SSM. Mental health最新文献

{"title":"A qualitative study of type 1 diabetes complications, mental health, and structural pathways of complications occurrence among young people (14–24 years) and caregivers in southern Ghana","authors":"Bernard Afriyie Owusu ,&nbsp;Prince Ofori-Boateng ,&nbsp;Elizabeth Bankah ,&nbsp;Nana Ama Barnes ,&nbsp;Yacoba Atiase ,&nbsp;Ernest Yorke ,&nbsp;Marc Kwame Dzradosi ,&nbsp;David Teye Doku","doi":"10.1016/j.ssmmh.2024.100368","DOIUrl":"10.1016/j.ssmmh.2024.100368","url":null,"abstract":"<div><h3>Background</h3><div>Young people (aged 14–24 years) living with Type 1 Diabetes (T1D), especially, those in low-resource settings experiencing having T1D complications, and poor mental health. Yet, little is known about T1D complications, mental health, and their lived experiences among young people and their caregivers in Ghana<strong>.</strong></div></div><div><h3>Objective</h3><div>This article sought to understand a) the dynamics of T1D complications, mental health, and lived experiences, and b) drawing on this evidence, develop structural and behavioural pathways of T1D complication occurrence among young people in Ghana.</div></div><div><h3>Methods</h3><div>The study design was interpretivist phenomenology (qualitative). Twenty-eight young people living with T1D (YPLWD), 12 caregivers, and six healthcare providers across three regions in southern Ghana were purposively recruited and interviewed using interview guides. The methods included a photovoice where the YPLWD took photographs to highlight visible complications. Themes were formed from the quotes and photovoice. The analytical technique was thematic - performed with the aid of QSR NVivo 14.</div></div><div><h3>Results</h3><div>Four main themes which were: physical complications, mental health, other adverse health outcomes, and structural pathways of complication occurrence were identified from the analyses. Physical complications discussed included visual impairment, diabetic coma, reproductive ill-health, and kidney disease. We found on the average, eight (8) years of living with T1D (with minimum and maximum years of 2 and 4 respectively). Mental health issues including anxiety and suicidal ideation transcended YPLWD to caregivers. Multiple structural and behavioural risk factors of T1D complications were also found.</div></div><div><h3>Conclusion</h3><div>The YPLWD and caregivers in Ghana experienced multiple T1D complications and poor mental health. Unfortunately, these manifested early in their natural history of T1D, and were influenced by inadequate structural resources, and the adoption of sub-optimal self-care practices. This article underscores the need to improve structural T1D resources, promote optimal blood glucose control, alongside mental/psychosocial support for patients and their caregivers in Ghana.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"6 ","pages":"Article 100368"},"PeriodicalIF":4.1,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Opioid risk-reduction strategies for people with HIV on chronic opioid therapy: A qualitative study of patient perspectives","authors":"Karsten Lunze ,&nbsp;Jennifer J. Carroll ,&nbsp;Nishtha Ahuja ,&nbsp;Marlene C. Lira ,&nbsp;Judith I. Tsui ,&nbsp;Alicia Ventura ,&nbsp;Jonathan A. Colasanti ,&nbsp;Jane M. Liebschutz ,&nbsp;Carlos del Rio ,&nbsp;Jeffrey H. Samet","doi":"10.1016/j.ssmmh.2024.100364","DOIUrl":"10.1016/j.ssmmh.2024.100364","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"6 ","pages":"Article 100364"},"PeriodicalIF":4.1,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community mental health for migrant women in Barcelona (“Self-Care Among Women”): Protocol for a mixed-methods process evaluation of a pilot psychological intervention","authors":"Alba Cuxart-Graell ,&nbsp;Liv Mathilde Pampiri ,&nbsp;Helena Sainz-Elías ,&nbsp;Fajar Matloob Ahmed Butt ,&nbsp;Wafae Moussaoui Rahhab ,&nbsp;Irene de Gracia Alcaide ,&nbsp;Isabel Monter Alavedra ,&nbsp;Carla Cisneros Pinet ,&nbsp;Helena Marti-Soler ,&nbsp;Maria Marti-Castaner ,&nbsp;Laura Giménez ,&nbsp;Yolanda Osorio Lopez ,&nbsp;Ana Requena-Méndez ,&nbsp;Paula Cristóbal-Narváez ,&nbsp;Stella Evangelidou","doi":"10.1016/j.ssmmh.2024.100367","DOIUrl":"10.1016/j.ssmmh.2024.100367","url":null,"abstract":"<div><h3>Introduction</h3><div>Migrant populations, especially women, are often more susceptible to poor mental health and they face healthcare access barriers. This study aims to develop and evaluate a community-based mental health intervention through a participative research process to promote mental health and prevent psychiatric disorders among migrant women in Barcelona city. The intervention is built upon two evidence-based guidelines: <em>Group Problem Management Plus</em> (Group PM+) and <em>Self-Help Plus</em> (SH+).