Actively Recruiting

Phase Not Applicable
Age: 16Years +
All Genders
ID06776523

Boosting Refugee Integration Through Psychological Intervention with Augmented Problem Management Plus

Led by University of Zurich · Updated on 2026-04-27

1200

Participants Needed

1

Research Sites

39 weeks

Total Duration

On this page

Sponsors

U

University of Zurich

Lead Sponsor

E

ETH Zurich

Collaborating Sponsor

AI-Summary

What this Trial Is About

Refugees and asylum seekers often experience traumatic events and ongoing stressors that increase their risk for mental health problems. However, accessing appropriate mental health care in host countries can be difficult due to barriers like long waitlists, stigma, and communication challenges. This research aims to expand the existing Problem Management Plus (PM+) intervention by adding booster sessions and homework reminders while evaluating its effectiveness and implementation in public health systems. Participants in the study will be randomly assigned to either receive the PM+ intervention or be part of a waitlist control group. The PM+ intervention includes five sessions of psychological support based on techniques such as problem solving, stress management, behavioral activation, and social support. Those in the intervention group will also receive three telephone booster sessions and handouts with homework reminders. The control group will receive the intervention 12 months after the initial assessment. During the study, participants will undergo assessments of psychological distress and other mental health symptoms at baseline, 3 months, 6 months, and 12 months. The study will measure changes in psychological distress, posttraumatic stress disorder symptoms, somatic symptoms, post-migration stressors, integration levels, suicidal ideation, self-efficacy, prolonged grief, anger, coping strategies, and other factors. The total participation period involves follow-up assessments up to 12 months after the baseline.

CONDITIONS

Brief Title

Boosting Refugee Integration Through Psychological Intervention

Who Can Participate

Age: 16Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Refugees and asylum seekers aged 16 years or older
  • Living in participating Swiss municipalities or transitional asylum centers consenting to the study
  • Speaking at least one of these languages: German, English, French, Arabic, Farsi, Kurdish, Tigrinya, Turkish, Ukrainian, Russian, Tamil, Pashto
  • Scoring 20 or higher on the Kessler Psychological Distress Scale (K10) indicating moderate to high psychological distress
Not Eligible

You will not qualify if you...

  • Having significant cognitive or neurological impairment as measured by specific WHO tools
  • Having acute medical conditions or severe mental disorders such as psychotic or substance-abuse disorders
  • Being at acute risk of suicide as measured by the Suicidal Ideation Attribution Scale and Thoughts of Suicide Questionnaire

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Outpatient Treatment

Duration - Approximately 3 months including booster sessions at 10, 22, and 34 weeks after the initial sessions

Participants receive five sessions of Problem Management Plus (PM+), a brief psychological intervention program to reduce mental health symptoms and improve functioning. They also receive three telephone booster sessions and are provided with handouts and homework reminders.

5 in-person sessions and 3 telephone booster sessions

Follow-up

Duration - Up to 12 months after baseline

Participants are assessed for changes in psychological distress, posttraumatic stress symptoms, integration level, and other mental health outcomes over 12 months after baseline.

Assessments at 3, 6, and 12 months after baseline

Trial Site Locations

Total: 1 location

1

Klinik für Konsiliarpsychiatrie und Psychosomatik

Zurich, Switzerland, 8091

Actively Recruiting

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Research Team

N

Naser Morina, PD Dr.

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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Published Research Related To This Trial

Feasibility and acceptability of Problem Management Plus (PM+) among Syrian refugees and asylum seekers in Switzerland: a mixed-method pilot randomized controlled trial.

Julia Spaaij, Nikolai Kiselev, Christine Berger...

https://pubmed.ncbi.nlm.nih.gov/35126880

Peer-provided psychological intervention for Syrian refugees: results of a randomised controlled trial on the effectiveness of Problem Management Plus.

Anne M de Graaff, Pim Cuijpers, Jos W R Twisk...

https://pubmed.ncbi.nlm.nih.gov/36789918

Problem Management Plus (PM+): a WHO transdiagnostic psychological intervention for common mental health problems.

Katie S Dawson, Richard A Bryant, Melissa Harper...

https://pubmed.ncbi.nlm.nih.gov/26407793

Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: a systematic review and meta-analysis.

Zachary Steel, Tien Chey, Derrick Silove...

https://pubmed.ncbi.nlm.nih.gov/19654388