Evidence map›Paper›PMID 39304918›Full record

ArticleConflict and health2024

Delivering therapy over telephone in a humanitarian setting: a pilot randomized controlled trial of common elements treatment approach (CETA) with Syrian refugee children in Lebanon.

Michael Pluess, Fiona S McEwen, Claudinei Biazoli, Nicolas Chehade, Tania Bosqui, Stephanie Skavenski, Laura Murray, Roland Weierstall-Pust, Paul Bolton, Elie Karam

Registry-linked trialAbstract read
In one paragraph

Article in Conflict and health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03887312 (Development, Piloting and Evaluation of a Phone-Delivered Psychological Intervention), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

NCT03887312 nacompletednot on this map

Development, Piloting and Evaluation of a Phone-Delivered Psychological Intervention (t-CETA) for Syrian Refugee Children in Lebanon: Phase II

TypeinterventionalSponsorQueen Mary University of LondonRan2019 to 2020Enrolled21ConditionsDepression, Anxiety, PTSD, Conduct DisorderArmst-CETA, Médecins du Monde treatment as usual
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
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  4. 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.

Michael Pluess *School of Psychology, University of Surrey, Lewis Carrol Building, Guildford, GU2 7XH, UK. m.pluess@surrey.ac.uk.
Fiona S McEwen *Biological and Experimental Psychology, School of Biological and Behavioural Science, Queen Mary University of London, Mile End Road, London, UK.
Claudinei BiazoliBiological and Experimental Psychology, School of Biological and Behavioural Science, Queen Mary University of London, Mile End Road, London, UK.
Nicolas ChehadeMédecins du Monde, Beirut, Lebanon.
Tania BosquiDepartment of Psychology, American University of Beirut, Beirut, Lebanon.
Stephanie SkavenskiJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Laura MurrayJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Roland Weierstall-PustMedical School Hamburg, Hamburg, Germany.
Paul BoltonJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Elie KaramInstitute for Development, Research, Advocacy and Applied Care, Achrafieh, St. George Hospital Street, Beirut, Lebanon.

Funding

Biological Pathways of Risk and Resilience in Syrian Refugee ChildrenR01HD083387 · NICHD · UNIV/LONDON-QUEEN MARY& WESTFIELD COLL · PI KARAM, ELIE GEORGES, PLUESS, MICHAEL · 2015 to 2019
$2.2M
Elhra Research for Health in Humanitarian Crises (R2HC) 28371European Commission 896021National Institute of Child Health and Human Development R01HD083387NICHD NIH HHS R01 HD083387
6 · The paper itself

Abstract

backgroundIn recent years, the number of forcibly displaced persons has risen worldwide, with approximately 40% being children and adolescents. Most of them are hosted in low- and middle-income countries (LMICs). Many individuals meet the criteria for mental health issues, which can also be exacerbated by a number of risk factors, including low socioeconomic status, displacement, and stressors linked to conflicts in their country or region of origin. However, the vast majority never receive treatment for their psychological problems due to multiple reasons, including a shortage of mental health professionals in LIMCs, transportation challenges in accessing clinics, and clinic hours conflicting with family commitments. In the current study we investigated whether individual psychotherapy delivered by trained lay counsellors over telephone to Syrian refugee children living in Lebanon is effective and overcomes barriers to treatment access.

methodsAfter adaptation of Common Elements Treatment Approach (CETA) to remote delivery over telephone (t-CETA), preliminary effectiveness of the treatment modality was assessed with a pilot single blind randomised controlled trial including a total sample of 20 refugee children with diagnosed mental health problems. Data was analysed applying a Bayesian approach.

resultsThere was a significant session-by-session decrease in self-reported mental health symptoms over the course of treatment. Independent assessments showed that t-CETA resulted in a greater reduction of symptoms than standard in-person treatment as usual. There was no difference between groups for impairment. Importantly, the majority of children allocated to t-CETA completed treatment whilst no children in the treatment as usual condition were able to do so.

conclusionThe study provides preliminary evidence that telephone-delivered psychotherapy in a humanitarian setting, delivered by lay counsellors under supervision, works and significantly increases access to treatment compared to traditional in-person treatment. However, findings remain to be replicated in larger trials.

trial registrationClinical Trials. gov ID: NCT03887312; registered 22nd March 2019.

Indexed as

CETAMental healthPhonePsychotherapySyrian refugee childrenTelehealth

Identifiers

PMID39304918
PMCPMC11414259

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Registered trials

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.