Measuring the Health and Wellbeing Impacts of a Scalable Program of Psychosocial Intervention for Refugee Youth
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Stress, Psychological
- Sponsor
- Yale University
- Enrollment
- 817
- Locations
- 1
- Primary Endpoint
- Psychosocial Stress (International Measure)
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
The study aims to deliver a robust pre-post evaluation of the wellbeing impacts of an innovative, brief, and scalable psychosocial intervention, delivered to refugee youth living in urban settlements in Jordan. The study was conducted using two waves of data collection: the first featured an intervention and a matched control group, the second featured a full randomized control trial.
Detailed Description
This study will provide a robust evaluation of the Mercy Corps 'Advancing Adolescents, No Lost Generation' program that targets stress alleviation in refugee youth (12-18 years) with specific measures of psychosocial stress, biological stress, and cognitive function.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Eligible and enrolled in Mercy Corps Advancing Adolescents program
- •Syrian refugee and Jordanian host-community youth residing in 4 urban centers in northern Jordan
Exclusion Criteria
- •Not available for study recruitment (started sessions or deferred sessions before study start date).
Outcomes
Primary Outcomes
Psychosocial Stress (International Measure)
Time Frame: 11 weeks
Stress was measured using the Arabic version of the Perceived Stress Scale (Cohen, Karmarck, \& Mermelstein, 1983), validated with a Jordanian sample (Almadi, Cathers, Hamdan Mansour, \& Chow, 2012). This 14-item, 5-point Likert scale measures perceived stress over the last month, with higher scores indicating greater stress. Items include, "How often have you been upset because of something that happened unexpectedly?" and "How often have you been able to control irritations in your life?" (reverse-scored) (1 = Never, 5 = Very often).
Psychosocial Stress: Insecurity (Regional Measure)
Time Frame: 11 weeks
Insecurity was measured with The Human Insecurity (HI). This tool was developed for use in the West Bank (Ziadni, Hammoudeh et al. 2011, Hamayel, Ghandour et al. 2014). The 10-item scale is a 5-point Likert scale with scores expressed as percentages on a scale of 0-100. The HI covers issues such as worries regarding inability to obtain daily life necessities, losing a source of income, fears about the future, and family safety.
Psychosocial stress: Distress (Regional Measure)
Time Frame: 11 weeks
Distress was measured with the Human Distress scale (Hamayel \& Ghandour, 2014), developed for use with conflict-affected adolescents in the West Bank. The 12-item scale is a 5-point Likert scale with scores expressed as percentages on a scale of 0-100. Sample items include, "To what extent have you felt worried," "To what extent did you feel humiliated," and "To what extent did you feel angry." Scores are presented as percentages (0-100%), with higher scores indicating greater distress.
Secondary Outcomes
- Prosocial Behavior: International Measure(11 weeks)
- Resilience: Cross-cultural Measure(11 weeks)
- Biological Stress: Cortisol(11 weeks)
- Mental Health Difficulties: Regional Measure(11 weeks)
- Mental Health Difficulties: International Measure(11 weeks)
- Biological Stress: Cell-mediated Immune Function(11 weeks)
- Cognitive function(11 weeks)