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- Title
Translation, adaptation, and pilot of a guided self- help intervention to reduce psychological distress in South Sudanese refugees in Uganda.
- Authors
Tol, W. A.; Augustinavicius, J.; Carswell, K.; Brown, F. L.; Adaku, A.; Leku, M. R.; García-Moreno, C.; Ventevogel, P.; White, R. G.; van Ommeren, M.
- Abstract
This paper describes the adaptation and piloting of a guided, multi-media, self-help intervention, Self-Help Plus (SH+), which was developed to reduce psychological distress in large groups of people affected by adversity. Methods. Using a phased approach that included community consultations, cognitive interviewing, facilitator training, pilot implementation, and a qualitative process evaluation, we adapted SH+ for use among South Sudanese refugees in a refugee settlement in northern Uganda. Results. The SH+ materials, including audio-recorded sessions and an accompanying illustrated manual, were translated into Juba Arabic. Cognitive interviewing primarily resulted in adaptations to language with some minor adaptations to content. Facilitator training and supervision led to further suggested changes to delivery methods. An uncontrolled pilot study (n = 65) identified changes in the expected direction on measures of psychological distress, functional impairment, depression, wellbeing, and psychological flexibility. The process evaluation resulted in further adaptations to intervention materials and the decision to focus future effectiveness evaluations of the intervention in its current form on South Sudanese female refugees. Conclusions. We found that this potentially scalable, guided self-help intervention could be adapted for and feasibly implemented among female South Sudanese refugees in northern Uganda. These findings lay the groundwork for a future rigorous evaluation of SH+ in this context.
- Subjects
UGANDA; JUBA (South Sudan); PSYCHOLOGICAL distress; PSYCHOTHERAPY; COGNITIVE interviewing; SUDANESE; REFUGEES; SELF-help techniques
- Publication
Global Mental Health, 2018, Vol 5, p447
- ISSN
2054-4251
- Publication type
Article
- DOI
10.1017/gmh.2018.14