背景:叙利亚的战争使680多万人流离失所,比第二次世界大战以来的任何其他冲突都要多。因此,叙利亚寻求庇护者和难民经历了几次改变生活的事件,导致高焦虑率,抑郁症,创伤后应激障碍,自杀意念(SI)。解决待遇差距,减轻求助负担,为一般人群制定的减少SI的网络干预措施在文化上适用于英国的叙利亚寻求庇护者和难民。研究表明,了解他们的迁徙经历和适应过程在为SI提供治疗方面的重要性。这项研究现在将评估针对该人群的文化适应干预措施的可行性和可接受性。
目的:研究的第一阶段将包括招募参与者并提供基于网络的干预措施(1)评估实现招募目标和招募率的可行性,以及(2)评估结果措施的可行性。研究的第二阶段将包括一对一的半结构化访谈(1),以评估文化适应的干预措施在招聘和遵守率以及参与的障碍和促进者方面的适用性,以及(2)评估干预措施的可接受性在文化相关性和适当性方面。
方法:这是一个单组协议,非控制,混合方法的可行性和可接受性研究文化适应的基于网络的干预措施,以减少在英国的叙利亚寻求庇护者和难民的SI。研究将评估招聘目标的可行性,招聘率,坚持率,和使用个体参与者跟踪表格的结果测量,将进行定量分析。将通过对12名完成干预的参与者进行一对一的半结构化访谈来评估干预措施的适用性和可接受性。将进行定性分析。
结果:招募于2024年2月开始,将持续到30名参与者被招募参加研究或直到2024年7月底。到目前为止,19名参与者提供了知情同意书,16人符合条件并注册,12人完成了干预后的采访。尚未分析任何数据。这项研究,包括撰写期,预计将于2024年12月结束。
结论:尽管经历了一些与被迫流离失所和心理健康问题高发有关的压力源,在英国的叙利亚寻求庇护者和难民获得治疗的机会仍然有限。解决待遇差距,减轻求助负担,与英国的叙利亚寻求庇护者和难民合作,在文化上调整了基于网络的干预措施,以减少SI。这项研究现在将评估干预措施和文化上适当的招聘策略的可行性和可接受性。
背景:ISRCTNISRCTN11417025;https://www.isrctn.com/ISRCTN11417025.
■PRR1-10.2196/56957。
BACKGROUND: The war in Syria has displaced over 6.8 million people, more than any other conflict since the Second World War. As a result, Syrian asylum seekers and refugees have experienced several life-changing events, resulting in high rates of anxiety, depression, posttraumatic stress disorder, and suicidal ideation (SI). To address the treatment gap and reduce the burden of help-seeking, a web-based intervention to reduce SI developed for general populations was culturally adapted for and with Syrian asylum seekers and refugees in the United Kingdom. The study revealed the importance of understanding their lived experience with migration and the acculturative process in providing treatment for SI. This study will now assess the feasibility and acceptability of the culturally adapted intervention for this population.
OBJECTIVE: The first phase of the study will include recruiting participants and delivering the web-based intervention (1) to assess the feasibility of meeting recruitment goals and recruitment rates and (2) to assess the feasibility of outcome measures. The second phase of the study will include one-to-one semistructured interviews (1) to assess the suitability of the culturally adapted intervention in terms of recruitment and adherence rates and barriers and facilitators to engagement and (2) to assess the acceptability of the intervention in terms of its cultural relevance and appropriateness.
METHODS: This is a protocol for a single-group, noncontrolled, mixed methods feasibility and acceptability study of a culturally adapted web-based intervention to reduce SI for Syrian asylum seekers and refugees in the United Kingdom. The study will assess the feasibility of recruitment goals, recruitment rates, adherence rates, and outcome measures using individual participant tracking forms, which will be analyzed quantitatively. The suitability and acceptability of the intervention will be assessed using one-to-one semistructured interviews with 12 participants who completed the intervention, which will be analyzed qualitatively.
RESULTS: Recruitment began in February 2024 and will run until 30 participants are recruited to the study or until the end of July 2024. Thus far, 19 participants have provided informed consent, 16 were eligible and enrolled, and 12 have completed a postintervention interview. No data have been analyzed. The study, including the write-up period, is expected to end in December 2024.
CONCLUSIONS: Despite experiencing several stressors related to forced displacement and high rates of mental health issues, access to treatment is still limited for Syrian asylum seekers and refugees in the United Kingdom. To address the treatment gap and reduce the burden of help-seeking, a web-based intervention to reduce SI was culturally adapted in collaboration with Syrian asylum seekers and refugees in the United Kingdom. This study will now assess the feasibility and acceptability of the intervention and culturally appropriate recruitment strategies.
BACKGROUND: ISRCTN ISRCTN11417025; https://www.isrctn.com/ISRCTN11417025.
UNASSIGNED: PRR1-10.2196/56957.