Effectiveness of a scalable, remotely delivered stepped-care intervention to reduce symptoms of psychological distress among Polish migrant workers in the Netherlands: study protocol for the RESPOND randomised controlled trial

Rinske Roos; Anke B. Witteveen; José Luis Ayuso-Mateos; Corrado Barbui; Richard A. Bryant; Mireia Felez-Nobrega; Natasha Figueiredo; Raffael Kalisch; Josep Maria Haro; David McDaid; Roberto Mediavilla; Maria Melchior; Pablo Nicaise; A. La Park; Papoula Petri-Romão; Marianna Purgato; Annemieke van Straten; Federico Tedeschi; James Underhill; Marit Sijbrandij

doi:10.1186/s12888-023-05288-5

Effectiveness of a scalable, remotely delivered stepped-care intervention to reduce symptoms of psychological distress among Polish migrant workers in the Netherlands: study protocol for the RESPOND randomised controlled trial

Rinske Roos^*, Anke B. Witteveen, José Luis Ayuso-Mateos, Corrado Barbui, Richard A. Bryant, Mireia Felez-Nobrega, Natasha Figueiredo, Raffael Kalisch, Josep Maria Haro, David McDaid, Roberto Mediavilla, Maria Melchior, Pablo Nicaise, A. La Park, Papoula Petri-Romão, Marianna Purgato, Annemieke van Straten, Federico Tedeschi, James Underhill, Marit Sijbrandij

^*Corresponding author for this work

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

Background: The COVID-19 pandemic has negatively affected the mental health of international migrant workers (IMWs). IMWs experience multiple barriers to accessing mental health care. Two scalable interventions developed by the World Health Organization (WHO) were adapted to address some of these barriers: Doing What Matters in times of stress (DWM), a guided self-help web application, and Problem Management Plus (PM +), a brief facilitator-led program to enhance coping skills. This study examines whether DWM and PM + remotely delivered as a stepped-care programme (DWM/PM +) is effective and cost-effective in reducing psychological distress, among Polish migrant workers with psychological distress living in the Netherlands. Methods: The stepped-care DWM/PM + intervention will be tested in a two-arm, parallel-group, randomized controlled trial (RCT) among adult Polish migrant workers with self-reported psychological distress (Kessler Psychological Distress Scale; K10 > 15.9). Participants (n = 212) will be randomized into either the intervention group that receives DWM/PM + with psychological first aid (PFA) and care-as-usual (enhanced care-as-usual or eCAU), or into the control group that receives PFA and eCAU-only (1:1 allocation ratio). Baseline, 1-week post-DWM (week 7), 1-week post-PM + (week 13), and follow-up (week 21) self-reported assessments will be conducted. The primary outcome is psychological distress, assessed with the Patient Health Questionnaire Anxiety and Depression Scale (PHQ-ADS). Secondary outcomes are self-reported symptoms of depression, anxiety, posttraumatic stress disorder (PTSD), resilience, quality of life, and cost-effectiveness. In a process evaluation, stakeholders’ views on barriers and facilitators to the implementation of DWM/PM + will be evaluated. Discussion: To our knowledge, this is one of the first RCTs that combines two scalable, psychosocial WHO interventions into a stepped-care programme for migrant populations. If proven to be effective, this may bridge the mental health treatment gap IMWs experience. Trial registration: Dutch trial register NL9630, 20/07/2021, https://www.onderzoekmetmensen.nl/en/trial/27052

Original language	English
Article number	801
Pages (from-to)	1-14
Number of pages	14
Journal	BMC Psychiatry
Volume	23
Early online date	2 Nov 2023
DOIs	https://doi.org/10.1186/s12888-023-05288-5
Publication status	Published - 2023

Bibliographical note

Funding Information:
The RESPOND project has received funding from the European Union’s Horizon 2020 research and innovation programme Societal Challenges under Grant Agreement number 101016127. The funder has no role in study design; collection, management, analysis, and interpretation of data; writing of the report; and the decision to submit the report for publication. The content of this article reflects only the authors' views and the European Commision is not responsible for any use that may be made of the information it contains.

Publisher Copyright:
© 2023, The Author(s).

