Effects of an exercise and sport intervention among refugees living in a Greek refugee camp on mental health, physical fitness and cardiovascular risk markers: study protocol for the SALEEM pragmatic randomized controlled trial

Abstract Background Due to ongoing political and social conflicts, the number of international refugees has been increasing. Refugees are exposed to severe mental and physical strain, as well as traumatic experiences during their flight. Therefore, the risk of psychiatric disorders is markedly incre...

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Autores principales:	Markus Gerber, Flora Colledge, Dominique de Quervain, Konstantinia Filippou, Elsa Havas, Florian Knappe, Sebastian Ludyga, Marianne Meier, Ioannis D. Morres, Alexandros Panagos, Uwe Pühse, Karim Ramadan, Harald Seelig, Yannis Theodorakis, Roland von Känel, Antonis Hatzigeorgiadis
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Asylum seekers Cardiovascular risk Exercise Fitness Greece Mental health Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/f50e2d476f5d454f82dc978ead01cb2f
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spelling	oai:doaj.org-article:f50e2d476f5d454f82dc978ead01cb2f2021-11-28T12:28:42ZEffects of an exercise and sport intervention among refugees living in a Greek refugee camp on mental health, physical fitness and cardiovascular risk markers: study protocol for the SALEEM pragmatic randomized controlled trial10.1186/s13063-021-05808-21745-6215https://doaj.org/article/f50e2d476f5d454f82dc978ead01cb2f2021-11-01T00:00:00Zhttps://doi.org/10.1186/s13063-021-05808-2https://doaj.org/toc/1745-6215Abstract Background Due to ongoing political and social conflicts, the number of international refugees has been increasing. Refugees are exposed to severe mental and physical strain, as well as traumatic experiences during their flight. Therefore, the risk of psychiatric disorders is markedly increased among international refugees. International organizations have criticized the lack of early interventions as a key problem, because untreated mental disorders are often difficult to cure at a later stage. Today, exercise and sport have been successfully employed to treat a wide range of psychiatric disorders. With patients with post-traumatic stress disorders (PTSD), very limited empirical evidence exists, and studies carried out with international refugees are nearly non-existent. Methods We intend to implement a pragmatic randomized controlled trial (RCT) with an exercise and sport intervention group (n = 68, 50% women) and a wait-list control group (n = 68, 50% women) in the Koutsochero refugee camp, located close to the city of Larissa (Greece). During the RCT, exercise and sport will be offered five times per week (60 min/session) for 10 weeks. Participants will be asked to participate in at least two sessions per week. The programme is developed according to the participants’ needs and preferences and they will be able to choose between a range of activities. PTSD symptoms will serve as primary outcome, and several secondary outcomes will be assessed. Qualitative data collection methods will be used to gain a more in-depth appraisal of the participants’ perception of the intervention programme. In the second year of study, the programme will be opened to all camp residents. A strategy will be developed how the programme can be continued after the end of the funding period, and how the programme can be scaled up beyond the borders of the Koutsochero camp. Discussion By moving towards the primary prevention of chronic physical conditions and psychiatric disorders, a relevant contribution can be done to enhance the quality and quantity of life of refugee camp residents in Greece. Our findings may also strengthen the evidence for exercise as medicine as a holistic care option in refugee camps, by helping camp residents to adopt and maintain a physically active lifestyle. Trial registration The study was registered prospectively on the 8 February 2021 with ISRCTN https://www.isrctn.com/ISRCTN16291983Markus GerberFlora ColledgeDominique de QuervainKonstantinia FilippouElsa HavasFlorian KnappeSebastian LudygaMarianne MeierIoannis D. MorresAlexandros PanagosUwe PühseKarim RamadanHarald SeeligYannis TheodorakisRoland von KänelAntonis HatzigeorgiadisBMCarticleAsylum seekersCardiovascular riskExerciseFitnessGreeceMental healthMedicine (General)R5-920ENTrials, Vol 22, Iss 1, Pp 1-17 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Asylum seekers Cardiovascular risk Exercise Fitness Greece Mental health Medicine (General) R5-920
spellingShingle	Asylum seekers Cardiovascular risk Exercise Fitness Greece Mental health Medicine (General) R5-920 Markus Gerber Flora Colledge Dominique de Quervain Konstantinia Filippou Elsa Havas Florian Knappe Sebastian Ludyga Marianne Meier Ioannis D. Morres Alexandros Panagos Uwe Pühse Karim Ramadan Harald Seelig Yannis Theodorakis Roland von Känel Antonis Hatzigeorgiadis Effects of an exercise and sport intervention among refugees living in a Greek refugee camp on mental health, physical fitness and cardiovascular risk markers: study protocol for the SALEEM pragmatic randomized controlled trial
