RecruitingNot ApplicableNCT06324864

START NOW Adapted: Culturally Adapted Version of START NOW

Testing the Effectiveness of the Culturally Adapted Skills Training START NOW to Reduce Mental Health Problems in Adolescent Refugees

Sponsor

Prof. Christina Stadler

Enrollment

80 participants

Start Date

Mar 13, 2024

Study Type

INTERVENTIONAL

Conditions

Depression, Anxiety Depression Anxiety Mental Health Adolescent Resilience,Psychological Emotion Recognition Refugee Health

Summary

The goal of this clinical trial is to test the effectiveness of the culturally adapted skills-training START NOW in youth migrant populations. The main question it aims to answer is: Is the culturally adapted skills training START NOW more effective than treatment as usual (TAU) in reducing mental health problems in migrants? Participants will be randomly assigned to the intervention group receiving the skills training START NOW Adapted or the control group receiving TAU. Researchers will compare both groups to see if START NOW Adapted is more effective than TAU in reducing mental health problems in migrants.

Eligibility

Min Age: 14 YearsMax Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a culturally adapted version of a mental health program called "START NOW" for migrant youth living in Switzerland. The original program helps young people manage emotions, reduce stress, and build coping skills, and this adapted version is designed to be appropriate for different cultural backgrounds and languages. **You may be eligible if:** - You are a migrant resettled in Switzerland temporarily or permanently - You are between 14 and 18 years old - You can speak, read, and understand one of these languages: German, English, Turkish, Farsi, Dari, Ukrainian, Algerian Arabic, or Pashto - You have at least mild depressive symptoms (HSCL-25 score above 1.75) OR elevated psychological distress (K10 score above 20) - You are able to give informed consent **You may NOT be eligible if:** - You have active suicidal thoughts or high-risk suicidal behavior (SBQ-R score above 6) - You are planning to leave Switzerland within the next 6 months Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALSTART NOW Adapted

The START NOW skills-training combines aspects of cognitive behavioral therapy (CBT), motivational interviewing (MI), dialectical behavior therapy (DBT), Acceptance and Commitment Therapy (ACT) and trauma-sensitive care. Studies in different contexts have shown START NOW's effectiveness in terms of reducing behavioral problems, reducing hospitalization rates, improving mental health functioning and increasing satisfaction rates. The culturally adapted version will be contextually adapted to different cultural backgrounds and the experience of migration. In ten sessions, participants learn about emotions and are introduced to the START NOW skills. These skills, called "SLOW DOWN", "TAKE A STEP BACK", "ACCEPT", "RESPECT" and "TAKE ACTION", are strategies or techniques that can be used to better manage stress and difficult emotions.