Morina Naser, Ewers Simon M, Passardi Sandra, Schnyder Ulrich, Knaevelsrud Christine, Müller Julia, Bryant Richard A, Nickerson Angela, Schick Matthis
Department of Psychiatry and Psychotherapy, University Hospital Zurich, University of Zurich, Culmannstrasse 8, CH-8091 Zurich, Switzerland.
Department of Clinical Psychological Intervention, Freie Universität, Berlin, Germany.
Confl Health. 2017 Oct 2;11:18. doi: 10.1186/s13031-017-0120-2. eCollection 2017.
Mental health problems resulting from persecution and forced migration are very common among refugees and asylum seekers and evolve into a major public health challenge in hosting societies. Language barriers often prevent timely access to appropriate health care, leading to chronic trajectories and abortive social integration. Tools for multilingual screening and assessment could be of great benefit for this particularly vulnerable population as well as for policy makers. This study aimed at testing the reliability, feasibility and usability of the Multi-Adaptive Psychological Screening Software (MAPSS), a newly developed Audio Computer-Assisted Self-Interview Software (ACASI) for touchscreen devices, for screening purposes in a clinical setting.
In a randomized cross-over design including both MAPSS and paper-pencil clinician-administered interviews, 30 treatment-seeking refugees completed clinical measures and a feasibility questionnaire to rate the user interface of MAPSS. Five professionals performed given tasks in MAPSS and completed usability questionnaires for the administration interface.
Results showed no differences between the two assessment modalities with regard to symptom scores. The findings suggest good feasibility and usability of MAPSS in traumatized refugees. The administration via MAPSS was significantly shorter than the paper-pencil interview.
MAPSS may be a cost-effective, flexible and valid alternative to interpreter-based psychometric screening and assessment.
迫害和被迫迁移导致的心理健康问题在难民和寻求庇护者中非常普遍，并在接纳社会中演变成一项重大的公共卫生挑战。语言障碍常常阻碍及时获得适当的医疗保健，导致病情迁延不愈以及社会融合失败。多语言筛查和评估工具可能会给这一特别脆弱的人群以及政策制定者带来极大益处。本研究旨在测试多适应性心理筛查软件（MAPSS）的可靠性、可行性和可用性，MAPSS是一种新开发的用于触摸屏设备的音频计算机辅助自填式访谈软件（ACASI），用于临床环境中的筛查目的。
在一项包括MAPSS和纸笔式临床医生访谈的随机交叉设计中，30名寻求治疗的难民完成了临床测量以及一份用于评估MAPSS用户界面的可行性问卷。五名专业人员在MAPSS中执行给定任务，并完成了管理界面的可用性问卷。
结果显示，两种评估方式在症状评分方面没有差异。研究结果表明MAPSS在受创伤难民中具有良好的可行性和可用性。通过MAPSS进行管理的时间明显短于纸笔式访谈。
MAPSS可能是基于口译员的心理测量筛查和评估的一种具有成本效益、灵活且有效的替代方法。