description	Abstract Background Due to ongoing political and social conflicts, the number of international refugees has been increasing. Refugees are exposed to severe mental and physical strain, as well as traumatic experiences during their flight. Therefore, the risk of psychiatric disorders is markedly increased among international refugees. International organizations have criticized the lack of early interventions as a key problem, because untreated mental disorders are often difficult to cure at a later stage. Today, exercise and sport have been successfully employed to treat a wide range of psychiatric disorders. With patients with post-traumatic stress disorders (PTSD), very limited empirical evidence exists, and studies carried out with international refugees are nearly non-existent. Methods We intend to implement a pragmatic randomized controlled trial (RCT) with an exercise and sport intervention group (n = 68, 50% women) and a wait-list control group (n = 68, 50% women) in the Koutsochero refugee camp, located close to the city of Larissa (Greece). During the RCT, exercise and sport will be offered five times per week (60 min/session) for 10 weeks. Participants will be asked to participate in at least two sessions per week. The programme is developed according to the participants’ needs and preferences and they will be able to choose between a range of activities. PTSD symptoms will serve as primary outcome, and several secondary outcomes will be assessed. Qualitative data collection methods will be used to gain a more in-depth appraisal of the participants’ perception of the intervention programme. In the second year of study, the programme will be opened to all camp residents. A strategy will be developed how the programme can be continued after the end of the funding period, and how the programme can be scaled up beyond the borders of the Koutsochero camp. Discussion By moving towards the primary prevention of chronic physical conditions and psychiatric disorders, a relevant contribution can be done to enhance the quality and quantity of life of refugee camp residents in Greece. Our findings may also strengthen the evidence for exercise as medicine as a holistic care option in refugee camps, by helping camp residents to adopt and maintain a physically active lifestyle. Trial registration The study was registered prospectively on the 8 February 2021 with ISRCTN https://www.isrctn.com/ISRCTN16291983
format	article
author	Markus Gerber Flora Colledge Dominique de Quervain Konstantinia Filippou Elsa Havas Florian Knappe Sebastian Ludyga Marianne Meier Ioannis D. Morres Alexandros Panagos Uwe Pühse Karim Ramadan Harald Seelig Yannis Theodorakis Roland von Känel Antonis Hatzigeorgiadis
author_facet	Markus Gerber Flora Colledge Dominique de Quervain Konstantinia Filippou Elsa Havas Florian Knappe Sebastian Ludyga Marianne Meier Ioannis D. Morres Alexandros Panagos Uwe Pühse Karim Ramadan Harald Seelig Yannis Theodorakis Roland von Känel Antonis Hatzigeorgiadis
author_sort	Markus Gerber
title	Effects of an exercise and sport intervention among refugees living in a Greek refugee camp on mental health, physical fitness and cardiovascular risk markers: study protocol for the SALEEM pragmatic randomized controlled trial
title_short	Effects of an exercise and sport intervention among refugees living in a Greek refugee camp on mental health, physical fitness and cardiovascular risk markers: study protocol for the SALEEM pragmatic randomized controlled trial
title_full	Effects of an exercise and sport intervention among refugees living in a Greek refugee camp on mental health, physical fitness and cardiovascular risk markers: study protocol for the SALEEM pragmatic randomized controlled trial
title_fullStr	Effects of an exercise and sport intervention among refugees living in a Greek refugee camp on mental health, physical fitness and cardiovascular risk markers: study protocol for the SALEEM pragmatic randomized controlled trial
title_full_unstemmed	Effects of an exercise and sport intervention among refugees living in a Greek refugee camp on mental health, physical fitness and cardiovascular risk markers: study protocol for the SALEEM pragmatic randomized controlled trial
title_sort	effects of an exercise and sport intervention among refugees living in a greek refugee camp on mental health, physical fitness and cardiovascular risk markers: study protocol for the saleem pragmatic randomized controlled trial
publisher	BMC
publishDate	2021
url	https://doaj.org/article/f50e2d476f5d454f82dc978ead01cb2f
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Effects of an exercise and sport intervention among refugees living in a Greek refugee camp on mental health, physical fitness and cardiovascular risk markers: study protocol for the SALEEM pragmatic randomized controlled trial

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