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Table 1 Study aims and intervention

From: How does context influence the delivery of mental health interventions for asylum seekers and refugees in low- and middle-income countries? A qualitative systematic review

First Author

Year

Study LMIC country

Study aims

Intervention name

Description of intervention

Study method

Aladro

2020

Colombia

What factors influence the implementation of PM+ for Venezuelans

Problem Management Plus (PM+)

PM+ “is composed of four core strategies: stress management (‘Managing Stress’), problem solving (‘Managing Problems’), behavioural activation (‘Get Going, Keep Doing’) and strengthening social support” (p. 87). Includes breathing exercises, task-orientated activities and identifying sources of support

Semi-structured interviews and focus group discussion

Brown et al

2020

Lebanon

To culturally and contextually adapt the EASE program for Palestinian, Lebanese and Syrian adolescents in the north of Lebanon

Early Adolescents Skills for Emotions (EASE)

EASE is focused on “four key empirically supported strategies: understanding my feelings (emotion identification), calming my body (diaphragmatic breathing), changing my actions (behavioral activation), and solving my problems (problem solving). Additionally, three adjunctive caregiver sessions aim to promote positive parenting practices to improve the caregiver–child relationship and enhance confidence when responding to adolescent distress” (p. 3)

Session notes, supervision notes, and a debrief session at the end of the implementation

Burchert et al

2019

Egypt

The adaptation, implementation and scaling-up of Step by Step for Syrians in Germany, Sweden and Egypt

Step by Step (SbS)

SbS is an ‘e-mental health intervention’ consisting of “three core components: the content, the guidance model (e.g., from a human helper) and the delivery system (e.g., web or app). Each of these components can be adjusted and extended to respond to diverse implementation contexts. It is modularized and rooted in evidence-based cognitive behavioral therapy techniques such as behavioural activation, psychoeducation, stress management, increasing social support and relapse prevention” (p. 3)

Interviews and focus group discussions

Chapman & Claessens

2019

Egypt

“To monitor activities and hold focus group discussion with Syrian and Egyptian participants in the activities to collect feedback about the project and re-adjust where required” (p. 9)

Community-based psycho-social support

It is a community-based, non-specialised psychosocial support delivered through local community centres providing psychosocial support sessions, child friendly spaces with special activities, parenting sessions, specialized psychosocial support

Focus group discussions

Greene et al

2019

Tanzania

“To evaluate the implementation of an integrated intimate partner violence and mental health intervention” (p. 6) for Congolese refugee women

Nguvu

“The Nguvu intervention was designed as an 8-session intervention that begins with a single individual session of advocacy counseling followed by six group sessions focused primarily on cognitive processing therapy and a final group session of advocacy counselling” (p. 9)

Interviews

Gürle

2019

Turkey

Exploring the power of drama and art as tools for Syrian children to learn about emotion regulation

Storytelling and image theatre

“The workshop combined both verbal and nonverbal means of expression and primarily employed drama techniques, such as storytelling and image theatre” (p. 166). It included five sessions of two hours

Observation

Hakki

2020

Turkey

To aid Syrian women “to explore changes in their roles and their adversity-activated development after fleeing Syria due to the current conflict” (p. 187)

Theatre of the Oppressed (ToO)

“ToO is theatre. It has three main methods: invisible theatre, forum theatre and image theatre. There were five sessions in total, each session between 90–100 min long, twice a week, and led by one facilitator. The main activities during the sessions were built on a game taken from the ToO approach called ‘What is the story?’ using a shadow theatre technique” (p. 189)

Storytelling methods and group discussion with two open questions

Makhoul et al

2011

Lebanon

To assess the benefits of participating in a community-based research project in a Palestinian refugee camp

of Beirut, for Palestinian youth mentors

Youth Mentor Training Programme for Qaderoon

The training for youth mentors began with a three-day workshop. They were then observed during the intensive two-week summer program and provided with feedback. Youth mentors then helped deliver the Qaderoon intervention

In-depth interviews

Murray et al

2018

Ethiopia

To assess implementation aspects of a common elements treatment approach developed among children in three Somali refugee camps on the Ethiopian/Somali border

Common Elements Treatment Approach for youth (CETA)

