Alexandra C E Bleile, Gabriela V Koppenol-Gonzalez, Bruce Orech, Katia Verreault, Mark J D Jordans
{"title":"评估针对乌干达难民儿童的基于运动的心理健康促进干预措施：一项准实验研究。","authors":"Alexandra C E Bleile, Gabriela V Koppenol-Gonzalez, Bruce Orech, Katia Verreault, Mark J D Jordans","doi":"10.1080/15374416.2024.2330073","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Mental health promotion interventions are widely implemented in humanitarian settings and low- and middle-income contexts (LMICs), yet evidence on effectiveness is scarce and mixed. This study evaluated the movement-based mental health promotion intervention \"<i>TeamUp</i>\" in Bidibidi refugee settlement, in Northern Uganda.</p><p><strong>Method: </strong>A quasi-experimental study including four schools (two per arm) assessed the outcomes of 10- to 15-year-old South Sudanese and Ugandan children (<i>n</i> = 549). Randomly allocated, they either participated in up to 11 <i>TeamUp</i> sessions (<i>n</i> = 265) provided by trained facilitators; or belonged to a control group, which continued care as usual (<i>n</i> = 284). Primary outcomes measured psychosocial wellbeing, friendships and attitude to school; secondary outcomes included traumatic distress, depressive symptoms, quality of life, physical health, bullying, interoceptive awareness, and irritability. Data were collected at baseline and endline.</p><p><strong>Results: </strong>Children joining <i>TeamUp</i>, showed significantly more improvements on primary outcomes: emotional and psychosocial wellbeing (M<sub>diff</sub> = -1.49, SE = 0.6, <i>p</i> = .01), satisfaction with and attitude toward school (-0.57, SE = 0.2, <i>p</i> = .004); and secondary outcomes: traumatic stress (2.64, SE = 0.8, <i>p</i> < .001), health-related quality of life (-1.56, SE = 0.4, <i>p</i> = .001), physical health (-0.78, SE = 0.3, <i>p</i> = .014) and the <i>TeamUp</i> mechanisms of action scale (-3.34, SE = 0.9, <i>p</i> < .001), specifically the subscales social connectedness (-0.74, SE = 0.3, <i>p</i> = .007) and sense of agency (-0.91, SE = 0.3, <i>p</i> = .005), compared to the control group. No significant differences were found on bullying, interoceptive awareness, irritability and depressive symptoms.</p><p><strong>Conclusion: </strong>The results are promising for <i>TeamUp</i> as a mental health promotion intervention for children affected by armed-conflict, displacement and on-going adversity. Further research will need to assess the intervention's effectiveness.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"1-16"},"PeriodicalIF":4.2000,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluating a Movement-Based Mental Health Promotion Intervention for Refugee Children in Uganda: A Quasi-Experimental Study.\",\"authors\":\"Alexandra C E Bleile, Gabriela V Koppenol-Gonzalez, Bruce Orech, Katia Verreault, Mark J D Jordans\",\"doi\":\"10.1080/15374416.2024.2330073\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Mental health promotion interventions are widely implemented in humanitarian settings and low- and middle-income contexts (LMICs), yet evidence on effectiveness is scarce and mixed. This study evaluated the movement-based mental health promotion intervention \\\"<i>TeamUp</i>\\\" in Bidibidi refugee settlement, in Northern Uganda.</p><p><strong>Method: </strong>A quasi-experimental study including four schools (two per arm) assessed the outcomes of 10- to 15-year-old South Sudanese and Ugandan children (<i>n</i> = 549). Randomly allocated, they either participated in up to 11 <i>TeamUp</i> sessions (<i>n</i> = 265) provided by trained facilitators; or belonged to a control group, which continued care as usual (<i>n</i> = 284). Primary outcomes measured psychosocial wellbeing, friendships and attitude to school; secondary outcomes included traumatic distress, depressive symptoms, quality of life, physical health, bullying, interoceptive awareness, and irritability. Data were collected at baseline and endline.