Felicity L. Brown, Hind Yousef, Alexandra C.E. Bleile, Hadeel Mansour, Anna Barrett, Maha Ghatasheh, Eve S. Puffer, Zeinab Mansour, Karam Hayef, Samer Kurdi, Qaasim Ali, Wietse A. Tol, Aala El-Khani, Rachel Calam, Hana Abu Hassan, Mark J.D. Jordans
{"title":"Nurturing families: A feasibility randomised controlled trial of a whole-family intervention with vulnerable families in Jordan","authors":"Felicity L. Brown, Hind Yousef, Alexandra C.E. Bleile, Hadeel Mansour, Anna Barrett, Maha Ghatasheh, Eve S. Puffer, Zeinab Mansour, Karam Hayef, Samer Kurdi, Qaasim Ali, Wietse A. Tol, Aala El-Khani, Rachel Calam, Hana Abu Hassan, Mark J.D. Jordans","doi":"10.1017/gmh.2024.43","DOIUrl":"https://doi.org/10.1017/gmh.2024.43","url":null,"abstract":"<p>Armed conflict and forced displacement can significantly strain nurturing family environments, which are essential for child well-being. Yet, limited evidence exists on the effectiveness of family-systemic interventions in these contexts. We conducted a two-arm, single-masked, feasibility Randomised Controlled Trial (fRCT) of a whole-family intervention with Syrian, Iraqi and Jordanian families in Jordan. We aimed to determine the feasibility of intervention and study procedures to inform a fully-powered RCT. Eligible families were randomised to receive the Nurturing Families intervention or enhanced usual care (1:1). Masked assessors measured outcomes at baseline and endline; primary outcome measures were caregiver psychological distress, family functioning, and parenting practices. Families and implementing staff participated in qualitative interviews at endline. Of the 62 families screened, 60 (98%) were eligible, 97% completed the baseline and 90% completed the endline. Qualitative feedback indicated specific improvements in adolescent well-being, caregiver distress and parenting, and family relationships. Data highlighted high participant engagement and adequate facilitator fidelity and competence. Outcome measures had good psychometric properties (most α > 0.80) and sensitivity to change, with significant changes seen on most measures in the intervention but not control group. Findings indicate the acceptability and feasibility of intervention and study procedures. Subsequent full-scale evaluation is needed to determine effectiveness.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140830390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dimensionality of the Swahili version of the General Health Questionnaire (GHQ-12) in a Kenyan population: A confirmatory factor analysis","authors":"Dharani Keyan, Dusan Hadzi-Pavlovic, Aemal Akhtar, Katie Dawson, Phiona Naserian Koyiet, Richard Bryant","doi":"10.1017/gmh.2024.46","DOIUrl":"https://doi.org/10.1017/gmh.2024.46","url":null,"abstract":"<p>The current study evaluated the Kiswahili version of General Health Questionnaire (GHQ-12) in a Kenyan context comprising of women exposed to gender-based violence. Participants were randomly drawn from community sampling using household screening methods in peri-urban areas in Nairobi. A total of 1,394 participants with varying levels of literacy (years of education: mean [M] = 9.42; standard deviation [SD] = 3.73) and aged between 18 and 89 years were recruited for the study. The observed factor structure of the GHQ-12 was evaluated using six most tested models querying the dimensionality of the instrument insofar as the impacts of positive and negative wording effects in driving multidimensionality. Results from the confirmatory factor analysis supported a bifactor model, consisting of a general distress factor and two separate factors representing common variance due to the positive and negative wording of items. Overall, the findings support the use of the Kiswahili version of the GHQ-12 as a unidimensional construct with method-specific variance owing to wording effects. Importantly, GHQ-12 responses from a sample of Kenyan women with relatively low levels of literacy are congruent with the factor structure observed in other cross-cultural settings in low- and-middle-income countries.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140798570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A systematic review of reviews on the advantages of mHealth utilization in mental health services: A viable option for large populations in low-resource settings","authors":"Mohsen Khosravi, Ghazaleh Azar","doi":"10.1017/gmh.2024.39","DOIUrl":"https://doi.org/10.1017/gmh.2024.39","url":null,"abstract":"<p><img href=\"S2054425124000396_figAb.png\" mimesubtype=\"png\" mimetype=\"image\" orientation=\"\" position=\"float\" src=\"https://static.cambridge.org/content/id/urn%3Acambridge.org%3Aid%3Aarticle%3AS2054425124000396/resource/name/S2054425124000396_figAb.png?pub-status=live\" type=\"\"/></p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140616882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of autism awareness and knowledge levels among Syrian migrants living in Türkiye","authors":"Selin Davun, Mehmet Akif Sezerol","doi":"10.1017/gmh.2024.45","DOIUrl":"https://doi.org/10.1017/gmh.2024.45","url":null,"abstract":"<p>This