Journal article
Syrian refugee young adults as community mental health workers implementing problem management plus: Protocol for a pilot randomized controlled trial to measure the mechanisms of effect on their own wellbeing, stress and coping
Contemporary clinical trials communications, Vol.40, 101325
08/2024
DOI: 10.1016/j.conctc.2024.101325
PMCID: PMC11263753
PMID: 39045391
Abstract
This pilot randomized controlled trial protocol aims to (1) assess the impact on the wellbeing of Syrian refugee young adults (18–24 years) of being a community mental health worker (CMHW) implementing WHO's evidence-based psychosocial intervention - Problem Management Plus (PM+) - with adults in their community, and (2) identify the mechanisms associated with the outcomes of enhanced wellbeing and coping, and reduced stress among these CMHWs. Over 108 million people have been forcibly displaced as of the end of 2022. Mental health consequences of these displacements are significant, yet human resources for health are not sufficient to meet the needs. A large proportion of refugee populations are youth and young adults (YA). Evidence indicates their engagement in supporting their communities leads to their own enhanced wellbeing and that of their community. This trial trains Syrian refugees to serve their communities as CMHW (n=19) or tutors (n=19) and compare wellbeing, stress and coping outcomes between these two groups and a control group (n = 40). We will also assess 7 mechanisms as potential pathways for the interventions to influence outcomes. Surveys will assess outcomes and mechanisms, hair samples will measure stress cortisol. The primary analysis will use a Bayesian Hierarchical Model approach to model the trajectories of the mechanisms and primary study endpoints over time for individuals in each of the arms. Our results will elucidate critical mechanisms in which engagement of young adults to support their community enhances their own wellbeing.
National Institutes of Mental Health, NCT05265611, Registered prospectively in 2021.
LBCTR2023015206, Registered in 2023.
Details
- Title: Subtitle
- Syrian refugee young adults as community mental health workers implementing problem management plus: Protocol for a pilot randomized controlled trial to measure the mechanisms of effect on their own wellbeing, stress and coping
- Creators
- Rima Nakkash - George Mason UniversityLilian Ghandour - American University of BeirutGrant Brown - University of IowaCatherine Panter-Brick - University of New HavenHailey Bomar - Community and Behavioral Health Department, College of Public Health, Iowa City, IA, USAMalak Tleis - American University of BeirutHanan Al Masri - American University of BeirutMarwa Fares - Multi-Aid Programs, Bekaa, LebanonFadi Al Halabi - Multi-Aid Programs, Bekaa, LebanonYamen Najjar - Multi-Aid Programs, Bekaa, LebanonBayan Louis - Multi-Aid Programs, Bekaa, LebanonMaha Hodroj - Lebanese National Mental Health Program, Lebanon Ministry of Public Health, Beirut, LebanonYara Chamoun - Saint Joseph UniversityMyriam Zarzour - Saint Joseph UniversityRima A. Afifi - Community and Behavioral Health Department, College of Public Health, Iowa City, IA, USA
- Resource Type
- Journal article
- Publication Details
- Contemporary clinical trials communications, Vol.40, 101325
- DOI
- 10.1016/j.conctc.2024.101325
- PMID
- 39045391
- PMCID
- PMC11263753
- NLM abbreviation
- Contemp Clin Trials Commun
- ISSN
- 2451-8654
- eISSN
- 2451-8654
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 08/2024
- Academic Unit
- Biostatistics; Injury Prevention Research Center; Community and Behavioral Health
- Record Identifier
- 9984652156902771
Metrics
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