</div></div><div><h3>Methods</h3><div>“Self-Care Among Women” is a mixed-methods process evaluation study for the development of a community-based psychological pilot intervention. A participatory approach will be employed to adapt the content agenda of the community mental health intervention. Process indicators on context, implementation and mechanisms of change will be assessed through an intersectionality lens to explore the way in which the intervention is developed and implemented. The contextual fit, acceptability and feasibility of the proposed psychological intervention will be examined through participants' and facilitators' perceptions of the intervention. Further, women's clinical mental health condition and wellbeing will be assessed before and after the intervention, through standardized and culturally-validated instruments.</div></div><div><h3>Ethics and dissemination</h3><div>Ethical approval of the research protocol has been obtained by the Research Ethics Committees of Hospital Clínic, Fundació Institut Universitari per a la recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol) and Parc Sanitari Sant Joan de Déu. Written informed consent will be requested from all research participants for inclusion in the study. The study results will be published in peer-reviewed journals and communicated to congresses.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"6 ","pages":"Article 100367"},"PeriodicalIF":4.1,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with mental health outcomes among peer refugee helpers in Greece: Results from a cross-sectional study","authors":"Michalis Lavdas,&nbsp;Gro Mjeldheim Sandal,&nbsp;Tormod Bøe","doi":"10.1016/j.ssmmh.2024.100365","DOIUrl":"10.1016/j.ssmmh.2024.100365","url":null,"abstract":"<div><h3>Background</h3><div>An increasing number of people are engaged in humanitarian responses worldwide as aid workers. Peer Refugee Helpers (PRHs) are refugees or asylum seekers engaged formally in humanitarian assistance through Aid/Humanitarian Organizations, yet the factors affecting their mental health are poorly understood.</div></div><div><h3>Objectives</h3><div>This study aims to investigate the mental health of PRHs and explore factors that may contribute to anxiety and depression in this group through the lens of the Salutogenic Model of Health (SMH).</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted comparing PRHs engaged with Aid/Humanitarian Organizations (AOs) in Greece with non-helpers (N = 248), all of whom had experienced forced migration. Standardized instruments were used to measure symptoms of depression and anxiety (GAD-7, PHQ-9), social support (SPS-24), sense of coherence (SOC-13), coping flexibility (PACT), and trauma exposure (BTQ-10). Using regression analyses, we compared symptoms of anxiety and depression in a group of PRHs (n = 107) to a control group of non-helpers (n = 141). Socio-demographic variables (ex. occupational status) were also included in the model. Furthermore, we investigated protective and risk factors for anxiety and depression within the group of PRHs.</div></div><div><h3>Results</h3><div>PRHs did not differ significantly from the non-helpers in their anxiety and depression levels. In the adjusted regression analyses within the group of PRHs, being paid and having a higher sense of coherence were significantly associated with lower anxiety and depression.</div></div><div><h3>Conclusions</h3><div>To enhance the well-being and mental health of refugees working as PRHs in the humanitarian field, AOs should first address post-migration living difficulties that contribute to anxiety and depression. Second, PRHs should be supported adequately through training and supervision that will help them build fundamental competencies. Third, compensation for the PRH engagement is instrumental in addressing job insecurity, while facilitating access to resources, relevant to basic and psychological needs.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"6 ","pages":"Article 100365"},"PeriodicalIF":4.1,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What matters for sustainable psychosocial interventions and who decides? Critical ethnography of a lay counselling program in Nepal","authors":"Parbati Shrestha ,&nbsp;Aruna Limbu ,&nbsp;Kusumlata Tiwari ,&nbsp;Liana E. Chase","doi":"10.1016/j.ssmmh.2024.100359","DOIUrl":"10.1016/j.ssmmh.2024.100359","url":null,"abstract":"<div><div>Lay counselling, or the delivery of talk-based therapeutic support by people without a clinical degree, is gaining popularity as a way of addressing global shortages of mental health professionals. In Nepal, lay counselors have made significant contributions to mental health and psychosocial care over the last two decades, particularly in the aftermath