Implementation and Evaluation of Teaching Recovery Techniques (TRT) Among Asylum-seeking and Refugee Children
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 170
- 试验地点
- 16
- 主要终点
- Children's Revised Impact of Event Scale (CRIES-13)
研究概览
简要总结
A short term trauma-focused cognitive- behavioral program to reduce trauma-related mental health problems among asylum-seeking and refugee children.
The main hypothesis of the study is that the TRT program significantly improves mental health (i.e. reduces symptoms of post-traumatic symptoms, depression and generalized anxiety and increases perceived quality of life (Qol) in the intervention group compared to the waiting-list control group.
详细描述
Teaching Recovery Techniques (TRT) was developed by Children and War Foundation (www.childrenandwarfoundation.org ) as a tool to support children in coping with their mental reactions to being exposed to war and catastrophes. TRT has proven to be effective in reducing trauma-related mental health symptoms in such contexts. However, it has never been used with children experiencing all the uncertainties and stress of an asylum-seeking context, or with refugee children in high-income countries. The main aim of the present study is therefore to implement and evaluate the TRT among asylum-seeking and refugee children in the context of four different care conditions: 1)asylum-seeking children who arrived accompanied by a legal care-taker 2) asylum-seeking children less than 15 years in care centers administered by the Child Welfare Services 3) asylum-seeking children 15 years and older living in asylum centers regulated by the Directorate of Immigration 4) Former unaccompanied asylum-seeking children who have been granted residence (refugees) and are resettled in a municipality in Norway.
Based on Power analyses, the target group is 40 children in each care condition (total n = 160) > 9 years speaking Arabic, Tigrinya, Somali, Dari, or Pashto.
The study employs a randomized clustered experimental design that includes a waiting list control group, which will receive the TRT when the intervention group has completed the program.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Treatment
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 8 Years 至 20 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Accompanied asylum-seeking children living in reception centers,
- •Unaccompanied asylum-seeking children living in reception centers
- •Unaccompanied refugee minors who have been granted residence
- •Children in the target Groups reported symptoms of post-traumatic stress above clinical cut-off on Children's Revised Impact of Event Scale, 8 items
排除标准
- •Psychosis,
- •Mental disabilities
研究组 & 干预措施
Intervention group
Teaching Recovery Techniques implemented 1- 3 weeks after recruitment
干预措施: Teaching Recovery Techniques, TRT (Behavioral)
Wait-list control group
Delayed implementation of Teaching Recovery Techniques (after the experimental group has completed the program)
干预措施: Teaching Recovery Techniques, TRT (Behavioral)
结局指标
主要结局
Children's Revised Impact of Event Scale (CRIES-13)
时间窗: Change in CRIES-13 scores from baseline (T1) to two weeks (T2) and two months after intervention is completed.
Self-reported symptoms of intrusion, hyperarousal and avoidance. ' The participants check how often during the last week they had each symptom from "never" (0); "rarely" (1) "sometimes" (3) and "frequently" (5)
次要结局
- Screen for Child Anxiety Related Disorders (SCARED). 9 items tapping symptoms of generalized anxiety disorder, and 7 items tapping symptoms of social anxiety(Change in SCARED-scores from baseline (T1) to two weeks (T2) and two months after intervention is completed.)
- Cantril Ladder(Change in scores from baseline (T1) to two weeks (T2) and two months after intervention is completed.)
- Montgomery-Aasberg Depression Scale, MADRS(Change in MADRS-scores from baseline (T1) to two weeks (T2) and two months after intervention is completed.)
研究者
Brit Oppedal
Principal Investigator
Norwegian Institute of Public Health