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Lay-therapist-delivered, low-intensity, psychosocial intervention for refugees and asylum seekers (PROSPER): protocol for a pilot randomised controlled trial
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Lay therapist delivered low intensity psychosocial intervention for refugees and asylum seekers (PROSPER): protocol for a pilot randomised controlled trial.
Abstract: Background: Asylum seekers and refugees (AS&Rs) experience impaired mental health and wellbeing, related to stresses in their country of origin, experiences in transit and reception on arrival, including significant barriers to accessing mainstream services. Their contact with healthcare is often crisis-driven and mediated through non-governmental organisations (NGOs). Problem Management Plus (PM+) is a psychosocial intervention recommended by the World Health Organization to address distress experienced by adults affected by humanitarian crises. We are investigating its application for the first time in a high income country. Methods In a pilot randomised controlled trial, PM+ will be delivered to AS&Rs in contact with NGOs in Liverpool City Region, UK, by lay therapists who have lived experience of forced migration. Following systematic review and stakeholder engagement, PM+ has been adapted to the local context, and lay therapists have been trained in its delivery. We will assess the feasibility of conducting a three-arm RCT of five 90-minute sessions of PM+, delivered individually or in groups by lay therapists to AS&Rs experiencing emotional distress and functional impairment, compared with each other and with usual support offered by local NGOs. Distress and impairment at baseline will be measured by Hospital Anxiety and Depression Scale (HADS) and WHO Disability Assessment Schedule (WHO-DAS). We aim to recruit 105 participants, 35 per arm. Primary health outcomes are anxiety and depressive symptoms at 3 months, measured by HADS. Secondary outcomes include subjective wellbeing, functional status, progress on identified problems, post-traumatic stress disorder, depressive disorder and service usage. Longer term impact will be assessed at 6-months post baseline, on the same parameters. We will assess the feasibility of conducting a full RCT in relation to the following elements: recruitment and retention of lay therapists and study participants; fidelity of delivery of PM+; and suitability of the study measures, including any linguistic or cultural barriers. Discussion We will use these findings to specify the parameters for a full randomised controlled trial to test the effectiveness and cost effectiveness of PM+ in reducing emotional distress and health inequalities, and improving functional ability and wellbeing, amongst asylum seekers and refugees.
URL: http://livrepository.liverpool.ac.uk/3118256/1/TRLS-D-20-00025_R1%20%281%29.pdf
http://livrepository.liverpool.ac.uk/3118256/
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3
Aggie Recreation Center Impact Report Fall 2015 to Spring 2019
In: Publications (2019)
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4
Sound change and social meaning: the perception and production of phonetic change in York, Northern England
Lawrence, Daniel. - : The University of Edinburgh, 2018
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5
The co-fronting of the tense back vowels in York, Northern England
In: Proceedings of the fifty-second (52.) annual meeting of the Chicago Linguistic Society (2017), S. 343-357
Leibniz-Zentrum Allgemeine Sprachwissenschaft
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6
The Social Perception of a Sound Change
In: University of Pennsylvania Working Papers in Linguistics (2017)
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7
Fitting in: Migrants' Acquisition of Sociolinguistic Variation in Edinburgh English
Lawrence, Daniel. - : The University of Edinburgh, 2014
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