PDF(Pubmed)
Abstract：
UNASSIGNED: Research on cultural adaptation of psychological interventions indicates that a higher level of adaptation is associated with a higher effect size of the intervention. However, direct comparisons of different levels of adaptations are scarce.
UNASSIGNED: This study used a smartphone-based self-help programme called Step-by-Step (Albanian: Hap-pas-Hapi) for the treatment of psychological distress among Albanian-speaking immigrants in Switzerland and Germany. Two levels of cultural adaptation (i.e., surface vs. deep structure adaptation) were compared. We hypothesised that the deep structure adaptation would enhance the acceptance and efficacy of the intervention.
UNASSIGNED: We conducted a two-arm, single-blind randomised controlled trial. Inclusion criteria were good command of the Albanian language, age above 18, and elevated psychological distress (Kessler Psychological Distress Scale score above 15). Primary outcome measures were the total score of the Hopkins Symptom Checklist and the number of participants who completed at least three (out of five) sessions. Secondary outcomes were global functioning, well-being, post-traumatic stress, and self-defined problems.
UNASSIGNED: Two-hundred-twenty-two participants were included, of which 18 (8%) completed the post-assessments. The number of participants who completed the third session was equal in both conditions, with N = 5 (5%) and N = 6 (6%) respectively.
UNASSIGNED: Drop-out rates were high in both conditions, and no group difference was found regarding the acceptance of the intervention. The high drop-out rate stands in contrast with other trials testing Step-by-Step. Future research should examine cultural factors impacting recruitment strategies, as insights could help to reduce participant drop-out rates in clinical trials.
UNASSIGNED: This study used a smartphone-based self-help programme called Step-by-Step (Albanian: Hap-pas-Hapi) for the treatment of psychological distress among Albanian-speaking immigrants in Switzerland and Germany. Two levels of cultural adaptation (i.e., surface vs. deep structure adaptation) were compared. We hypothesised that the deep structure adaptation would enhance the acceptance and efficacy of the intervention.
UNASSIGNED: We conducted a two-arm, single-blind randomised controlled trial. Inclusion criteria were good command of the Albanian language, age above 18, and elevated psychological distress (Kessler Psychological Distress Scale score above 15). Primary outcome measures were the total score of the Hopkins Symptom Checklist and the number of participants who completed at least three (out of five) sessions. Secondary outcomes were global functioning, well-being, post-traumatic stress, and self-defined problems.
UNASSIGNED: Two-hundred-twenty-two participants were included, of which 18 (8%) completed the post-assessments. The number of participants who completed the third session was equal in both conditions, with N = 5 (5%) and N = 6 (6%) respectively.
UNASSIGNED: Drop-out rates were high in both conditions, and no group difference was found regarding the acceptance of the intervention. The high drop-out rate stands in contrast with other trials testing Step-by-Step. Future research should examine cultural factors impacting recruitment strategies, as insights could help to reduce participant drop-out rates in clinical trials.
摘要：
■关于心理干预的文化适应的研究表明，较高的适应水平与干预的较高效果大小有关。然而,不同适应水平的直接比较很少。
这项研究使用了一种基于智能手机的自助计划，称为“一步一步”（阿尔巴尼亚语：Hap-pas-Hapi），用于治疗瑞士和德国说阿尔巴尼亚语的移民的心理困扰。文化适应的两个层面(即，表面与深层结构适应)进行了比较。我们假设深层结构适应将增强干预的接受度和有效性。
■我们进行了双臂，单盲随机对照试验。纳入标准是对阿尔巴尼亚语的良好掌握，年龄在18岁以上，心理困扰升高（凯斯勒心理困扰量表评分在15分以上）。主要结果指标是霍普金斯症状检查表的总分和至少完成三次（五次）的参与者人数。次要结果是全球功能，幸福,创伤后应激,和自我定义的问题。
■包括22名参与者，其中18人(8%)完成了后评估。在两种情况下，完成第三届会议的参与者人数相等，N=5(5%)和N=6(6%)。
■在这两种情况下，脱落率都很高，在接受干预措施方面没有发现组间差异.高退出率与其他逐步测试的试验相反。未来的研究应该检查影响招聘策略的文化因素，作为见解可能有助于降低临床试验参与者的辍学率。
这项研究使用了一种基于智能手机的自助计划，称为“一步一步”（阿尔巴尼亚语：Hap-pas-Hapi），用于治疗瑞士和德国说阿尔巴尼亚语的移民的心理困扰。文化适应的两个层面(即，表面与深层结构适应)进行了比较。我们假设深层结构适应将增强干预的接受度和有效性。
■我们进行了双臂，单盲随机对照试验。纳入标准是对阿尔巴尼亚语的良好掌握，年龄在18岁以上，心理困扰升高（凯斯勒心理困扰量表评分在15分以上）。主要结果指标是霍普金斯症状检查表的总分和至少完成三次（五次）的参与者人数。次要结果是全球功能，幸福,创伤后应激,和自我定义的问题。
■包括22名参与者，其中18人(8%)完成了后评估。在两种情况下，完成第三届会议的参与者人数相等，N=5(5%)和N=6(6%)。
■在这两种情况下，脱落率都很高，在接受干预措施方面没有发现组间差异.高退出率与其他逐步测试的试验相反。未来的研究应该检查影响招聘策略的文化因素，作为见解可能有助于降低临床试验参与者的辍学率。