study was conducted to evaluate the autism knowledge level and awareness of individuals over the age of 18 who applied to immigrant health centers in Istanbul, Gaziantep and Kilis, where the Syrian immigrant population is dense. This cross-sectional study was conducted between December 2022 and April 2023 in 896 immigrants. The sample of the research consists of immigrants residing in Türkiye and who applied to the immigrant health centers in Istanbul, Gaziantep and Kilis for any reason at the time of the research. A questionnaire consisting of three parts was applied to the immigrant people face-to-face. While 38.4% of the participants were female, 61.6% were male. The mean age of the participants is 34.63 ± 10.74. It was determined that people’s place of residence, whether they have children, marital status and income status have significant effects on autism knowledge levels (<span>p</span> < 0.001). Since the importance of early diagnosis in autism is known, it is of great importance for people to have knowledge and awareness on this issue. This study will investigate the awareness of the immigrant population, who are faced with traumatic events such as war and migration, and will shed light on future intervention studies.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140616875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ming Yu Claudia Wong, Guangzhe Frank Yuan, Caimeng Liu, Stanley Kam Ki Lam, Hong Wang Fung
{"title":"The relationship between internet gaming disorder, sleeping quality, self-compassion, physical activity participation and psychological distress: A path analysis","authors":"Ming Yu Claudia Wong, Guangzhe Frank Yuan, Caimeng Liu, Stanley Kam Ki Lam, Hong Wang Fung","doi":"10.1017/gmh.2024.36","DOIUrl":"https://doi.org/10.1017/gmh.2024.36","url":null,"abstract":"<p>The classification of internet gaming disorder (IGD) as a mental condition for further study in 2013 marked the emerging recognition of potential mental health issues associated with internet and gaming addiction. The COVID-19 pandemic and the rapid growth of gaming technology have combined to increase internet gaming, resulting in unhealthy lifestyle behaviors, poor sleep quality and psychological distress. Identifying the complex interplay between internet problem use, sleep disorders and psychological distress is crucial. However, it remains unclear how physical activity and self-compassion could improve sleep quality when individuals experience IGD symptoms. The current study, therefore, examined the relationships between IGD, sleep quality, self-compassion, physical activity and psychological distress using a path analysis approach. The study, targeting young adults (<span>N</span> = 283), found that physical activity played a significant role in connecting the variables and supporting the overall fit of the model. The results suggest that interventions targeting individuals with IGD should focus on promoting physical activity participation and developing self-compassion. Future research should continue to investigate the effectiveness of clinical interventions that incorporate self-compassion and physical activity counseling for individuals with IGD.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141191711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abigail C. Hines, Alexandra L. Rose, Kristen S. Regenauer, Imani Brown, Kim Johnson, Jessica Bonumwezi, Sibabalwe Ndamase, Nonceba Ciya, Jessica F. Magidson, Bronwyn Myers
{"title":"“Early in the morning, there’s tolerance and later in the day it disappears” – The intersection of resource scarcity, stress and stigma in mental health and substance use care in South Africa","authors":"Abigail C. Hines, Alexandra L. Rose, Kristen S. Regenauer, Imani Brown, Kim Johnson, Jessica Bonumwezi, Sibabalwe Ndamase, Nonceba Ciya, Jessica F. Magidson, Bronwyn Myers","doi":"10.1017/gmh.2024.41","DOIUrl":"https://doi.org/10.1017/gmh.2024.41","url":null,"abstract":"<p>Stress is a challenge among non-specialist health workers worldwide, particularly in low-resource settings. Understanding and targeting stress is critical for supporting non-specialists and their patients, as stress negatively affects patient care. Further, stigma toward mental health and substance use conditions also impacts patient care. However, there is little information on the intersection of these factors. This sub-analysis aims to explore how substance use and mental health stigma intersect with provider stress and resource constraints to influence the care of people with HIV/TB. We conducted semi-structured interviews (<span>N</span>=30) with patients (<span>n</span>=15) and providers (<span>n</span>=15, non-specialist health workers) within a low-resource community in Cape Town, South Africa. Data were analyzed using thematic analysis. Three key themes were identified: (1) resource constraints negatively affect patient care and contribute to non-specialist stress; (2) in the context of stress, non-specialists are hesitant to work with patients with mental health or substance use concerns, who they view as more demanding and (3) stress contributes to provider stigma, which negatively impacts patient care. Findings highlight the need for multilevel interventions targeting both provider stress and stigma toward people with mental health and substance use concerns, especially within the context of non-specialist-delivered mental health services in low-resource settings.