Desrosiers Alethea, Pineros-Leano María, Saran Indrani, Escobar Catalina, Pineros-Leano Natalia, Jimenez María Paula, Moya Andres, Betancourt Theresa S
Brown University, 345 Blackstone Blvd, Providence, RI, United States.
Boston College School of Social Work, 140 Commonwealth Ave, Chestnut Hill, MA, United States.
Confl Health. 2025 Jul 31;19(1):54. doi: 10.1186/s13031-025-00675-z.
In Colombia, ~ 9 million youth and families have been negatively affected by decades of conflict and displacement, and ~ 2.9 million Venezuelans have migrated to Colombia. Many have experienced mental health issues in addition to socio-economic problems, but significant gaps remain in mental health service provision. We conducted a pilot-feasibility study of a culturally adapted mental health intervention integrated within entrepreneurship training for displaced Venezuelan and Colombian youth in Bogota, Colombia.
We recruited and enrolled 296 youth (52% Colombian; 71% female) aged 18-30 residing in Bogota with histories of displacement. Youth were randomized to a 2-week (10-day) integrated mental health and entrepreneurship program or to a waitlist control. Qualitative data on feasibility, acceptability and appropriateness was collected via exit interviews with a subset of youth (N = 24) and facilitators (N = 10). Quantitative data on mental health outcomes was collected at baseline, post-intervention and 6-month follow-up. Qualitative data was analyzed using an open-coding process. Quantitative data was analyzed using linear mixed effects models focusing on intent-to-treat impacts.
Qualitative findings suggested that participants were highly satisfied with the intervention, but they faced challenges with participation, including difficulties with transportation, childcare, and work schedules. Mixed effects models showed no significant differences on mental health outcomes between intervention participants compared with controls.
Venezuelan and Colombian youth with histories of displacement perceived the integrated intervention as acceptable and beneficial, but attending the 10-day program was challenging. Future implementation efforts should consider hybrid formats or adjusting delivery pacing to better fit the daily lives of displaced youth.
NCT05857722.
在哥伦比亚，数十年的冲突和流离失所给约900万青年和家庭带来了负面影响，约290万委内瑞拉人移民到了哥伦比亚。除社会经济问题外，许多人还经历了心理健康问题，但心理健康服务的提供仍存在显著差距。我们在哥伦比亚波哥大针对流离失所的委内瑞拉和哥伦比亚青年开展了一项可行性试点研究，该研究将一种经过文化调适的心理健康干预措施纳入创业培训之中。
我们招募并纳入了296名年龄在18至30岁之间、居住在波哥大且有流离失所经历的青年（52%为哥伦比亚人；71%为女性）。这些青年被随机分配到一个为期2周（10天）的心理健康与创业综合项目组或等待名单对照组。通过对一部分青年（N = 24）和培训人员（N = 10）进行的离职访谈收集了关于可行性、可接受性和适宜性的定性数据。在基线、干预后和6个月随访时收集了关于心理健康结果的定量数据。定性数据采用开放编码过程进行分析。定量数据采用聚焦意向性治疗影响的线性混合效应模型进行分析。
定性研究结果表明，参与者对干预措施高度满意，但他们在参与过程中面临挑战，包括交通、 childcare和工作安排方面的困难。混合效应模型显示，与对照组相比，干预组参与者在心理健康结果方面没有显著差异。
有流离失所经历的委内瑞拉和哥伦比亚青年认为这种综合干预措施是可接受且有益的，但参加为期10天的项目具有挑战性。未来的实施工作应考虑采用混合形式或调整实施节奏，以更好地适应流离失所青年的日常生活。
NCT05857722 。
