评估一项在瑞典促进难民青年心理健康的学校干预措施（难民青年心理健康学校试验）：一项群组随机对照试验的研究方案。
Evaluation of a school-based intervention to promote mental health of refugee youth in Sweden (The RefugeesWellSchool Trial): study protocol for a cluster randomized controlled trial.
机构信息
Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, BMC, Husargatan 3, 753 27, Uppsala, Sweden.
Faculty of Social Sciences, Psychology, FI- 30014, University of Tampere, Tampere, Finland.
出版信息
Trials. 2021 Jan 28;22(1):98. doi: 10.1186/s13063-020-04995-8.
BACKGROUND
Sweden is home to a large and growing population of refugee youths who may be at risk of mental health problems such as post-traumatic stress disorder (PTSD). Thus, there is a need for interventions that address mental health problems in these populations. Schools have been identified as an ideal setting for delivering such interventions as they offer a non-stigmatizing space and are often central to young refugees' social networks. The RefugeesWellSchool trial in Sweden will investigate an intervention comprising two programmes: Teaching Recovery Techniques (TRT) and In-service Teacher Training (INSETT), delivered in a school setting, among refugee youth. TRT is a group-based programme for children and adolescents, informed by Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). INSETT is a multi-module course for teachers providing information on trauma and the refugee experience to build teachers' cultural competence and capacity for supporting refugee youths in schools.
METHODS
This trial employs a cluster randomized-control design with two arms: (1) the intervention arm in which the TRT and INSETT programmes are offered (n = 350), (2) the wait-list control arm (n = 350) in which services are provided as usual until the TRT and INSETT programmes are offered approximately six months later. Data will be collected prior to the intervention, immediately following the intervention, and at three months post-intervention. Outcomes for the trial arms will be compared using linear mixed models or ANCOVA repeated measures as well as the Reliable Change Index (RCI).
DISCUSSION
This study will provide knowledge about the effectiveness of an intervention comprising two programmes: a group-based programme for youth reporting symptoms of PTSD and a training course for teachers, in order to build their competence and ability to support refugee youths in schools.
TRIAL REGISTRATION
ISRCTN, ISRCTN48178969 , Retrospectively registered 20/12/2019.
背景
瑞典拥有大量且不断增长的难民青年群体，他们可能面临心理健康问题，如创伤后应激障碍（PTSD）。因此，需要针对这些人群的心理健康问题进行干预。学校已被确定为提供此类干预的理想场所，因为它们提供了一个非污名化的空间，并且通常是年轻难民社交网络的核心。瑞典的“难民健康学校试验”（RefugeesWellSchool trial）将研究一项干预措施，该措施包括两个方案：在学校环境中为难民青年提供的基于团体的“恢复技巧教学”（Teaching Recovery Techniques，TRT）和“教师在职培训”（In-service Teacher Training，INSETT）。TRT 是一个针对儿童和青少年的团体方案，其依据是创伤聚焦认知行为疗法（Trauma-Focused Cognitive Behavioral Therapy，TF-CBT）。INSETT 是一个多模块课程，为教师提供有关创伤和难民经历的信息，以增强教师的文化能力和在学校支持难民青年的能力。
方法
本试验采用了一个两臂的群组随机对照设计：（1）干预组，提供 TRT 和 INSETT 方案（n=350）；（2）候补对照组（n=350），在大约六个月后提供 TRT 和 INSETT 方案之前，按常规提供服务。在干预前、干预后即刻以及干预后三个月收集数据。采用线性混合模型或重复测量的协方差分析（ANCOVA）以及可靠变化指数（Reliable Change Index，RCI）比较试验组的结果。
讨论
本研究将提供关于包括两个方案的干预措施的有效性的知识：针对报告 PTSD 症状的青年的团体方案和针对教师的培训课程，以增强他们在学校支持难民青年的能力和能力。
试验注册
ISRCTN，ISRCTN48178969，于 2019 年 12 月 20 日回顾性注册。
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