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低门槛、文化敏感型团体心理教育方案对寻求庇护者(LoPe)的疗效:一项多中心随机对照试验的研究方案。

Efficacy of a Low-threshold, Culturally-Sensitive Group Psychoeducation Programme for Asylum Seekers (LoPe): study protocol for a multicentre randomised controlled trial.

机构信息

Department of Psychology, Division of Clinical Psychology and Psychotherapy, Philipps-University of Marburg, Marburg, Germany

Department of Psychology, Division of Clinical Psychology and Psychotherapy, Philipps-University of Marburg, Marburg, Germany.

出版信息

BMJ Open. 2021 Oct 14;11(10):e047385. doi: 10.1136/bmjopen-2020-047385.

DOI:10.1136/bmjopen-2020-047385
PMID:34649846
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8522658/
Abstract

INTRODUCTION

Despite high levels of mental distress, accessing psychological treatment is difficult for asylum seekers in Western host countries due to a lack of knowledge about mental disorders, and the health system, as well as due to cultural and language barriers. This study aims to investigate whether brief culturally sensitive and transdiagnostic psychoeducation is effective in increasing mental health literacy.

METHODS AND ANALYSIS

The study is a parallel two-group randomised controlled trial with 1:1 individual allocation to either culturally sensitive, low-threshold psychoeducation ('Tea Garden' (TG)) or a waitlist (WL) control group. It takes place at four study sites in Germany. A total of 166 adult asylum seekers who report at least mild mental distress will be randomly assigned. The TG consists of two 90 min group sessions and provides information about mental distress, resources and mental health services in a culturally sensitive manner. The primary outcome is the percentage of participants in the TG, as compared with the WL, achieving an increase in knowledge concerning symptoms of mental disorders, individual resources and mental healthcare from preintervention to postintervention. The further trajectory will be assessed 2 and 6 months after the end of the intervention. Secondary outcomes include changes in mental distress, openness towards psychotherapy and resilience. Furthermore, healthcare utilisation and economics will be assessed at all assessment points.

ETHICS AND DISSEMINATION

The study has been approved by the Ethics Commission of the German Psychological Society (ref: WeiseCornelia2019-10-18VA). Results will be disseminated via presentations, publication in international journals and national outlets for clinicians. Furthermore, intervention materials will be available, and the existing network will be used to disseminate and implement the interventions into routine healthcare.

TRIAL REGISTRATION NUMBER

DRKS00020564; Pre-results.

PROTOCOL VERSION

2020-10-06, version number: VO2F.

摘要

简介

尽管精神痛苦程度很高,但由于对精神障碍和卫生系统缺乏了解,以及文化和语言障碍,寻求庇护的西方东道国的人很难获得心理治疗。本研究旨在调查简短的、具有文化敏感性的、跨诊断的心理教育是否能有效提高心理健康素养。

方法和分析

该研究是一项平行的、两组随机对照试验,采用 1:1 个体分配的方法,将参与者随机分配到具有文化敏感性、低门槛的心理教育组(“茶园”(TG))或等待名单(WL)对照组。该研究在德国的四个研究地点进行。总共将随机分配 166 名报告至少有轻度精神困扰的成年寻求庇护者。TG 包括两个 90 分钟的小组会议,以文化敏感的方式提供有关精神困扰、资源和精神卫生服务的信息。主要结局是与 WL 相比,TG 组参与者在干预前后增加对精神障碍症状、个人资源和精神保健的知识的百分比。进一步的轨迹将在干预结束后 2 个月和 6 个月进行评估。次要结局包括精神困扰、对心理治疗的开放程度和适应力的变化。此外,还将在所有评估点评估卫生保健的利用情况和经济学情况。

伦理和传播

该研究已获得德国心理学会伦理委员会的批准(编号:WeiseCornelia2019-10-18VA)。结果将通过演示、在国际期刊和国家临床医生出版物上发表以及通过现有的网络传播和将干预措施纳入常规医疗保健中进行传播。此外,干预材料将可用。

注册号

DRKS00020564;预结果。

协议版本

2020-10-06,版本号:VO2F。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1088/8522658/d5d06b7183b8/bmjopen-2020-047385f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1088/8522658/d5d06b7183b8/bmjopen-2020-047385f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1088/8522658/d5d06b7183b8/bmjopen-2020-047385f01.jpg

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