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