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Evaluation of a school-based intervention to promote mental health of refugee youth in Sweden (The RefugeesWellSchool Trial): study protocol for a cluster randomized controlled trial
Serena McDiarmid1  Anna Sarkadi1  Natalie Durbeej1  Inna Feldman1  Fatumo Osman2  An Verelst3  Ilse Derluyn3  Raija-Leena Punamäki4  Reeta Kankaanpää4  Per Kristian Hilden5  Arnfinn Andersen5 
[1] Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, BMC, Husargatan 3, 753 27, Uppsala, Sweden;Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, BMC, Husargatan 3, 753 27, Uppsala, Sweden;School of Education, Health and Social Studies, Dalarna University, 791 88, Falun, Sweden;Faculty of Psychology and Educational Sciences, Department of Social Work and Social Pedagogy, Centre for the Social Study of Migration and Refugees, Ghent University, Ghent, Belgium;Faculty of Social Sciences, Psychology, FI- 30014, University of Tampere, Tampere, Finland;Norwegian Centre for Violence and Traumatic Stress Studies, NO-0409, Oslo, Norway;
关键词: Teaching recovery techniques;    In-service teacher training;    Post-traumatic stress disorder;    Refugee youths;    School setting;   
DOI  :  10.1186/s13063-020-04995-8
来源: Springer
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【 摘 要 】

BackgroundSweden is home to a large and growing population of refugee youths who may be at risk of mental health problems such as post-traumatic stress disorder (PTSD). Thus, there is a need for interventions that address mental health problems in these populations. Schools have been identified as an ideal setting for delivering such interventions as they offer a non-stigmatizing space and are often central to young refugees’ social networks. The RefugeesWellSchool trial in Sweden will investigate an intervention comprising two programmes: Teaching Recovery Techniques (TRT) and In-service Teacher Training (INSETT), delivered in a school setting, among refugee youth. TRT is a group-based programme for children and adolescents, informed by Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). INSETT is a multi-module course for teachers providing information on trauma and the refugee experience to build teachers’ cultural competence and capacity for supporting refugee youths in schools.MethodsThis trial employs a cluster randomized-control design with two arms: (1) the intervention arm in which the TRT and INSETT programmes are offered (n = 350), (2) the wait-list control arm (n = 350) in which services are provided as usual until the TRT and INSETT programmes are offered approximately six months later. Data will be collected prior to the intervention, immediately following the intervention, and at three months post-intervention. Outcomes for the trial arms will be compared using linear mixed models or ANCOVA repeated measures as well as the Reliable Change Index (RCI).DiscussionThis study will provide knowledge about the effectiveness of an intervention comprising two programmes: a group-based programme for youth reporting symptoms of PTSD and a training course for teachers, in order to build their competence and ability to support refugee youths in schools.Trial registrationISRCTN, ISRCTN48178969, Retrospectively registered 20/12/2019.

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