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140798658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Poor sleep quality and its associated factors among working adults during COVID-19 pandemic in Malaysia","authors":"Lwin Mie Aye, Wei Hao Lee","doi":"10.1017/gmh.2024.23","DOIUrl":"https://doi.org/10.1017/gmh.2024.23","url":null,"abstract":"<span>Background</span><p>In Malaysia, a nationwide movement control order (MCO), implemented to curb the COVID-19 spread, impacted on the lives of the working population which could impair sleep quality.</p><span>Objective</span><p>This study aims to find the sleep quality status and its association with the socioeconomic, employment and lifestyle factors of working adults during the MCO period.</p><span>Methods</span><p>A cross-sectional study was conducted among 500 eligible working adults. Data were collected using a structured questionnaire consisting of the Pittsburg Sleep Quality Index.</p><span>Results</span><p>The proportion of poor sleep quality is found to be 59.4%. Analysis shows that the use of electronic devices before sleep (OR = 2.33, 95% CI = 1.02–5.35, <span>p</span>-value = 0.046), increased amount of workload (OR = 0.45, <span>p</span>-value = 0.005), decreased in amount of workload (OR = 0.48, <span>p</span>-value = 0.003) and distracted while working (OR = 0.57, <span>p</span>-value = 0.014) are the factors significantly associated with and are predictors of poor sleep quality.</p><span>Conclusion</span><p>During crisis, there is a need for public health interventions for the working population to adopt a healthy lifestyle. Employers are recommended to support employees’ well-being and to provide a healthy workplace during challenging times. Policy recommendations are also made to implement flexible working arrangements, workload management, workplace mental health support and legal protections on reasonable working hours, rest breaks and time off during crises.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140116550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Claire Greene, Gabrielle Wimer, Maria Larrea, Ingrid Mejia Jimenez, Andrea Armijos, Alejandra Angulo, Maria Esther Guevara, Carolina Vega, Emily W. Heard, Lina Demis, Lucia Benavides, Christine Corrales, Ale de la Cruz, Maria Jose Lopez, Arianna Moyano, Andrea Murcia, Maria Jose Noboa, Abhimeleck Rodriguez, Jennifer Solis, Daniela Vergara, Lena S. Andersen, Maria Cristobal, Milton Wainberg, Annie G. Bonz, Wietse Tol
{"title":"Strategies to improve the implementation and effectiveness of community-based psychosocial support interventions for displaced, migrant and host community women in Latin America","authors":"M. Claire Greene, Gabrielle Wimer, Maria Larrea, Ingrid Mejia Jimenez, Andrea Armijos, Alejandra Angulo, Maria Esther Guevara, Carolina Vega, Emily W. Heard, Lina Demis, Lucia Benavides, Christine Corrales, Ale de la Cruz, Maria Jose Lopez, Arianna Moyano, Andrea Murcia, Maria Jose Noboa, Abhimeleck Rodriguez, Jennifer Solis, Daniela Vergara, Lena S. Andersen, Maria Cristobal, Milton Wainberg, Annie G. Bonz, Wietse Tol","doi":"10.1017/gmh.2024.29","DOIUrl":"https://doi.org/10.1017/gmh.2024.29","url":null,"abstract":"<p>As evidence supporting the effectiveness of mental health and psychosocial interventions grows, more research is needed to understand optimal strategies for improving their implementation in diverse contexts. We conducted a qualitative process evaluation of a multicomponent psychosocial intervention intended to promote well-being among refugee, migrant and host community women in three diverse contexts in Ecuador and Panamá. The objective of this study is to describe the relationships among implementation determinants, strategies and outcomes of this community-based psychosocial intervention. The five implementation strategies used in this study included stakeholder engagement, promoting intervention adaptability, group and community-based delivery format, task sharing and providing incentives. We identified 10 adaptations to the intervention and its implementation, most of which were made during pre-implementation. Participants (n = 77) and facilitators (n = 30) who completed qualitative interviews reported that these strategies largely improved the implementation of the intervention across key outcomes and aligned with the study’s intervention and implementation theory of change models. Participants and facilitators also proposed additional strategies for improving reach, implementation and maintenance of this community-based psychosocial intervention.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140301061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}