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Evaluating a Movement-Based Mental Health Promotion Intervention for Refugee Children in Uganda: A Quasi-Experimental Study
Mental health promotion interventions are widely implemented in humanitarian settings and low- and middle-income contexts (LMICs), yet evidence on effectiveness is scarce and mixed. This study evaluated the movement-based mental health promotion intervention " " in Bidibidi refugee settlem...
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Published in: | Journal of clinical child and adolescent psychology 2024-04, p.1-16 |
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creator | Bleile, Alexandra C E Koppenol-Gonzalez, Gabriela V Orech, Bruce Verreault, Katia Jordans, Mark J D |
description | Mental health promotion interventions are widely implemented in humanitarian settings and low- and middle-income contexts (LMICs), yet evidence on effectiveness is scarce and mixed. This study evaluated the movement-based mental health promotion intervention "
" in Bidibidi refugee settlement, in Northern Uganda.
A quasi-experimental study including four schools (two per arm) assessed the outcomes of 10- to 15-year-old South Sudanese and Ugandan children (
= 549). Randomly allocated, they either participated in up to 11
sessions (
= 265) provided by trained facilitators; or belonged to a control group, which continued care as usual (
= 284). Primary outcomes measured psychosocial wellbeing, friendships and attitude to school; secondary outcomes included traumatic distress, depressive symptoms, quality of life, physical health, bullying, interoceptive awareness, and irritability. Data were collected at baseline and endline.
Children joining
, showed significantly more improvements on primary outcomes: emotional and psychosocial wellbeing (M
= -1.49, SE = 0.6,
= .01), satisfaction with and attitude toward school (-0.57, SE = 0.2,
= .004); and secondary outcomes: traumatic stress (2.64, SE = 0.8,
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doi_str_mv | 10.1080/15374416.2024.2330073 |
format | article |
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" in Bidibidi refugee settlement, in Northern Uganda.
A quasi-experimental study including four schools (two per arm) assessed the outcomes of 10- to 15-year-old South Sudanese and Ugandan children (
= 549). Randomly allocated, they either participated in up to 11
sessions (
= 265) provided by trained facilitators; or belonged to a control group, which continued care as usual (
= 284). Primary outcomes measured psychosocial wellbeing, friendships and attitude to school; secondary outcomes included traumatic distress, depressive symptoms, quality of life, physical health, bullying, interoceptive awareness, and irritability. Data were collected at baseline and endline.
Children joining
, showed significantly more improvements on primary outcomes: emotional and psychosocial wellbeing (M
= -1.49, SE = 0.6,
= .01), satisfaction with and attitude toward school (-0.57, SE = 0.2,
= .004); and secondary outcomes: traumatic stress (2.64, SE = 0.8,
< .001), health-related quality of life (-1.56, SE = 0.4,
= .001), physical health (-0.78, SE = 0.3,
= .014) and the
mechanisms of action scale (-3.34, SE = 0.9,
< .001), specifically the subscales social connectedness (-0.74, SE = 0.3,
= .007) and sense of agency (-0.91, SE = 0.3,
= .005), compared to the control group. No significant differences were found on bullying, interoceptive awareness, irritability and depressive symptoms.