Funding

The RESPOND project has received funding from the European Union’s Horizon 2020 research and innovation programme Societal Challenges under Grant Agreement number 101016127. The funder has no role in study design; collection, management, analysis, and interpretation of data; writing of the report; and the decision to submit the report for publication. The content of this article reflects only the authors' views and the European Commision is not responsible for any use that may be made of the information it contains.

Funders	Funder number
European Union’s Horizon 2020 Research and Innovation programme Societal Challenges
Horizon 2020	101016127
Horizon 2020

Keywords

Common mental health disorders
Digital biomarkers
Hair steroid hormone concentrations
International migrant workers
Non-specialist healthcare workers
Randomized controlled trial
Scalable interventions
Stepped-care

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Roos, R., Witteveen, A. B., Ayuso-Mateos, J. L., Barbui, C., Bryant, R. A., Felez-Nobrega, M., Figueiredo, N., Kalisch, R., Haro, J. M., McDaid, D., Mediavilla, R., Melchior, M., Nicaise, P., Park, A. L., Petri-Romão, P., Purgato, M., van Straten, A., Tedeschi, F., Underhill, J., & Sijbrandij, M. (2023). Effectiveness of a scalable, remotely delivered stepped-care intervention to reduce symptoms of psychological distress among Polish migrant workers in the Netherlands: study protocol for the RESPOND randomised controlled trial. BMC Psychiatry, 23, 1-14. Article 801. https://doi.org/10.1186/s12888-023-05288-5

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title = "Effectiveness of a scalable, remotely delivered stepped-care intervention to reduce symptoms of psychological distress among Polish migrant workers in the Netherlands: study protocol for the RESPOND randomised controlled trial",

abstract = "Background: The COVID-19 pandemic has negatively affected the mental health of international migrant workers (IMWs). IMWs experience multiple barriers to accessing mental health care. Two scalable interventions developed by the World Health Organization (WHO) were adapted to address some of these barriers: Doing What Matters in times of stress (DWM), a guided self-help web application, and Problem Management Plus (PM +), a brief facilitator-led program to enhance coping skills. This study examines whether DWM and PM + remotely delivered as a stepped-care programme (DWM/PM +) is effective and cost-effective in reducing psychological distress, among Polish migrant workers with psychological distress living in the Netherlands. Methods: The stepped-care DWM/PM + intervention will be tested in a two-arm, parallel-group, randomized controlled trial (RCT) among adult Polish migrant workers with self-reported psychological distress (Kessler Psychological Distress Scale; K10 > 15.9). Participants (n = 212) will be randomized into either the intervention group that receives DWM/PM + with psychological first aid (PFA) and care-as-usual (enhanced care-as-usual or eCAU), or into the control group that receives PFA and eCAU-only (1:1 allocation ratio). Baseline, 1-week post-DWM (week 7), 1-week post-PM + (week 13), and follow-up (week 21) self-reported assessments will be conducted. The primary outcome is psychological distress, assessed with the Patient Health Questionnaire Anxiety and Depression Scale (PHQ-ADS). Secondary outcomes are self-reported symptoms of depression, anxiety, posttraumatic stress disorder (PTSD), resilience, quality of life, and cost-effectiveness. In a process evaluation, stakeholders{\textquoteright} views on barriers and facilitators to the implementation of DWM/PM + will be evaluated. Discussion: To our knowledge, this is one of the first RCTs that combines two scalable, psychosocial WHO interventions into a stepped-care programme for migrant populations. If proven to be effective, this may bridge the mental health treatment gap IMWs experience. Trial registration: Dutch trial register NL9630, 20/07/2021, https://www.onderzoekmetmensen.nl/en/trial/27052",

keywords = "Common mental health disorders, Digital biomarkers, Hair steroid hormone concentrations, International migrant workers, Non-specialist healthcare workers, Randomized controlled trial, Scalable interventions, Stepped-care",

author = "Rinske Roos and Witteveen, {Anke B.} and Ayuso-Mateos, {Jos{\'e} Luis} and Corrado Barbui and Bryant, {Richard A.} and Mireia Felez-Nobrega and Natasha Figueiredo and Raffael Kalisch and Haro, {Josep Maria} and David McDaid and Roberto Mediavilla and Maria Melchior and Pablo Nicaise and Park, {A. La} and Papoula Petri-Rom{\~a}o and Marianna Purgato and {van Straten}, Annemieke and Federico Tedeschi and James Underhill and Marit Sijbrandij",