of major emergencies. However, research on the longer-term integration and sustainability of lay counselling interventions remains limited. This ethnographic study explored the meaning and importance of sustainability to different stakeholders in a lay counselling program implemented following Nepal's 2015 earthquake. We conducted participant observation in the everyday lives of five counsellors as well as four focus group discussions and 51 semi-structured interviews with counsellors and other key stakeholders. Our analysis revealed significant discrepancies in perceptions of sustainability; while organizations involved in implementing the program described it as a sustainability success due to continued government financing, counsellors emphasized their own and the government's failure to sustain high-quality service delivery in practice. Program-level barriers included inadequate budget and remuneration, lack of clinical supervision, and poor integration within existing systems. We also identified wider sociopolitical influences on sustainability, including the social positioning of counsellors, low understanding and acceptability of counselling, and a rapidly changing political landscape. These findings reveal the need for a critical approach to sustainability in global mental health, warning against superficial engagement that prioritizes continuity of government financing over quality of care and workers' rights. Advocating for an ecological orientation within sustainability research, we also discuss the importance of looking beyond program design factors to consider how local and national sociopolitical dynamics influence frontline service provision.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"6 ","pages":"Article 100359"},"PeriodicalIF":4.1,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Has population mental health returned to pre-pandemic levels, among and between racialized groups and by immigration status?","authors":"Caitlin Patler,&nbsp;Paola D. Langer","doi":"10.1016/j.ssmmh.2024.100362","DOIUrl":"10.1016/j.ssmmh.2024.100362","url":null,"abstract":"<div><div>The COVID-19 pandemic profoundly impacted population health, including mental health, in ways that were patterned unevenly by pre-existing systemic inequalities such as structural gendered racism and xenophobia. However, it remains unclear whether pandemic-related mental health deterioration has persisted over time. Drawing on theories of disruptive events and structural racism, we conceptualize the pandemic as a <em>prolonged macro-level disruptive event</em> with unequal ramifications for different racialized groups and by immigration status. We use six waves (2017–2022) of repeated cross-sectional data from the California Health Interview Survey (CHIS; N = 121,063) from men and women from nine racialized and immigration status groups (US-born citizens, naturalized citizens, and noncitizens of White, Latina/o, and Asian racialized groups, respectively). We use multivariable regression to examine changes in psychological distress within each group, and then assess patterns of racialized health disparities between Latina/o and Asian groups, respectively, compared to White US-born citizens, who occupy the most structurally privileged social status. Our analyses reveal several key findings. First, we observed persistent increases in psychological distress from 2020 through 2022, relative to the pre-pandemic period (2017–2019), for all racialized and immigration status groups, among men and women. Second, few groups had returned to pre-pandemic distress levels as of 2022. Third, there was a consistent health advantage for White US-born citizens across the pre-pandemic and pandemic years, whose highest post-pandemic distress measure was lower or equivalent to the pre-pandemic distress of US-born Latina/o and Asian groups. Fourth, the psychological distress gap between the White US-born population and US-born Latina/o and Asian groups, respectively, grew or held steady through 2022. Finally, the 2020–2022 period was associated with a reduction in pre-pandemic health advantages among Asian immigrant groups, relative to US-born White citizens, especially among men. Our findings provide strong evidence that population mental health has not recovered from the pandemic period.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"6 ","pages":"Article 100362"},"PeriodicalIF":4.1,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"State-level variation in the prevalence of child psychopathology symptoms in the US: Results from the ABCD study","authors":"Katherine M. Keyes ,&nbsp;Noah T. Kreski ,&nbsp;David Weissman ,&nbsp;Katie A. McLaughlin","doi":"10.1016/j.ssmmh.2024.100361","DOIUrl":"10.1016/j.ssmmh.2024.100361","url":null,"abstract":"<div><h3>Objective</h3><div>To estimate the prevalence of clinically meaningful youth mood, anxiety, behavioral, and attention symptoms across US states.