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.

Autor:	Greene MC; Program on Forced Migration and Health, Heilbrunn Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, NY, USA., Bonz AG; HIAS, Silver Spring, MD, USA., Cristobal M; HIAS, Silver Spring, MD, USA., Angulo A; HIAS Panamá, Panamá City, Panamá., Armijos A; HIAS Ecuador, Quito, Ecuador., Guevara ME; HIAS Ecuador, Quito, Ecuador., Vega C; HIAS Ecuador, Quito, Ecuador.; Global Health Section, Department of Public Health, University of Copenhagen, Copenhagen, Denmark., Benavides L; HIAS Ecuador, Quito, Ecuador., Corrales C; HIAS Panamá, Panamá City, Panamá., de la Cruz A; HIAS Ecuador, Quito, Ecuador., Lopez MJ; HIAS Ecuador, Quito, Ecuador., Moyano A; HIAS Ecuador, Quito, Ecuador., Murcia A; HIAS Panamá, Panamá City, Panamá., Noboa MJ; HIAS Ecuador, Quito, Ecuador., Rodriguez A; HIAS Panamá, Panamá City, Panamá., Solis J; HIAS Panamá, Panamá City, Panamá., Vergara D; HIAS Ecuador, Quito, Ecuador., Bollman EB; Program on Forced Migration and Health, Heilbrunn Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, NY, USA.; Department of Emergency Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA., Andersen LS; Global Health Section, Department of Public Health, University of Copenhagen, Copenhagen, Denmark., Wainberg M; Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA.; Department of Psychiatry, Columbia University New York State Psychiatric Institute, New York, NY, USA., Tol WA; Global Health Section, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.; Athena Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Jazyk:	angličtina
Zdroj:	Global mental health (Cambridge, England) [Glob Ment Health (Camb)] 2023 Jul 19; Vol. 10, pp. e42. Date of Electronic Publication: 2023 Jul 19 (Print Publication: 2023).
DOI:	10.1017/gmh.2023.37
Abstrakt:	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. Competing Interests: The authors declare no competing interests. (© The Author(s) 2023.)
Databáze:	MEDLINE
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