note = "Funding Information: The RESPOND project has received funding from the European Union{\textquoteright}s Horizon 2020 research and innovation programme Societal Challenges under Grant Agreement number 101016127. The funder has no role in study design; collection, management, analysis, and interpretation of data; writing of the report; and the decision to submit the report for publication. The content of this article reflects only the authors' views and the European Commision is not responsible for any use that may be made of the information it contains. Publisher Copyright: {\textcopyright} 2023, The Author(s).",

year = "2023",

doi = "10.1186/s12888-023-05288-5",

language = "English",

volume = "23",

pages = "1--14",

journal = "BMC Psychiatry",

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Roos, R , Witteveen, AB, Ayuso-Mateos, JL, Barbui, C, Bryant, RA, Felez-Nobrega, M, Figueiredo, N, Kalisch, R, Haro, JM, McDaid, D, Mediavilla, R, Melchior, M, Nicaise, P, Park, AL, Petri-Romão, P, Purgato, M, van Straten, A, Tedeschi, F, Underhill, J & Sijbrandij, M 2023, 'Effectiveness of a scalable, remotely delivered stepped-care intervention to reduce symptoms of psychological distress among Polish migrant workers in the Netherlands: study protocol for the RESPOND randomised controlled trial', BMC Psychiatry, vol. 23, 801, pp. 1-14. https://doi.org/10.1186/s12888-023-05288-5

Effectiveness of a scalable, remotely delivered stepped-care intervention to reduce symptoms of psychological distress among Polish migrant workers in the Netherlands: study protocol for the RESPOND randomised controlled trial. / Roos, Rinske ; Witteveen, Anke B.; Ayuso-Mateos, José Luis et al.
In: BMC Psychiatry, Vol. 23, 801, 2023, p. 1-14.

Research output: Contribution to Journal › Article › Academic › peer-review

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T1 - Effectiveness of a scalable, remotely delivered stepped-care intervention to reduce symptoms of psychological distress among Polish migrant workers in the Netherlands

T2 - study protocol for the RESPOND randomised controlled trial

AU - Roos, Rinske

AU - Witteveen, Anke B.

AU - Ayuso-Mateos, José Luis

AU - Barbui, Corrado

AU - Bryant, Richard A.

AU - Felez-Nobrega, Mireia

AU - Figueiredo, Natasha

AU - Kalisch, Raffael

AU - Haro, Josep Maria

AU - McDaid, David

AU - Mediavilla, Roberto

AU - Melchior, Maria

AU - Nicaise, Pablo

AU - Park, A. La

AU - Petri-Romão, Papoula

AU - Purgato, Marianna

AU - van Straten, Annemieke

AU - Tedeschi, Federico

AU - Underhill, James

AU - Sijbrandij, Marit

N1 - Funding Information: The RESPOND project has received funding from the European Union’s Horizon 2020 research and innovation programme Societal Challenges under Grant Agreement number 101016127. The funder has no role in study design; collection, management, analysis, and interpretation of data; writing of the report; and the decision to submit the report for publication. The content of this article reflects only the authors' views and the European Commision is not responsible for any use that may be made of the information it contains. Publisher Copyright: © 2023, The Author(s).

