“…Studies have shown that a web-based intervention can be a stand-alone intervention or can be an adjunct in a psychological intervention, which is known as a blended strategy [ 15 , 16 ]. A blended strategy offers some benefits, such as increasing an intervention’s acceptability [ 17 ], lowering dropout rates, and increasing the clinician’s efficiency [ 16 ]. However, implementing a blended strategy requires an adequate infrastructure and a mental health system that promotes the use of telemental health.…”

Section: Introductionmentioning

confidence: 99%

A Web-Based Stress Management Intervention for University Students in Indonesia (Rileks): Feasibility Study Using a Pretest-Posttest Design

et al. 2022

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Background University students are susceptible to excessive stress. A web-based stress management intervention holds promise to improve stress but is still at a novel stage in Indonesia. Objective The aim of this paper was to report the feasibility of the intervention we developed—Rileks—among university students in Indonesia in terms of acceptability and usability, and to propose recommendations for future improvements. Methods A single-group pretest and posttest design was used. Participants with scores of 15 or higher on the stress subscale of the 42-item Depression Anxiety Stress Scales were given access to the intervention (N=68). The main outcome measures were the 8-item Client Satisfaction Questionnaire (CSQ-8) score, the System Usability Scale (SUS) score, and intervention uptake. Participants’ experience in each session was evaluated using closed- and open-ended questions for future improvements. Descriptive statistics were used to examine primary outcome and qualitative session evaluations. Participants’ responses to each topic of the open questions were summarized. Results The intervention was evaluated as being satisfactory (CSQ-8 mean score 21.89, SD 8.72; range 8-32). However, the intervention’s usability was still below expectation (SUS mean score 62.8, SD 14.74; range 0-100). The core modules were completed by 10 out of 68 participants (15%), and the study dropout rate was 63% (43/68) at postassessment. In general, the module content was rated positively, with some notes for improvement covering content and technical aspects. Conclusions This study indicates that Rileks is potentially feasible for Indonesian university students. In order to be optimally applied in such a context and before scaling up web-based interventions in Indonesia, in general, further development and refinement are needed. International Registered Report Identifier (IRRID) RR2-10.2196/11493

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Psychological Interventions for Refugee Minors

Emmelkamp¹

2023

Mental Health of Refugees

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Investigating the potential of a novel internet-based cognitive behavioural intervention for Dari and Farsi speaking refugee youth: A feasibility study

Cited by 16 publications

References 52 publications

Smartphone-delivered mental health care interventions for refugees: A systematic review of the literature

Smartphone-delivered mental health care interventions for refugees: A systematic review of the literature

A Web-Based Stress Management Intervention for University Students in Indonesia (Rileks): Feasibility Study Using a Pretest-Posttest Design

Psychological Interventions for Refugee Minors

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