Translating, contextually adapting, and pilot testing of psychosocial and mental health assessment instruments for Congolese refugees in Rwanda and Uganda.
Translating, contextually adapting, and pilot testing of psychosocial and mental health assessment instruments for Congolese refugees in Rwanda and Uganda.
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DOI：
10.1186/s13031-022-00447-z
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发表时间：
2022-04-15
影响因子：
3.6
通讯作者：
White, Ross G.
中科院分区：
文献类型：
--
作者：
Kasujja, Rosco;Bangirana, Paul;Chiumento, Anna;Hasan, Tasdik;Jansen, Stefan;Kagabo, Daniel M.;Popa, Maria;Ventevogel, Peter;White, Ross G.
关键词：
被迫流离失所的人更有可能经历可能对心理健康产生不利影响的情况。评估其心理健康和社会心理需求的文化和背景相关工具对于制定适当的干预措施和调查此类干预措施的有效性至关重要。我们进行了两个相关的研究：（1）翻译和情境适应病人健康问卷（PHQ-9），抑郁症的测量，沿着评估工具测量日常压力水平（日常和环境压力清单; CDES），社会资本（缩短和适应的社会资本评估工具; SASCAT）和感知的社会支持（感知社会支持多维度量表; MSPSS），用于刚果难民;（二）对评估工具进行试点测试（包括对参与者完成问卷的看法进行认知访谈）和对改编后的PHQ的验证-9采用“已知群体”办法，从卢旺达（n = 100）和乌干达（n = 100）的难民环境中招募刚果难民。研究1的结果是翻译和改编了评估工具。没有对SASCAT或MSPSS进行实质性调整，但在两个地点对CDES和PHQ-9进行了显著的语言和上下文调整。在研究2中进行的认知访谈表明，难民社区成员普遍接受经过调整的评估工具。参与者招募的基础上，当地的线人判定他们有高水平的抑郁症状有显着较高的PHQ-9评分（M = 11.02; SD = 5.84）相比，在组中判定有低水平的抑郁症状（M = 5.66; SD = 5.04）。在这两个地点，PHQ-9的改编版本通过与日常压力源水平显着正相关而证明了同时有效性。四个适应的评估工具中的每一个都至少在两个地点表现出足够的内部一致性。PHQ-9、CDES、SASCAT和MSPSS的修订版适用于在卢旺达和乌干达的刚果难民。我们建议进一步应用目前研究中使用的方法，以便根据人道主义背景调整其他评估工具。
Forcibly displaced people are at elevated risk of experiencing circumstances that can adversely impact on mental health. Culturally and contextually relevant tools to assess their mental health and psychosocial needs are essential to inform the development of appropriate interventions and investigate the effectiveness of such interventions. We conducted two related studies: (1) to translate and contextually adapt the Patient Health Questionnaire (PHQ-9), a measure of depressive symptomatology, along with assessment instruments measuring levels of daily stress (Checklist for Daily & Environmental Stressors; CDES), social capital (Shortened and Adapted Social Capital Assessment Tool; SASCAT) and perceived social support (Multidimensional Scale of Perceived Social Support; MSPSS) for use with Congolese refugees; (2) to conduct pilot testing of the assessment instruments (including cognitive interviewing about participants’ views of completing them) and a validation of the adapted PHQ-9 using a ‘known group’ approach by recruiting Congolese refugees from refugee settings in Rwanda (n = 100) and Uganda (n = 100). Study 1 resulted in the translation and adaptation of the assessment instruments. No substantive adaptations were made to the SASCAT or MSPSS, while notable linguistic and contextual adaptations were made in both sites to the CDES and the PHQ-9. The cognitive interviewing conducted in Study 2 indicated that the adapted assessment instruments were generally well received by members of the refugee communities. Participants recruited on the basis that local informants adjudged them to have high levels of depressive symptoms had significantly higher PHQ-9 scores (M = 11.02; SD = 5.84) compared to those in the group adjudged to have low levels of depressive symptoms (M = 5.66; SD = 5.04). In both sites, the adapted versions of the PHQ-9 demonstrated concurrent validity via significant positive correlations with levels of daily stressors. Each of the four adapted assessment instruments demonstrated at least adequate levels of internal consistency in both sites. The adapted versions of the PHQ-9, CDES, SASCAT and MSPSS are appropriate for use amongst Congolese refugees in Rwanda and Uganda. We recommend further application of the approaches used in the current studies for contextually adapting other assessment instruments in humanitarian settings.
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影响因子：
3.6
作者：
Chiumento A;Rutayisire T;Sarabwe E;Hasan MT;Kasujja R;Nabirinde R;Mugarura J;Kagabo DM;Bangirana P;Jansen S;Ventevogel P;Robinson J;White RG
通讯作者：
White RG
影响因子：
4.4
作者：
Azale T;Fekadu A;Hanlon C
通讯作者：
Hanlon C
影响因子：
4.4
作者：
Bapolisi, Achille Mwira;Song, Suzan J.;Ashaba, Scholastic
通讯作者：
Ashaba, Scholastic
DOI：
10.1111/j.1447-0756.2010.01204.x
发表时间：
2010-08-01
影响因子：
1.6
作者：
Akhtar, Athfah;Rahman, Atif;Husain, Nusrat
通讯作者：
Husain, Nusrat
影响因子：
1.9
作者：
Bolton, P
通讯作者：
Bolton, P