PY - 2023

Y1 - 2023

N2 - Background: The COVID-19 pandemic has negatively affected the mental health of international migrant workers (IMWs). IMWs experience multiple barriers to accessing mental health care. Two scalable interventions developed by the World Health Organization (WHO) were adapted to address some of these barriers: Doing What Matters in times of stress (DWM), a guided self-help web application, and Problem Management Plus (PM +), a brief facilitator-led program to enhance coping skills. This study examines whether DWM and PM + remotely delivered as a stepped-care programme (DWM/PM +) is effective and cost-effective in reducing psychological distress, among Polish migrant workers with psychological distress living in the Netherlands. Methods: The stepped-care DWM/PM + intervention will be tested in a two-arm, parallel-group, randomized controlled trial (RCT) among adult Polish migrant workers with self-reported psychological distress (Kessler Psychological Distress Scale; K10 > 15.9). Participants (n = 212) will be randomized into either the intervention group that receives DWM/PM + with psychological first aid (PFA) and care-as-usual (enhanced care-as-usual or eCAU), or into the control group that receives PFA and eCAU-only (1:1 allocation ratio). Baseline, 1-week post-DWM (week 7), 1-week post-PM + (week 13), and follow-up (week 21) self-reported assessments will be conducted. The primary outcome is psychological distress, assessed with the Patient Health Questionnaire Anxiety and Depression Scale (PHQ-ADS). Secondary outcomes are self-reported symptoms of depression, anxiety, posttraumatic stress disorder (PTSD), resilience, quality of life, and cost-effectiveness. In a process evaluation, stakeholders’ views on barriers and facilitators to the implementation of DWM/PM + will be evaluated. Discussion: To our knowledge, this is one of the first RCTs that combines two scalable, psychosocial WHO interventions into a stepped-care programme for migrant populations. If proven to be effective, this may bridge the mental health treatment gap IMWs experience. Trial registration: Dutch trial register NL9630, 20/07/2021, https://www.onderzoekmetmensen.nl/en/trial/27052

AB - Background: The COVID-19 pandemic has negatively affected the mental health of international migrant workers (IMWs). IMWs experience multiple barriers to accessing mental health care. Two scalable interventions developed by the World Health Organization (WHO) were adapted to address some of these barriers: Doing What Matters in times of stress (DWM), a guided self-help web application, and Problem Management Plus (PM +), a brief facilitator-led program to enhance coping skills. This study examines whether DWM and PM + remotely delivered as a stepped-care programme (DWM/PM +) is effective and cost-effective in reducing psychological distress, among Polish migrant workers with psychological distress living in the Netherlands. Methods: The stepped-care DWM/PM + intervention will be tested in a two-arm, parallel-group, randomized controlled trial (RCT) among adult Polish migrant workers with self-reported psychological distress (Kessler Psychological Distress Scale; K10 > 15.9). Participants (n = 212) will be randomized into either the intervention group that receives DWM/PM + with psychological first aid (PFA) and care-as-usual (enhanced care-as-usual or eCAU), or into the control group that receives PFA and eCAU-only (1:1 allocation ratio). Baseline, 1-week post-DWM (week 7), 1-week post-PM + (week 13), and follow-up (week 21) self-reported assessments will be conducted. The primary outcome is psychological distress, assessed with the Patient Health Questionnaire Anxiety and Depression Scale (PHQ-ADS). Secondary outcomes are self-reported symptoms of depression, anxiety, posttraumatic stress disorder (PTSD), resilience, quality of life, and cost-effectiveness. In a process evaluation, stakeholders’ views on barriers and facilitators to the implementation of DWM/PM + will be evaluated. Discussion: To our knowledge, this is one of the first RCTs that combines two scalable, psychosocial WHO interventions into a stepped-care programme for migrant populations. If proven to be effective, this may bridge the mental health treatment gap IMWs experience. Trial registration: Dutch trial register NL9630, 20/07/2021, https://www.onderzoekmetmensen.nl/en/trial/27052

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KW - Digital biomarkers

KW - Hair steroid hormone concentrations

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KW - Non-specialist healthcare workers

KW - Randomized controlled trial

KW - Scalable interventions

KW - Stepped-care

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Roos R , Witteveen AB, Ayuso-Mateos JL, Barbui C, Bryant RA, Felez-Nobrega M et al. Effectiveness of a scalable, remotely delivered stepped-care intervention to reduce symptoms of psychological distress among Polish migrant workers in the Netherlands: study protocol for the RESPOND randomised controlled trial. BMC Psychiatry. 2023;23:1-14. 801. Epub 2023 Nov 2. doi: 10.1186/s12888-023-05288-5

Effectiveness of a scalable, remotely delivered stepped-care intervention to reduce symptoms of psychological distress among Polish migrant workers in the Netherlands: study protocol for the RESPOND randomised controlled trial

Abstract

Bibliographical note

Funding

Keywords

Access to Document

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