</div></div><div><h3>Method</h3><div>Data are drawn from the Adolescent Brain Cognitive Development (ABCD) study baseline wave, which included 11,876 children ages 9–10. Statistical weighting strategies generated projected state-specific prevalence estimates for the 17 states where ABCD collected data based on state socio-demographics. Twenty dimensions of mental health were assessed with the Child Behavior Checklist using recommended cut-scores to assess clinical and sub-threshold symptoms.</div></div><div><h3>Results</h3><div>Psychopathology symptom prevalence varied by state and outcome. Projected prevalence of internalizing problems ranged from 11.0% [95% CI: 9.8%, 12.2%; Oklahoma] to 7.9% [95% CI: 6.9%, 9.0%; Maryland] across states. Projected prevalence of externalizing problems ranged from 6.9% [95% CI: 6.1%, 7.8%; South Carolina] to 4.5% [95% CI: 3.7%, 5.4%; California]. Regions with high symptoms included sections of the South (e.g., Oklahoma, South Carolina) and Vermont. Conduct problems had the most variability across states (i.e., greatest state-level prevalence 91% higher than the lowest). Attention problems had the least variability across states (greatest state-level prevalence 26% higher than the lowest).</div></div><div><h3>Conclusions</h3><div>Clinically meaningful psychopathology symptoms are common in children across the US, with substantial state-level variability in prevalence. Understanding variability in the prevalence of psychopathology symptoms across the US can help to inform resource allocation to increase the availability of youth mental health services.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"6 ","pages":"Article 100361"},"PeriodicalIF":4.1,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142560790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions around occupational mental well-being of community health workers and an intervention package for its promotion: A mixed-methods study in rural Chiapas, Mexico","authors":"Jack Sullivan ,&nbsp;Zeus Aranda ,&nbsp;Manvit Adusumilli ,&nbsp;Anna Martens ,&nbsp;Ariwame Jiménez","doi":"10.1016/j.ssmmh.2024.100360","DOIUrl":"10.1016/j.ssmmh.2024.100360","url":null,"abstract":"<div><h3>Background</h3><div>The challenging working conditions experienced by community health workers (CHWs) have an impact on their mental health, as detected by the NGO Compañeros En Salud (CES) in rural Mexico. In response to this situation, CES designed through a participatory process a package of interventions to promote the mental well-being of CHWs, beginning implementation in 2021. The objective of the present study was to learn how CES CHWs' work affects their mental well-being and to evaluate the intervention package to promote CHWs’ mental well-being implemented by CES.</div></div><div><h3>Methods</h3><div>In June–August 2023, 52 CHWs from the CES-supported communities participated in the study, responding to a survey and participating in 10 focus group discussions. Quantitative data were analyzed using statistical descriptive analysis and qualitative data using thematic analysis.</div></div><div><h3>Findings</h3><div>Participants highlighted the impact on their communities as one of the main aspects of their job that contribute positively to their mental well-being, as well as the challenging work-life balance as one of the main aspects that contribute negatively. As for the interventions, most participants considered them significant and positive for their mental well-being, highlighting positive aspects such as the possibility of creating community with their peers or a feeling of self-efficacy. However, the access to interventions was uneven among participants and most interventions presented areas for improvement, such as the periodicity of psychological distress screening or the response time to material needs.</div></div><div><h3>Conclusions</h3><div>Efforts to support CHW well-being in the areas they signal as needs can impact their experiences around work and their perceived well-being. Access to work materials, preparedness on clinical topics, and relationships with their teams are key areas that may have a bearing on CHWs' emotional and mental well-being. Interventions aimed at these areas can positively impact CHWs’ self-efficacy, their community with each other, and their interactions with patients.