Adapting DIALOG+ in a School Setting-A Tool to Support Well-being and Resilience in Adolescents Living in Postconflict Areas During the COVID-19 Pandemic: Protocol for a Cluster Randomized Exploratory Study.
Adapting DIALOG+ in a School Setting-A Tool to Support Well-being and Resilience in Adolescents Living in Postconflict Areas During the COVID-19 Pandemic: Protocol for a Cluster Randomized Exploratory Study.
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DOI：
10.2196/40286
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发表时间：
2022-11-09
影响因子：
1.7
通讯作者：
van Loggerenberg F
中科院分区：
文献类型：
--
作者：
Gómez-Restrepo C;Sarmiento-Suárez MJ;Alba-Saavedra M;Bird VJ;Priebe S;van Loggerenberg F
哥伦比亚有着长期的武装冲突历史，严重影响了被迫境内流离失所和暴力的社区。暴力和武装冲突的受害者患精神疾病的比例较高，儿童和青少年尤其受到影响。然而，这一人群的心理健康需求往往被忽视，特别是在低收入和中等收入国家，资源稀缺加剧了全球COVID-19大流行进一步加剧的问题。因此，应特别注意制定针对这一群体的干预措施。我们的研究旨在利用利益相关者（教师和学生）的观点，将现有的以患者为中心的数字干预（称为DIALOG+）从临床环境调整为教育环境。我们的目标是评估实施这种干预的可行性，可接受性和估计的效果，作为识别和动员个人和社会资源的工具，以减轻社会困难的影响，促进心理健康。我们将在哥伦比亚托利马冲突后地区的公立学校进行探索性混合方法研究。该研究包括3个阶段：适应，探索和巩固DIALOG+工具。适应阶段将根据教师和学生重点小组的数据，确定干预措施可能需要的变化。探索阶段将是一项探索性随机分组试验，由教师和学校辅导员评估DIALOG+在学校环境中对青少年的可接受性、可行性和估计效果。将在DIALOG+实施前后收集青少年的心理健康症状和健康数据。在此阶段，参与干预小组的教师或辅导员将通过有声思维方法分享他们的意见。最后，巩固阶段将包括两个焦点小组，教师和学生讨论他们的经验，并了解可接受性。研究招募于2022年3月完成，预计随访将持续至2022年11月。这项探索性研究将评估哥伦比亚冲突后学校环境中的青少年对DIALOG+的可接受性、可行性和估计效果。使用这种技术支持的工具，旨在支持教师或辅导员和学生之间的互动，并提供一个有效的以学生为中心的沟通指导。这在学校和冲突后环境中都是一种创新方法，有助于改善哥伦比亚脆弱地区青少年的心理健康和福祉。后续研究将需要评估DIALOG+在教育背景下作为一种可行的选择来减少心理卫生保健获取的差距和不公平的有效性。ISRCTN登记处ISRCTN 14396374; https://www.isrctn.com/ISRCTN14396374? q=ISRCTN14396374 DERR1-10.2196/40286
Colombia has a long history of an armed conflict that has severely affected communities with forced internal displacement and violence. Victims of violence and armed conflicts have higher rates of mental health disorders, and children and adolescents are particularly affected. However, the mental health needs of this population are often overlooked, especially in low- and middle-Income countries, where scarcity of resources exacerbates the problem that has been further compounded by the global COVID-19 pandemic. Thus, special attention should be paid to the development of interventions that target this population. Our research aims to adapt an existing patient-centered digital intervention called DIALOG+ from a clinical setting to an educational setting using stakeholders’ (teachers’ and students’) perspectives. We aim to evaluate the feasibility, acceptability, and estimated effect of implementing this intervention as a tool for the identification and mobilization of personal and social resources to mitigate the impact of social difficulties and to promote mental well-being. We will conduct an exploratory mixed methods study in public schools of postconflict areas in Tolima, Colombia. The study consists of 3 phases: adaptation, exploration, and consolidation of the DIALOG+ tool. The adaptation phase will identify possible changes that the intervention requires on the basis of data from focus groups with teachers and students. The exploration phase will be an exploratory cluster randomized trial with teachers and school counselors to assess the acceptability, feasibility, and estimated effect of DIALOG+ for adolescents in school settings. Adolescents’ data about mental health symptoms and wellness will be collected before and after DIALOG+ implementation. During this phase, teachers or counselors who were part of the intervention group will share their opinions through the think-aloud method. Lastly, the consolidation phase will consist of 2 focus groups with teachers and students to discuss their experiences and to understand acceptability. Study recruitment was completed in March 2022, and follow-up is anticipated to last through November 2022. This exploratory study will evaluate the acceptability, feasibility, and estimated effect of DIALOG+ for adolescents in postconflict school settings in Colombia. The use of this technology-supported tool aims to support interactions between teachers or counselors and students and to provide an effective student-centered communication guide. This is an innovative approach in both the school and the postconflict contexts that could help improve the mental health and wellness of adolescents in vulnerable zones in Colombia. Subsequent studies will be needed to evaluate the effectiveness of DIALOG+ in an educational context as a viable option to reduce the gap and inequities of mental health care access. ISRCTN Registry ISRCTN14396374; https://www.isrctn.com/ISRCTN14396374?q=ISRCTN14396374 DERR1-10.2196/40286
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影响因子：
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作者：
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DOI：
10.26633/rpsp.2018.165
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影响因子：
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