Evidence map›Paper›PMID 35164865›Full record

ArticlePilot and feasibility studies2022

Feasibility of a randomised trial of Teaching Recovery Techniques (TRT) with refugee youth: results from a pilot of the Swedish UnaccomPanied yOuth Refugee Trial (SUPpORT).

Elisabet Rondung, Anna Leiler, Anna Sarkadi, Anna Bjärtå, Elin Lampa, Sandra Gupta Löfving, Rachel Calam, Brit Oppedal, Brooks Keeshin, Georgina Warner

Open access · goldAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 4 countries.

Elisabet RondungDepartment of Psychology and Social Work, Mid Sweden University, 831 25, Östersund, Sweden. Elisabet.Rondung@miun.se.ORCID http://orcid.org/0000-0001-5109-106X
Anna LeilerDepartment of Psychology and Social Work, Mid Sweden University, 831 25, Östersund, Sweden.
Anna SarkadiChild Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Box 564, BMC, Husargatan 3, 751 22, Uppsala, Sweden.
Anna BjärtåDepartment of Psychology and Social Work, Mid Sweden University, 831 25, Östersund, Sweden.
Elin LampaChild Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Box 564, BMC, Husargatan 3, 751 22, Uppsala, Sweden.
Sandra Gupta LöfvingChild Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Box 564, BMC, Husargatan 3, 751 22, Uppsala, Sweden.
Rachel CalamDivision of Clinical Psychology, University of Manchester, Manchester, UK.
Brit OppedalDivision of Mental Health, Norwegian Institute of Public Health, Oslo, Norway.
Brooks KeeshinDepartment of Pediatrics, University of Utah, Salt Lake City, UT, USA.
Georgina WarnerChild Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Box 564, BMC, Husargatan 3, 751 22, Uppsala, Sweden.
Uppsala University · SEMid Sweden University · SENorwegian Institute of Public Health · NOUniversity of Manchester · GBUniversity of Utah · US

Funding

Kavli Trust (NO) A-321629
6 · The paper itself

Abstract

backgroundAlthough post-traumatic stress is prevalent among unaccompanied refugee minors (URM), there are few evidence-based psychological interventions for this group. Teaching Recovery Techniques (TRT) is a brief, manualised intervention for trauma-exposed youth, which has shown promising results in exploratory studies. The aim of the present study was to assess the feasibility of conducting a randomised controlled trial (RCT) evaluating the use of TRT among URM by investigating key uncertainties relating to recruitment, randomisation, intervention delivery and data collection.

methodsA 3-month long non-blinded internal randomised pilot trial with a parallel-group design assessed the feasibility of a planned nationwide multi-site RCT. URM with or without granted asylum were eligible if they were 14 to 20 years old, had arrived in Sweden within the last 5 years and had screened positive for symptoms of post-traumatic stress disorder (PTSD). Quantitative data were collected pre- and post-intervention, and 18 weeks after randomisation. On-site individual randomisation (1:1) followed directly after pre-intervention assessment. Participants allocated to the intervention were offered seven weekly group-based TRT sessions. Quantitative pilot outcomes were analysed using descriptive statistics. Qualitative information was gathered through on-site observations and follow-up dialogue with group facilitators. A process for Decision-making after Pilot and feasibility Trials (ADePT) was used to support systematic decision-making in moving forward with the trial.

resultsFifteen URM (mean age 17.73 years) with PTSD symptoms were recruited at two sites. Three of the youths were successfully randomised to either TRT or waitlist control (TRT n = 2, waitlist n = 1). Fourteen participants were offered TRT for ethical reasons, despite not being randomised. Six (43%) attended ≥ 4 of the seven sessions. Seventy-three percent of the participants completed at least two assessments, with a response rate of 53% at both post-intervention and follow-up.

conclusionsThe findings demonstrated a need for amendments to the protocol, especially with regard to the procedures for recruitment and randomisation. Upon refinement of the study protocol and strategies, an adequately powered RCT was pursued, with data from this pilot study excluded.

trial registrationISRCTN47820795 , prospectively registered on 20 December 2018.

Indexed as

FeasibilityPost-traumatic stress disorderRandomised pilot trialTeaching recovery techniquesUnaccompanied asylum-seeking and refugee minors

Identifiers

PMID35164865
PMCPMC8843024
OpenAlexW4213352079

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.