</p><p><strong>Results: </strong>Children joining <i>TeamUp</i>, showed significantly more improvements on primary outcomes: emotional and psychosocial wellbeing (M<sub>diff</sub> = -1.49, SE = 0.6, <i>p</i> = .01), satisfaction with and attitude toward school (-0.57, SE = 0.2, <i>p</i> = .004); and secondary outcomes: traumatic stress (2.64, SE = 0.8, <i>p</i> < .001), health-related quality of life (-1.56, SE = 0.4, <i>p</i> = .001), physical health (-0.78, SE = 0.3, <i>p</i> = .014) and the <i>TeamUp</i> mechanisms of action scale (-3.34, SE = 0.9, <i>p</i> < .001), specifically the subscales social connectedness (-0.74, SE = 0.3, <i>p</i> = .007) and sense of agency (-0.91, SE = 0.3, <i>p</i> = .005), compared to the control group. 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引用次数: 0
摘要
目的：促进心理健康的干预措施在人道主义环境和中低收入国家（LMICs）中得到广泛实施，但有关其有效性的证据却很少，而且参差不齐。本研究评估了在乌干达北部比迪比迪难民定居点开展的以运动为基础的心理健康促进干预措施 "TeamUp"：一项包括四所学校（每组两所）的准实验研究对 10 至 15 岁的南苏丹和乌干达儿童（n = 549）的结果进行了评估。通过随机分配，他们要么参加由训练有素的辅导员提供的最多 11 节 TeamUp 课程（n = 265）；要么加入对照组，继续像往常一样接受护理（n = 284）。主要结果包括社会心理健康、友谊和对学校的态度；次要结果包括创伤困扰、抑郁症状、生活质量、身体健康、欺凌、感知间意识和易怒性。数据收集于基线和终点：结果：加入 TeamUp 的儿童在以下主要结果上有明显改善：情绪和社会心理健康（Mdiff = -1.49, SE = 0.6, p = .01）、对学校的满意度和态度（-0.57, SE = 0.2, p = .004）；次要结果：创伤压力（2.64，SE = 0.8，p p = .001）、身体健康（-0.78，SE = 0.3，p = .014）以及 TeamUp 行动机制量表（-3.34，SE = 0.9，p p = .007）和代理感（-0.91，SE = 0.3，p = .005）。在欺凌、感知间意识、易怒和抑郁症状方面没有发现明显差异：对于受武装冲突、流离失所和持续逆境影响的儿童而言，"团队协作 "作为一种促进心理健康的干预措施，其结果是有希望的。进一步的研究需要对干预措施的有效性进行评估。
Evaluating a Movement-Based Mental Health Promotion Intervention for Refugee Children in Uganda: A Quasi-Experimental Study.
Objective: Mental health promotion interventions are widely implemented in humanitarian settings and low- and middle-income contexts (LMICs), yet evidence on effectiveness is scarce and mixed. This study evaluated the movement-based mental health promotion intervention "TeamUp" in Bidibidi refugee settlement, in Northern Uganda.
Method: A quasi-experimental study including four schools (two per arm) assessed the outcomes of 10- to 15-year-old South Sudanese and Ugandan children (n = 549). Randomly allocated, they either participated in up to 11 TeamUp sessions (n = 265) provided by trained facilitators; or belonged to a control group, which continued care as usual (n = 284). Primary outcomes measured psychosocial wellbeing, friendships and attitude to school; secondary outcomes included traumatic distress, depressive symptoms, quality of life, physical health, bullying, interoceptive awareness, and irritability. Data were collected at baseline and endline.
Results: Children joining TeamUp, showed significantly more improvements on primary outcomes: emotional and psychosocial wellbeing (Mdiff = -1.49, SE = 0.6, p = .01), satisfaction with and attitude toward school (-0.57, SE = 0.2, p = .004); and secondary outcomes: traumatic stress (2.64, SE = 0.8, p < .001), health-related quality of life (-1.56, SE = 0.4, p = .001), physical health (-0.78, SE = 0.3, p = .014) and the TeamUp mechanisms of action scale (-3.34, SE = 0.9, p < .001), specifically the subscales social connectedness (-0.74, SE = 0.3, p = .007) and sense of agency (-0.91, SE = 0.3, p = .005), compared to the control group. No significant differences were found on bullying, interoceptive awareness, irritability and depressive symptoms.
Conclusion: The results are promising for TeamUp as a mental health promotion intervention for children affected by armed-conflict, displacement and on-going adversity. Further research will need to assess the intervention's effectiveness.
期刊介绍：
The Journal of Clinical Child and Adolescent Psychology (JCCAP) is the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association. It publishes original contributions on the following topics: (a) the development and evaluation of assessment and intervention techniques for use with clinical child and adolescent populations; (b) the development and maintenance of clinical child and adolescent problems; (c) cross-cultural and sociodemographic issues that have a clear bearing on clinical child and adolescent psychology in terms of theory, research, or practice; and (d) training and professional practice in clinical child and adolescent psychology, as well as child advocacy.
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