Effectiveness and cost-effectiveness of Self-Help Plus (SH+) for preventing mental disorders in refugees and asylum seekers in Europe and Turkey: study protocols for two randomised controlled trials.
Marianna Purgato,Marianna Purgato,Kenneth Carswell,Ceren Acarturk,Teresa Au,Sena Akbai,Minna Anttila,Josef Baumgartner,Della Bailey,Massimo Biondi,Martha Bird,Rachel Churchill,Sevde Eskici,Louise Juul Hansen,Paul Heron,Zeynep Ilkkursun,Reinhold Kilian,Markus Koesters,Markus Koesters,Tella Lantta,Michela Nosè,Michela Nosè,Giovanni Ostuzzi,Giovanni Ostuzzi,Davide Papola,Davide Papola,Mariana Popa,Marit Sijbrandij,Lorenzo Tarsitani,Federico Tedeschi,Giulia Turrini,Giulia Turrini,Ersin Uygun,Maritta Välimäki,Johannes Wancata,Ross G. White,Elisa Zanini,Pim Cuijpers,Corrado Barbui,Corrado Barbui,Mark van Ommeren +40 more
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Self-Help Plus (SH+) is being tested as a preventative intervention to lower the incidence of mental disorders in asylum seekers and refugees with psychological distress resettled in Europe and Turkey.Abstract:
Introduction This article describes two randomised controlled trials that will evaluate the effectiveness and cost-effectiveness of Self-Help Plus (SH+), a group self-help intervention developed by the WHO to reduce distress. In these trials SH+ is being tested as a preventative intervention to lower the incidence of mental disorders in asylum seekers and refugees with psychological distress resettled in Europe and Turkey. Methods and analysis Two prospective, multicentre, randomised, rater-blinded, parallel-group studies will follow participants over a period of 12 months. One trial will be conducted in Europe and one in Turkey. In each trial, 600 asylum seekers and refugees screening positive on the General Health Questionnaire (≥3), but without a formal diagnosis of any mental disorders according to the Mini International Neuropsychiatric Interview, will be randomly allocated to SH+or to enhanced treatment-as-usual. The primary outcome will be a lower incidence of mental disorders at 6 month follow-up. Secondary outcomes will include the evaluation of psychological symptoms, functioning, well-being, treatment acceptability and indicators of intervention cost-effectiveness. Ethics and dissemination The two trials received ethical clearance from the local Ethics Committees of the participating sites (seven sites), as well as from the WHO Ethics Committee. All participants will provide informed consent before screening and before study inclusion (a two-step procedure). The results of the trials will be disseminated in agreement with a dissemination plan that includes publication(s) in peer-reviewed journals and presentations at relevant national and international conferences and meetings. Trials registration numbers NCT03571347, NCT03587896.read more
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Review: Mental health impacts of the COVID-19 pandemic on children and youth - a systematic review.
Hasina Samji,Hasina Samji,Judy K. Wu,Amilya Ladak,Caralyn Vossen,Evelyn Stewart,Naomi Dove,David Long,Gaelen Snell,Gaelen Snell +9 more
TL;DR: This review highlights the urgent need for practitioners and policymakers to attend to and collaborate with children and adolescents, especially those in higher risk subgroups, to mitigate short‐ and long‐term pandemic‐associated mental health effects.
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Effectiveness of a WHO self‐help psychological intervention for preventing mental disorders among Syrian refugees in Turkey: a randomized controlled trial
Ceren Acarturk,Ersin Uygun,Zeynep Ilkkursun,Kenneth Carswell,Federico Tedeschi,Mine Batu,Sevde Eskici,Gulsah Kurt,Minna Anttila,T. Au,Josef Baumgartner,Rachel Churchill,Pim Cuijpers,Thomas Becker,Markus Koesters,Tella Lantta,Michela Nosè,Giovanni Ostuzzi,Mariana Popa,Marianna Purgato,Marit Sijbrandij,Giulia Turrini,Maritta Välimäki,Laurens Walker,Johannes Wancata,Elisa Zanini,Ross G. White,Mark van Ommeren,Corrado Barbui +28 more
TL;DR: Self‐Help Plus was found to be an effective strategy for preventing the onset of mental disorders among Syrian refugees experiencing psychological distress in Turkey and could be scaled up as a public health strategy to prevent mental disorders in refugee populations exposed to ongoing adversities.
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References
More filters
Journal ArticleDOI
Diagnostic and Statistical Manual of Mental Disorders
Vijay A. Mittal,Elaine F. Walker +1 more
TL;DR: An issue concerning the criteria for tic disorders is highlighted, and how this might affect classification of dyskinesias in psychotic spectrum disorders.
Journal Article
The Mini-International Neuropsychiatric Interview (M.I.N.I.) : The development and validation of a Structured Diagnostic Psychiatric Interview for DSM-IV and ICD-10
David V. Sheehan,Yves Lecrubier,Kathy Harnett Sheehan,P. Amorim,J. Janavs,Emmanuelle Weiller,T. Hergueta,Ross A. Baker,Dunbar Geoffrey Charles +8 more
TL;DR: The Mini-International Neuropsychiatric Interview is designed to meet the need for a short but accurate structured psychiatric interview for multicenter clinical trials and epidemiology studies and to be used as a first step in outcome tracking in nonresearch clinical settings.
Journal ArticleDOI
CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials
TL;DR: The Consort 2010 Statement as discussed by the authors has been used worldwide to improve the reporting of randomised controlled trials and has been updated by Schulz et al. in 2010, based on new methodological evidence and accumulating experience.
Book ChapterDOI
World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects
TL;DR: Comparing the socialist nature of many European counties, there is a requirement that provision be made for patients to be made whole regardless of the outcomes of the trial or if they happened to have been randomized to a control group that did not enjoy the benefits of a successful experimental intervention.
Journal Article
World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects.
TL;DR: The Helsinki Declaration on Ethical Principles for Medical Research Involving Human Subjects, adopted by the World Medical Assembly, is presented.
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