Feasibility trial of a brief scalable psychological intervention for Syrian refugee adolescents in Jordan
Background Most refugees are less than 18 years and at heightened risk of common mental disorders (CMDs) relative to other youth. Limited evidence exists for psychosocial programsfor youth in low-resource settings. Early Adolescent Skills for Emotions (EASE) was developed by the World Health Organiz...
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Taylor & Francis Group
2021
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oai:doaj.org-article:c808ea51b5ce45d6a269c937287498962021-12-01T14:40:59ZFeasibility trial of a brief scalable psychological intervention for Syrian refugee adolescents in Jordan2000-806610.1080/20008198.2021.1901408https://doaj.org/article/c808ea51b5ce45d6a269c937287498962021-01-01T00:00:00Zhttp://dx.doi.org/10.1080/20008198.2021.1901408https://doaj.org/toc/2000-8066Background Most refugees are less than 18 years and at heightened risk of common mental disorders (CMDs) relative to other youth. Limited evidence exists for psychosocial programsfor youth in low-resource settings. Early Adolescent Skills for Emotions (EASE) was developed by the World Health Organization to address this gap. Objectives This study tested the safety, feasibility, and trial procedures of the EASE intervention among Syrian refugee youth in preparation for a definitive randomized controlled trial (RCT). Methods A feasibility RCT was conducted in Amman, Jordan with Syrian children aged 10–14 years who reported psychological distress. Following community screening, youth and their caregivers were randomized to receive either the EASE intervention or enhanced treatment as usual (ETAU). EASE comprised seven group sessions teaching children coping skills, and caregivers received three group sessions to augment the youth sessions. Assessments were conducted at baseline and 1 week following the last EASE session (8 weeks following baseline). Following the trial, a qualitative process evaluation with staff and beneficiaries took place. Primary outcomes were safety and feasibility indicators, and distress was measured by the Paediatric Symptom Checklist. Results In November 2018, 179 children were screened; 61 (33%) met criteria for distress (34.1%), two were excluded for suicidal risk, and 59 were randomized (EASE = 33, ETAU = 26). Of those who received EASE, 26 children (79%) completed the intervention. Group attendance was high and no adverse events were reported in either arm. Psychological distress did not show signs of abating in either group over time. Conclusion This feasibility trial demonstrated the safety and acceptability of the intervention. Important lessons were learnt regarding entry criteria into the study and engagement of caregivers in the intervention. A fully powered randomized controlled trial will be conducted to evaluate the efficacy of EASE.Aemal AkhtarAiysha MalikMaha GhatashehIbrahim Said AqelRand HabashnehKatie S. DawsonSarah WattsMark J. D. JordansFelicity BrownMarit SijbrandijPim CuijpersRichard BryantTaylor & Francis Grouparticlepsychological interventionadolescenttrialmental healthpsychosocial supportPsychiatryRC435-571ENEuropean Journal of Psychotraumatology, Vol 12, Iss 1 (2021) |
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psychological intervention adolescent trial mental health psychosocial support Psychiatry RC435-571 |
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psychological intervention adolescent trial mental health psychosocial support Psychiatry RC435-571 Aemal Akhtar Aiysha Malik Maha Ghatasheh Ibrahim Said Aqel Rand Habashneh Katie S. Dawson Sarah Watts Mark J. D. Jordans Felicity Brown Marit Sijbrandij Pim Cuijpers Richard Bryant Feasibility trial of a brief scalable psychological intervention for Syrian refugee adolescents in Jordan |
description |
Background Most refugees are less than 18 years and at heightened risk of common mental disorders (CMDs) relative to other youth. Limited evidence exists for psychosocial programsfor youth in low-resource settings. Early Adolescent Skills for Emotions (EASE) was developed by the World Health Organization to address this gap. Objectives This study tested the safety, feasibility, and trial procedures of the EASE intervention among Syrian refugee youth in preparation for a definitive randomized controlled trial (RCT). Methods A feasibility RCT was conducted in Amman, Jordan with Syrian children aged 10–14 years who reported psychological distress. Following community screening, youth and their caregivers were randomized to receive either the EASE intervention or enhanced treatment as usual (ETAU). EASE comprised seven group sessions teaching children coping skills, and caregivers received three group sessions to augment the youth sessions. Assessments were conducted at baseline and 1 week following the last EASE session (8 weeks following baseline). Following the trial, a qualitative process evaluation with staff and beneficiaries took place. Primary outcomes were safety and feasibility indicators, and distress was measured by the Paediatric Symptom Checklist. Results In November 2018, 179 children were screened; 61 (33%) met criteria for distress (34.1%), two were excluded for suicidal risk, and 59 were randomized (EASE = 33, ETAU = 26). Of those who received EASE, 26 children (79%) completed the intervention. Group attendance was high and no adverse events were reported in either arm. Psychological distress did not show signs of abating in either group over time. Conclusion This feasibility trial demonstrated the safety and acceptability of the intervention. Important lessons were learnt regarding entry criteria into the study and engagement of caregivers in the intervention. A fully powered randomized controlled trial will be conducted to evaluate the efficacy of EASE. |
format |
article |
author |
Aemal Akhtar Aiysha Malik Maha Ghatasheh Ibrahim Said Aqel Rand Habashneh Katie S. Dawson Sarah Watts Mark J. D. Jordans Felicity Brown Marit Sijbrandij Pim Cuijpers Richard Bryant |
author_facet |
Aemal Akhtar Aiysha Malik Maha Ghatasheh Ibrahim Said Aqel Rand Habashneh Katie S. Dawson Sarah Watts Mark J. D. Jordans Felicity Brown Marit Sijbrandij Pim Cuijpers Richard Bryant |
author_sort |
Aemal Akhtar |
title |
Feasibility trial of a brief scalable psychological intervention for Syrian refugee adolescents in Jordan |
title_short |
Feasibility trial of a brief scalable psychological intervention for Syrian refugee adolescents in Jordan |
title_full |
Feasibility trial of a brief scalable psychological intervention for Syrian refugee adolescents in Jordan |
title_fullStr |
Feasibility trial of a brief scalable psychological intervention for Syrian refugee adolescents in Jordan |
title_full_unstemmed |
Feasibility trial of a brief scalable psychological intervention for Syrian refugee adolescents in Jordan |
title_sort |
feasibility trial of a brief scalable psychological intervention for syrian refugee adolescents in jordan |
publisher |
Taylor & Francis Group |
publishDate |
2021 |
url |
https://doaj.org/article/c808ea51b5ce45d6a269c93728749896 |
work_keys_str_mv |
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