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Abstract：
ABSTRACTBackground: Feasibility studies with non-French speaking migrants in France are needed to inform appropriate adaptation of psychosocial intervention procedures.Objective: To test the WHO Problem Management Plus (PM+) intervention protocol for Arabic-speaking migrants in the Paris metropolitan region.Methods: Between 2019 and 2021 we recruited participants from three accommodation centres receiving asylum seekers or migrants experiencing social and economic difficulties. Participants experiencing psychological distress underwent five PM + sessions with trained helpers. Feasibility was evaluated through 15 interviews with 8 participants, 4 helpers, and 3 study supervisors. Interview topics covered PM + implementation in general and for each component. We also sought to understand problems with delivery and gathered suggestions for improvement. Data were analysed thematically using a deductive approach.Results: We found implementation of PM + to be feasible, with predominantly positive reactions from participants, helpers and study staff. All intervention components were considered beneficial, with breathing exercises considered easy to implement and often sustained. Selection of problems and strategies to address them were described as challenging to execute. Psychosocial support from and rapport with helpers and the use of the native language were considered key strengths of the programme. However, we observed the need for complementary or higher intensity psychological support in some cases. Findings also highlighted the importance of addressing distress among non-specialist helpers delivering PM + . Finally, local guidance to social resources were suggested to be added in the protocol.Conclusion: PM + was well-liked and feasible, with cultural adjustments and increased access to community resources for migrants needed.
The World Health Organization Problem Management Plus (PM+) intervention was found to be a feasible and acceptable intervention for Arabic-speaking migrants in the Paris metropolitan region, with participants reporting improved mental health outcomes and satisfaction with the programme.The features of psychosocial support from and rapport with non-specialist helpers delivering PM + and the use of the native language were considered key strengths of the programme.The study documented perceived benefits of expanding PM + in scope and length, suggests the need for additional mental health services for non-specialist helpers, and highlights the importance of considering cultural and linguistic factors when providing mental health services to asylum seekers or migrants experiencing social and economic difficulties.
The World Health Organization Problem Management Plus (PM+) intervention was found to be a feasible and acceptable intervention for Arabic-speaking migrants in the Paris metropolitan region, with participants reporting improved mental health outcomes and satisfaction with the programme.The features of psychosocial support from and rapport with non-specialist helpers delivering PM + and the use of the native language were considered key strengths of the programme.The study documented perceived benefits of expanding PM + in scope and length, suggests the need for additional mental health services for non-specialist helpers, and highlights the importance of considering cultural and linguistic factors when providing mental health services to asylum seekers or migrants experiencing social and economic difficulties.
摘要：
背景：需要对法国的非法语移民进行可行性研究，以告知适当的社会心理干预程序的适应。目标：测试针对巴黎大都市地区讲阿拉伯语的移民的WHO问题管理加（PM）干预方案。方法：在2019年至2021年之间，我们从三个住宿中心招募了参与者，这些中心接收了经历社会和经济困难的寻求庇护者或移民。经历心理困扰的参与者与训练有素的助手进行了五次PM+会议。通过与8名参与者的15次访谈评估了可行性，4帮助者,和3名学习主管。面试主题涵盖了PM+的一般实施和每个组件。我们还试图了解交付问题，并收集改进建议。使用演绎方法对数据进行主题分析。结果：我们发现PM+的实施是可行的，参与者主要有积极的反应，助手和研究人员。所有干预成分都被认为是有益的，呼吸练习被认为易于实施且经常持续。选择问题和解决问题的策略被描述为具有挑战性的执行。该计划的主要优势是来自助手的心理社会支持和与助手的融洽以及使用母语。然而,我们观察到在某些情况下需要补充或更高强度的心理支持。调查结果还强调了解决提供PM+的非专业助手中的困扰的重要性。最后,建议在协议中增加对社会资源的地方指导。结论：PM+是受欢迎且可行的，随着文化调整和增加移民获得社区资源的机会。
世界卫生组织的问题管理加（PM+）干预被认为是一个可行的和可接受的干预措施，在巴黎大都市地区讲阿拉伯语的移民，参与者报告改善了心理健康结果和对该计划的满意度。该计划的主要优势是来自非专业助手的心理社会支持和融洽关系以及使用母语。这项研究记录了在范围和长度上扩大PM+的感知好处，建议需要为非专业助手提供额外的心理健康服务，并强调在向面临社会和经济困难的寻求庇护者或移民提供心理健康服务时考虑文化和语言因素的重要性。
世界卫生组织的问题管理加（PM+）干预被认为是一个可行的和可接受的干预措施，在巴黎大都市地区讲阿拉伯语的移民，参与者报告改善了心理健康结果和对该计划的满意度。该计划的主要优势是来自非专业助手的心理社会支持和融洽关系以及使用母语。这项研究记录了在范围和长度上扩大PM+的感知好处，建议需要为非专业助手提供额外的心理健康服务，并强调在向面临社会和经济困难的寻求庇护者或移民提供心理健康服务时考虑文化和语言因素的重要性。
