About this trial
The goal of this feasibility randomized controlled trial is to learn about the feasibility and acceptability of scalable psychological interventions in Sweden. It will also allow for a preliminary exploration of a novel modular addition targeting traumatic stress to Problem Management Plus (PM+), an evidence-based transdiagnostic psychological intervention for psychological distress.
The main question it aims to answer is whether PM+ and PM+ Emotion Processing (PM+EP) feasible and acceptable among forcibly displaced youth in Sweden?
Participants will be randomized to receive PM+, PM+EP, or treatment as usual. The two intervention arms consist of a weekly session for six weeks.
Assessments will collect data on a variety of psychological symptoms, wellbeing, and service use throughout the duration of the study. Assessments will take place at baseline, 1-week post-intervention, and 3-weeks post-intervention.
Eligibility criteria
Qualifiers
16 to 25 year old youth who arrived in Sweden in 2015 or later due to being forcibly displaced;
Elevated levels of psychological distress as determined through the Kessler-10 psychological distress scale (K10; K10 > 15);
Reduced levels of psychosocial functioning as measured by the WHO Disability Assessment Schedule (WHODAS 2.0; WHODAS 2.0 > 16);
Assessment and manual are available in their preferred language, including Swedish.
Disqualifiers
An acute medical condition;
Imminent suicide risk;
Indication of psychotic disorders and substance-dependence;
Indication of severe cognitive or neurological impairment;
Trial design
Treatments tested in this trial
- Problem Management Plus (PM+)
- Problem Management Plus with Emotional Processing Module (PM+EP)
- Care as usual
Treatment groups
Sponsors and collaborators
Karolinska Institutet
Lead sponsor
Rädda Barnen
Collaborator