Protocol for a Randomized Hybrid Type 2 Trial on the Implementation of Group Problem Management Plus (PM+) for Venezuelan Women Refugees and Migrants in Colombia

Sangraula, Manaswi; Greene, M.Claire; Castellar, Diany; Hoz, Jean Carlos Flechas dela; Diaz, Jennifer; Merino, Valeria; Miller-Suchet, Lucy; Cristobal, Maria; Coneo, Ana MariaChamorro; Morales, Luisa; Venegas, Marcela; Gonzalez, AbelGuerrero; DeLuca, Marilyn; Uribe, Miguel; Romero, SaraA; Ferrer, Monica; Snider, Leslie; Marsch, LisaA; Espinel, Zelde; Shultz, JamesM; Ventevogel, Peter; Kohrt, BrandonA; Ramirez, Camilo; Bonz, Annie; Herrera, Ana MariaTrejos; Brown, AdamD

doi:10.4103/intv.intv_4_23

Cited by 2 publications

(1 citation statement)

References 49 publications

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“…The objective of this study was to conduct a secondary analysis of a randomized effectiveness-implementation trial to explore moderators and mediators of Group PM+ in Barranquilla and Soledad, Colombia, using qualitative and quantitative data. Detailed study procedures are found in the protocol paper [31] and the original aims and findings of this study are described and analyzed in the parent study [31]. This study analyzed problem management skills obtained by participants 1 week after receiving the intervention (i.e., endline) as a mediating variable between Group PM+ session attendance and participant mental health outcomes.…”

Section: Introductionmentioning

confidence: 99%

Comparing Mediators and Moderators of Mental Health Outcomes from the Implementation of Group Problem Management Plus (PM+) among Venezuelan Refugees and Migrants and Colombian Returnees in Northern Colombia

Miller-Suchet,

Camargo,

Sangraula

et al. 2024

IJERPH

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Colombia hosts the largest number of refugees and migrants fleeing the humanitarian emergency in Venezuela, many of whom experience high levels of displacement-related trauma and adversity. Yet, Colombian mental health services do not meet the needs of this population. Scalable, task-sharing interventions, such as Group Problem Management Plus (Group PM+), have the potential to bridge this gap by utilizing lay workers to provide the intervention. However, the current literature lacks a comprehensive understanding of how and for whom Group PM+ is most effective. This mixed methods study utilized data from a randomized effectiveness-implementation trial to examine the mediators and moderators of Group PM+ on mental health outcomes. One hundred twenty-eight migrant and refugee women in northern Colombia participated in Group PM+ delivered by trained community members. Patterns in moderation effects showed that participants in more stable, less marginalized positions improved the most. Results from linear regression models showed that Group PM+-related skill acquisition was not a significant mediator of the association between session attendance and mental health outcomes. Participants and facilitators reported additional possible mediators and community-level moderators that warrant future research. Further studies are needed to examine mediators and moderators contributing to the effectiveness of task-shared, scalable, psychological interventions in diverse contexts.

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Section: Introductionmentioning

confidence: 99%

Comparing Mediators and Moderators of Mental Health Outcomes from the Implementation of Group Problem Management Plus (PM+) among Venezuelan Refugees and Migrants and Colombian Returnees in Northern Colombia

Miller-Suchet,

Camargo,

Sangraula

et al. 2024

IJERPH

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Psychological and social interventions for the promotion of mental health in people living in low- and middle-income countries affected by humanitarian crises

Papola,

Prina,

Ceccarelli

et al. 2024

Cochrane Database of Systematic Reviews

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Background Because of wars, conflicts, persecutions, human rights violations, and humanitarian crises, about 84 million people are forcibly displaced around the world; the great majority of them live in low‐ and middle‐income countries (LMICs). People living in humanitarian settings are affected by a constellation of stressors that threaten their mental health. Psychosocial interventions for people affected by humanitarian crises may be helpful to promote positive aspects of mental health, such as mental well‐being, psychosocial functioning, coping, and quality of life. Previous reviews have focused on treatment and mixed promotion and prevention interventions. In this review, we focused on promotion of positive aspects of mental health. Objectives To assess the effects of psychosocial interventions aimed at promoting mental health versus control conditions (no intervention, intervention as usual, or waiting list) in people living in LMICs affected by humanitarian crises. Search methods We searched CENTRAL, MEDLINE, Embase, and seven other databases to January 2023. We also searched the World Health Organization's (WHO) International Clinical Trials Registry Platform and ClinicalTrials.gov to identify unpublished or ongoing studies, and checked the reference lists of relevant studies and reviews. Selection criteria Randomised controlled trials (RCTs) comparing psychosocial interventions versus control conditions (no intervention, intervention as usual, or waiting list) to promote positive aspects of mental health in adults and children living in LMICs affected by humanitarian crises. We excluded studies that enrolled participants based on a positive diagnosis of mental disorder (or based on a proxy of scoring above a cut‐off score on a screening measure). Data collection and analysis We used standard Cochrane methods. Our primary outcomes were mental well‐being, functioning, quality of life, resilience, coping, hope, and prosocial behaviour. The secondary outcome was acceptability, defined as the number of participants who dropped out of the trial for any reason. We used GRADE to assess the certainty of evidence for the outcomes of mental well‐being, functioning, and prosocial behaviour. Main results We included 13 RCTs with 7917 participants. Nine RCTs were conducted on children/adolescents, and four on adults. All included interventions were delivered to groups of participants, mainly by paraprofessionals. Paraprofessional is defined as an individual who is not a mental or behavioural health service professional, but works at the first stage of contact with people who are seeking mental health care. Four RCTs were carried out in Lebanon; two in India; and single RCTs in the Democratic Republic of the Congo, Jordan, Haiti, Bosnia and Herzegovina, the occupied Palestinian Territories (oPT), Nepal, and Tanzania. The mean study duration ...

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Protocol for a Randomized Hybrid Type 2 Trial on the Implementation of Group Problem Management Plus (PM+) for Venezuelan Women Refugees and Migrants in Colombia

Cited by 2 publications

References 49 publications

Comparing Mediators and Moderators of Mental Health Outcomes from the Implementation of Group Problem Management Plus (PM+) among Venezuelan Refugees and Migrants and Colombian Returnees in Northern Colombia

Comparing Mediators and Moderators of Mental Health Outcomes from the Implementation of Group Problem Management Plus (PM+) among Venezuelan Refugees and Migrants and Colombian Returnees in Northern Colombia

Psychological and social interventions for the promotion of mental health in people living in low- and middle-income countries affected by humanitarian crises

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