The results are promising for
as a mental health promotion intervention for children affected by armed-conflict, displacement and on-going adversity. Further research will need to assess the intervention's effectiveness.</description><identifier>ISSN: 1537-4416</identifier><identifier>EISSN: 1537-4424</identifier><identifier>DOI: 10.1080/15374416.2024.2330073</identifier><identifier>PMID: 38564186</identifier><language>eng</language><publisher>England</publisher><ispartof>Journal of clinical child and adolescent psychology, 2024-04, p.1-16</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-ec376121d61811f2c5e59295e23889249e4fe76ead74b47e1b0daf7e47624d653</citedby><cites>FETCH-LOGICAL-c356t-ec376121d61811f2c5e59295e23889249e4fe76ead74b47e1b0daf7e47624d653</cites><orcidid>0009-0009-0480-1845 ; 0000-0001-8979-8853 ; 0000-0002-1507-6249 ; 0000-0001-5925-8039</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38564186$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bleile, Alexandra C E</creatorcontrib><creatorcontrib>Koppenol-Gonzalez, Gabriela V</creatorcontrib><creatorcontrib>Orech, Bruce</creatorcontrib><creatorcontrib>Verreault, Katia</creatorcontrib><creatorcontrib>Jordans, Mark J D</creatorcontrib><title>Evaluating a Movement-Based Mental Health Promotion Intervention for Refugee Children in Uganda: A Quasi-Experimental Study</title><title>Journal of clinical child and adolescent psychology</title><addtitle>J Clin Child Adolesc Psychol</addtitle><description>Mental health promotion interventions are widely implemented in humanitarian settings and low- and middle-income contexts (LMICs), yet evidence on effectiveness is scarce and mixed. This study evaluated the movement-based mental health promotion intervention "
" in Bidibidi refugee settlement, in Northern Uganda.
A quasi-experimental study including four schools (two per arm) assessed the outcomes of 10- to 15-year-old South Sudanese and Ugandan children (
= 549). Randomly allocated, they either participated in up to 11
sessions (
= 265) provided by trained facilitators; or belonged to a control group, which continued care as usual (
= 284). Primary outcomes measured psychosocial wellbeing, friendships and attitude to school; secondary outcomes included traumatic distress, depressive symptoms, quality of life, physical health, bullying, interoceptive awareness, and irritability. Data were collected at baseline and endline.
Children joining
, showed significantly more improvements on primary outcomes: emotional and psychosocial wellbeing (M
= -1.49, SE = 0.6,
= .01), satisfaction with and attitude toward school (-0.57, SE = 0.2,
= .004); and secondary outcomes: traumatic stress (2.64, SE = 0.8,
< .001), health-related quality of life (-1.56, SE = 0.4,
= .001), physical health (-0.78, SE = 0.3,
= .014) and the
mechanisms of action scale (-3.34, SE = 0.9,
< .001), specifically the subscales social connectedness (-0.74, SE = 0.3,
= .007) and sense of agency (-0.91, SE = 0.3,
= .005), compared to the control group. No significant differences were found on bullying, interoceptive awareness, irritability and depressive symptoms.
The results are promising for
as a mental health promotion intervention for children affected by armed-conflict, displacement and on-going adversity. Further research will need to assess the intervention's effectiveness.</description><issn>1537-4416</issn><issn>1537-4424</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNo9kNlOwkAUhidGI4g-gmYuvSnOPq13SFBIIK5cN0PnFGq64ExLJL68JSxXZ_v_c04-hG4p6VMSkgcquRaCqj4jTPQZ54Rofoa6u34gBBPnp5yqDrry_psQqrSILlGHh1IJGqou-httTN6YOiuX2OBZtYECyjp4Mh4snrWpyfEYTF6v8JuriqrOqhJPyhrcph3uirRy-APSZgmAh6sstw5KnJV4vjSlNY94gN8b47Ng9LsGlxX7lZ91Y7fX6CI1uYebQ-yh-fPoazgOpq8vk-FgGiRcqjqAhGtFGbWKhpSmLJEgIxZJYDwMIyYiECloBcZqsRAa6IJYk2oQWjFhleQ9dL_fu3bVTwO-jovMJ5DnpoSq8TEnnFIuJFOtVO6liau8d5DG6_Zn47YxJfGOe3zkHu-4xwfure_ucKJZFGBPriNo_g8u533_</recordid><startdate>20240402</startdate><enddate>20240402</enddate><creator>Bleile, Alexandra C E</creator><creator>Koppenol-Gonzalez, Gabriela V</creator><creator>Orech, Bruce</creator><creator>Verreault, Katia</creator><creator>Jordans, Mark J