M Claire Greene, Annie G Bonz, Maria Cristobal, Alejandra Angulo, Andrea Armijos, María E Guevara, Carolina Vega, Lucia Benavides, Christine Corrales, Alejandra de la Cruz, Maria J Lopez, Arianna Moyano, Andrea Murcia, Maria J Noboa, Abhimeleck Rodriguez, Jenifer Solis, Daniela Vergara, E Brennan Bollman, Lena S Andersen, Milton Wainberg, Wietse A Tol
{"title":"厄瓜多尔和巴拿马难民、移民和收容社区妇女群体心理社会干预的混合方法评估:Entre Nosotras集群随机可行性试验结果。","authors":"M Claire Greene, Annie G Bonz, Maria Cristobal, Alejandra Angulo, Andrea Armijos, María E Guevara, Carolina Vega, Lucia Benavides, Christine Corrales, Alejandra de la Cruz, Maria J Lopez, Arianna Moyano, Andrea Murcia, Maria J Noboa, Abhimeleck Rodriguez, Jenifer Solis, Daniela Vergara, E Brennan Bollman, Lena S Andersen, Milton Wainberg, Wietse A Tol","doi":"10.1017/gmh.2023.37","DOIUrl":null,"url":null,"abstract":"<p><p>Community-based psychosocial interventions are key elements of mental health and psychosocial support; yet evidence regarding their effectiveness and implementation in humanitarian settings is limited. This study aimed to assess the appropriateness, acceptability, feasibility and safety of conducting a cluster randomized trial evaluating two versions of a group psychosocial intervention. Nine community clusters in Ecuador and Panamá were randomized to receive the standard version of the <i>Entre Nosotras</i> intervention, a community-based group psychosocial intervention co-designed with community members, or an enhanced version of <i>Entre Nosotras</i> that integrated a stress management component. In a sample of 225 refugees, migrants and host community women, we found that both versions were safe, acceptable and appropriate. Training lay facilitators to deliver the intervention was feasible. Challenges included slow recruitment related to delays caused by the COVID-19 pandemic, high attrition due to population mobility and other competing priorities, and mixed psychometric performance of psychosocial outcome measures. Although the intervention appeared promising, a definitive cluster randomized comparative effectiveness trial requires further adaptations to the research protocol. Within this pilot study we identified strategies to overcome these challenges that may inform adaptations. This comparative effectiveness design may be a model for identifying effective components of psychosocial interventions.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":null,"pages":null},"PeriodicalIF":3.3000,"publicationDate":"2023-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579653/pdf/","citationCount":"0","resultStr":"{\"title\":\"Mixed-methods evaluation of a group psychosocial intervention for refugee, migrant and host community women in Ecuador and Panamá: Results from the <i>Entre Nosotras</i> cluster randomized feasibility trial.\",\"authors\":\"M Claire Greene, Annie G Bonz, Maria Cristobal, Alejandra Angulo, Andrea Armijos, María E Guevara, Carolina Vega, Lucia Benavides, Christine Corrales, Alejandra de la Cruz, Maria J Lopez, Arianna Moyano, Andrea Murcia, Maria J Noboa, Abhimeleck Rodriguez, Jenifer Solis, Daniela Vergara, E Brennan Bollman, Lena S Andersen, Milton Wainberg, Wietse A Tol\",\"doi\":\"10.1017/gmh.2023.37\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Community-based psychosocial interventions are key elements of mental health and psychosocial support; yet evidence regarding their effectiveness and implementation in humanitarian settings is limited. This study aimed to assess the appropriateness, acceptability, feasibility and safety of conducting a cluster randomized trial evaluating two versions of a group psychosocial intervention. Nine community clusters in Ecuador and Panamá were randomized to receive the standard version of the <i>Entre Nosotras</i> intervention, a community-based group psychosocial intervention co-designed with community members, or an enhanced version of <i>Entre Nosotras</i> that integrated a stress management component. In a sample of 225 refugees, migrants and host community women, we found that both versions were safe, acceptable and appropriate. Training lay facilitators to deliver the intervention was feasible. Challenges included slow recruitment related to delays caused by the COVID-19 pandemic, high attrition due to population mobility and other competing priorities, and mixed psychometric performance of psychosocial outcome measures. Although the intervention appeared promising, a definitive cluster randomized comparative effectiveness trial requires further adaptations to the research protocol. Within this pilot study we identified strategies to overcome these challenges that may inform adaptations. 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Mixed-methods evaluation of a group psychosocial intervention for refugee, migrant and host community women in Ecuador and Panamá: Results from the Entre Nosotras cluster randomized feasibility trial.
Community-based psychosocial interventions are key elements of mental health and psychosocial support; yet evidence regarding their effectiveness and implementation in humanitarian settings is limited. This study aimed to assess the appropriateness, acceptability, feasibility and safety of conducting a cluster randomized trial evaluating two versions of a group psychosocial intervention. Nine community clusters in Ecuador and Panamá were randomized to receive the standard version of the Entre Nosotras intervention, a community-based group psychosocial intervention co-designed with community members, or an enhanced version of Entre Nosotras that integrated a stress management component. In a sample of 225 refugees, migrants and host community women, we found that both versions were safe, acceptable and appropriate. Training lay facilitators to deliver the intervention was feasible. Challenges included slow recruitment related to delays caused by the COVID-19 pandemic, high attrition due to population mobility and other competing priorities, and mixed psychometric performance of psychosocial outcome measures. Although the intervention appeared promising, a definitive cluster randomized comparative effectiveness trial requires further adaptations to the research protocol. Within this pilot study we identified strategies to overcome these challenges that may inform adaptations. This comparative effectiveness design may be a model for identifying effective components of psychosocial interventions.
期刊介绍:
lobal Mental Health (GMH) is an Open Access journal that publishes papers that have a broad application of ‘the global point of view’ of mental health issues. The field of ‘global mental health’ is still emerging, reflecting a movement of advocacy and associated research driven by an agenda to remedy longstanding treatment gaps and disparities in care, access, and capacity. But these efforts and goals are also driving a potential reframing of knowledge in powerful ways, and positioning a new disciplinary approach to mental health. GMH seeks to cultivate and grow this emerging distinct discipline of ‘global mental health’, and the new knowledge and paradigms that should come from it.