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对土耳其境内困境叙利亚难民的团体问题管理强化版进行的定性过程评估。

A qualitative process evaluation of group problem management plus for distressed Syrian refugees in Türkiye.

作者信息

Coşkun-Toker Ayşenur, İlkkurşun Zeynep, Fuhr Daniela, Roberts Bayard, Cuijpers Pim, Sijbrandij Marit, Acarturk Ceren

机构信息

Department of Psychology, Koc University, Istanbul, Türkiye.

Research Group Implementation Research and Mental Health, Leibniz Institute of Prevention Research and Epidemiology, Bremen, Germany.

出版信息

Glob Ment Health (Camb). 2025 Jul 17;12:e87. doi: 10.1017/gmh.2025.10035. eCollection 2025.

Abstract

Syrian refugees in Türkiye show a high prevalence of mental health problems but encounter barriers to accessing mental health services. Group Problem Management Plus (gPM+), developed by the World Health Organization, is a low-intensity psychological intervention delivered by nonspecialist facilitators. This qualitative process evaluation explores the acceptability, feasibility and perceived effectiveness of gPM+ for Syrian refugees resettled in Türkiye, as well as facilitating factors and barriers to its implementation. Twenty-three semi-structured interviews were conducted with gPM+ participants, facilitators, drop-outs, relatives of participants and key informants. Findings showed that gPM+ was well-received for its group-based format, which participants felt fostered social support, and for its content, which they reported may have led to improvements in coping skills and family relationships. Facilitators viewed the intervention as feasible to implement. However, barriers such as participants' economic struggles, practical challenges (e.g., childcare and transportation difficulties) and low mental health literacy impeded engagement. Adapting gPM+ to address social determinants like poverty may be beneficial. The need for booster sessions was emphasized to maintain long-term change and provide deeper learning of the strategies. For sustainable scaling up gPM+ within primary health care, key informants highlighted the importance of training and supervising nonprofessional facilitators and securing governmental support.

摘要

在土耳其的叙利亚难民心理健康问题患病率很高,但在获得心理健康服务方面遇到障碍。世界卫生组织开发的团体问题管理强化版(gPM+)是一种由非专业促进者提供的低强度心理干预措施。这项定性过程评估探讨了gPM+对在土耳其重新安置的叙利亚难民的可接受性、可行性和感知有效性,以及其实施的促进因素和障碍。对gPM+参与者、促进者、退出者、参与者亲属和关键信息提供者进行了23次半结构化访谈。研究结果表明,gPM+因其基于团体的形式而受到好评,参与者认为这种形式促进了社会支持,其内容也被报告可能导致应对技能和家庭关系得到改善。促进者认为该干预措施实施可行。然而,诸如参与者的经济困难、实际挑战(如儿童保育和交通困难)以及心理健康知识水平低等障碍阻碍了参与。调整gPM+以解决贫困等社会决定因素可能会有所帮助。强调需要进行强化培训课程以维持长期改变并提供对策略的更深入学习。为了在初级卫生保健中可持续地扩大gPM+的规模,关键信息提供者强调了培训和监督非专业促进者以及获得政府支持的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e84f/12345057/f98c618751fb/S2054425125100356_figAb.jpg

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