D</creator><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0009-0009-0480-1845</orcidid><orcidid>https://orcid.org/0000-0001-8979-8853</orcidid><orcidid>https://orcid.org/0000-0002-1507-6249</orcidid><orcidid>https://orcid.org/0000-0001-5925-8039</orcidid></search><sort><creationdate>20240402</creationdate><title>Evaluating a Movement-Based Mental Health Promotion Intervention for Refugee Children in Uganda: A Quasi-Experimental Study</title><author>Bleile, Alexandra C E ; Koppenol-Gonzalez, Gabriela V ; Orech, Bruce ; Verreault, Katia ; Jordans, Mark J D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-ec376121d61811f2c5e59295e23889249e4fe76ead74b47e1b0daf7e47624d653</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bleile, Alexandra C E</creatorcontrib><creatorcontrib>Koppenol-Gonzalez, Gabriela V</creatorcontrib><creatorcontrib>Orech, Bruce</creatorcontrib><creatorcontrib>Verreault, Katia</creatorcontrib><creatorcontrib>Jordans, Mark J D</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical child and adolescent psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bleile, Alexandra C E</au><au>Koppenol-Gonzalez, Gabriela V</au><au>Orech, Bruce</au><au>Verreault, Katia</au><au>Jordans, Mark J D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluating a Movement-Based Mental Health Promotion Intervention for Refugee Children in Uganda: A Quasi-Experimental Study</atitle><jtitle>Journal of clinical child and adolescent psychology</jtitle><addtitle>J Clin Child Adolesc Psychol</addtitle><date>2024-04-02</date><risdate>2024</risdate><spage>1</spage><epage>16</epage><pages>1-16</pages><issn>1537-4416</issn><eissn>1537-4424</eissn><abstract>Mental health promotion interventions are widely implemented in humanitarian settings and low- and middle-income contexts (LMICs), yet evidence on effectiveness is scarce and mixed. This study evaluated the movement-based mental health promotion intervention "
" in Bidibidi refugee settlement, in Northern Uganda.
A quasi-experimental study including four schools (two per arm) assessed the outcomes of 10- to 15-year-old South Sudanese and Ugandan children (
= 549). Randomly allocated, they either participated in up to 11
sessions (
= 265) provided by trained facilitators; or belonged to a control group, which continued care as usual (
= 284). Primary outcomes measured psychosocial wellbeing, friendships and attitude to school; secondary outcomes included traumatic distress, depressive symptoms, quality of life, physical health, bullying, interoceptive awareness, and irritability. Data were collected at baseline and endline.
Children joining
, showed significantly more improvements on primary outcomes: emotional and psychosocial wellbeing (M
= -1.49, SE = 0.6,
= .01), satisfaction with and attitude toward school (-0.57, SE = 0.2,
= .004); and secondary outcomes: traumatic stress (2.64, SE = 0.8,
< .001), health-related quality of life (-1.56, SE = 0.4,
= .001), physical health (-0.78, SE = 0.3,
= .014) and the
mechanisms of action scale (-3.34, SE = 0.9,
< .001), specifically the subscales social connectedness (-0.74, SE = 0.3,
= .007) and sense of agency (-0.91, SE = 0.3,
= .005), compared to the control group. No significant differences were found on bullying, interoceptive awareness, irritability and depressive symptoms.
The results are promising for
as a mental health promotion intervention for children affected by armed-conflict, displacement and on-going adversity. Further research will need to assess the intervention's effectiveness.</abstract><cop>England</cop><pmid>38564186</pmid><doi>10.1080/15374416.2024.2330073</doi><tpages>16</tpages><orcidid>https://orcid.org/0009-0009-0480-1845</orcidid><orcidid>https://orcid.org/0000-0001-8979-8853</orcidid><orcidid>https://orcid.org/0000-0002-1507-6249</orcidid><orcidid>https://orcid.org/0000-0001-5925-8039</orcidid><oa>free_for_read</oa></addata></record> |
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title | Evaluating a Movement-Based Mental Health Promotion Intervention for Refugee Children in Uganda: A Quasi-Experimental Study |
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