“CETA is an approach that teaches cognitive-behavioral therapy elements common to evidence-based treatments” (p. 5). It includes elements on ‘engagement’, ‘behvioural activation’, ‘imaginal global exposure’ and ‘cognitive coping’

Semi-structured interviews

Nakkash et al

2019

Lebanon

To describes “the context of Palestinian refugees in Lebanon, the intervention, the process evaluation plan and results” (p. 595)

‘Qaderoon’ (We are Capable)

‘Qaderoon’ (We Are Capable) is a public health intervention. It is “a year-long social skill building intervention for children (11–14 years), their parents and teachers aimed at promoting mental health of refugee children and increasing their attachment to school” (p. 596)

Observation, meetings, discussions and interviews

Rebolledo

2019

Bangladesh

To promote psychosocial wellbeing by increasing sense of identity and community in Rohingya refugees in Bangladesh

Healing Ceremonies Programme

“Healing ceremonies were divided into three sessions (music, art and symbols of strength) to reflect Rohingya culture” (p. 279)

Focus group discussions

Sim et al

2018

Thailand

“To generate evidence around what works to protect Burmese children from the negative effects of forced migration” (p. 7)

Happy Families Program

“It was a group-based parenting and family skills intervention for children aged 8 to 12 and their caregivers. Caregivers and their children participated in parallel group sessions each week, followed by joint activities in which each family practiced the skills that they had learned” (p. 8)

Semi-structured interviews

Sullivan et al

2019

Bangladesh

The 'project utilises Rohingya community health workers... to pilot the use of peer-to-peer teaching of low-cost tools for potential alleviation of mental health complaints' (p.252)

Acupuncture and mindful breathing

It consisted of peer-to-peer teaching of simple relaxation techniques: four acupressure points and breathing exercises. “All six techniques were taught in 90-min group sessions to Rohingya CHWs by explanation, demonstration and practice in same-sex pairs” (p. 254)

Reflective discussion group

Tay et al

2019

Malaysia

“To describe the theoretical underpinnings of Integrative Adapt Therapy, the formulation, development, refinement and cultural adaptation of a treatment manual to guide the intervention, amongst refugees from Myanmar in Malaysia and Bangladesh” (p. 2)

Integrative Adapt Therapy (IAT)

“The Integrative Adapt Therapy integrates universal principles of the Adaptation and Development After Persecution and Trauma model with the particularities of the culture, history of conflict and living context of each refugee community” (p. 1)

Focus group discussions

Tol et al

2011

Uganda

To adapt and pilot a guided, multi-media, self-help intervention, Self-Help Plus in South Sudanese refugees in Uganda

Self-Help Plus (SH+)

“The intervention is based on principles of Acceptance and Commitment Therapy. The SH+ package comprises a pre-recorded audio course and an illustrated self-help manual. The audio-course can be delivered to groups of 20–30 people by lay facilitators trained over a short period. The course consists of five weekly 2-h sessions that include individual exercises and small group discussions (p. 3). In addition, it provides participants with an illustrated manual

Semi-structured interviews

Vijayakumar et al

2017

India

“To assess the effectiveness and acceptability of Contact and Use of Safety Planning Cards in reducing suicidal behaviour among Sri Lankan refugees residing in camps in Tamil Nadu” (p. 590)

Contact and Use of Safety Planning Cards

“The safety planning card consisted of an individualised list of coping strategies containing names and contact numbers of persons in the individual’s immediate family, social circle and health services who could be contacted during a suicidal crisis” (p. 590)

Household survey and focus group discussions

Yassin et al

2018

Lebanon

“To present findings from an evaluation of the refugee camp mental health program conducted among Palestinian Refugees in Lebanon” (p. 2)

Médecins Sans Frontières programme

The program provided free access to mental health care services. “The team provided free access to mental health care services, free access to mental health care services, and provided prescribed medications. Both individual and family psychological consultations were available to all camp residents” (p. 2)

Semi-structured interviews and focus group discussions

Zaghrout-Hodali

2019

Palestine

To describe people’s experiences of eye movement desensitization and reprocessing therapy

Eye Movement Desensitization and Reprocessing (EMDR)

“EMDR is an integrative psychotherapy with protocols that include the use of bilateral stimulation and focus on past trauma, present situations, and future possibilities in enabling the client to reprocess disturbing memories to an adaptive resolution” (p. 248)

Discussions