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"6 ","pages":"Article 100360"},"PeriodicalIF":4.1,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142538831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unveiling the impacts of exposure and social proximity to suicidality on help-seeking behavior among the young generation","authors":"Sijia Li ,&nbsp;Alvin Junus ,&nbsp;Paul Siu Fai Yip","doi":"10.1016/j.ssmmh.2024.100357","DOIUrl":"10.1016/j.ssmmh.2024.100357","url":null,"abstract":"<div><div>Each suicide affects a wide circle of individuals and increases in suicide rate imply that a larger share of the population would be exposed to suicidality. This exposure may alter individuals' tendency to seek help when they face distress and is influenced by social proximity. However, limited evidence has clarified the direct and moderating effect of social proximity to suicidality on help-seeking behavior. Data were collected from a population-representative survey conducted in 2021. We recruited 1501 individuals aged 11–35 years with random sampling through mobile phone numbers. Exposure and social proximity to suicidality were measured as independent variables and help-seeking behaviors were outcomes, along with sociodemographics, psychological distress, and mental health risks as covariates. We employed latent class analysis to identify help-seeking behavior patterns and conducted multinomial logistic regressions with a three-way interaction to investigate the direct and moderating effects of social proximity to suicide ideation (SI), self-harm (SH), and suicide attempt (SA) on each help-seeking behavior pattern separately. Each unit increase in social proximity to SH was associated with a 30.9% higher likelihood of seeking help from family, friends, and partners even after controlling for distress and mental health risks. Furthermore, the three-way interaction (<em>β</em>₁₂₃ = 0.041, 95% CI [0.014, 0.069]) suggested joint moderating effects of social proximity among people who did not rely on family. The effect of social proximity to any single stage of suicidality was amplified only when people were not exposed to the other two stages. Closer social proximity to suicidality could heighten the probability of individuals seeking help from family, friends, and partners regardless of distress level, with SH exposure's effects being stronger than SI's and SA's. Initial exposure to any single stage of suicidality could have a stronger effect than subsequent exposures among individuals who did not rely on family.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"6 ","pages":"Article 100357"},"PeriodicalIF":4.1,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Power sharing in community-engaged research with Syrian refugees in Lebanon: Using community engagement to shape intervention fit to context","authors":"R. Nakkash ,&nbsp;M. Fares ,&nbsp;M. Tleis ,&nbsp;S. Mugharbil ,&nbsp;M. Antaby ,&nbsp;H. Al Masri ,&nbsp;L. Ghandour ,&nbsp;F. Al Halabi ,&nbsp;Y. Najjar ,&nbsp;B. Louis ,&nbsp;R. Afifi","doi":"10.1016/j.ssmmh.2024.100358","DOIUrl":"10.1016/j.ssmmh.2024.100358","url":null,"abstract":"<div><div>Our study assesses the community-engaged research approach (CEnR) followed during the planning phase for a randomized controlled trial designed to assess how young adult Syrian refugees living in the Bekaa region of Lebanon implementing PM+ with adults in their community will be impacted themselves. We aim to describe the community-engaged research process implemented in our study, and the impact of community engagement on the process of adaptation of the intervention, and the design of the study.</div></div><div><h3>Methods</h3><div>Community-engaged research (CEnR) was used to adapt this intervention to the context of the young adult Syrian refugee community in Lebanon by forming a community alliance committee (CAC). Twelve members from the Syrian refugee community in the Bekaa, Lebanon with different professional and socio-demographic characteristics who have lived experience or expertise related to mental health, education, health more generally, or young adults were invited to join a community alliance committee. Thematic analysis was conducted for two sources of data: (1) minutes of the CAC meetings; (2) in-depth interviews conducted with five CAC members. Findings demonstrate that community-engaged research increases rigor and relevance of the intervention and influenced outcomes, process, and context measures. Suggested modifications made by the CAC members enhanced the social and cultural relevance of the intervention, the measurement tools, and the study's approach.</div></div><div><h3>Conclusion</h3><div>Our results showed that a CEnR process contributes to building trust with the community, creating a safe space for everyone to share their inputs, and when integrating those inputs into the adaptation of the intervention, results in a more contextualized intervention.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"6 ","pages":"Article 100358"},"PeriodicalIF":4.1,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}