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An insufficient number of participants could be recruited, and drop-out rates were very high (80%)
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| Name | Class |
|---|---|
| Freie Universität Berlin | OTHER |
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We aim to compare two different levels of cultural adaptation of an Internet- and mobile-based intervention for the treatment of depression called Hap-pas-Hapi among Albanian-speaking immigrants in Switzerland and Germany. One arm will include the generic (minimally adapted) version of Hap-pas Hapi. The other arm will include a version of Hap-pas-Hapi that was adapted to the target population's cultural concepts of distress. Both versions include five sessions and the same therapeutic techniques.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Generic (surface adaptation) | Active Comparator | The generic version of Hap-pas-Hapi includes only surface adaptations (i.e., adaptation of text and illustrations that are inacceptable or non-meaningful for the target group) |
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| Adapted (deep structure adaptation) | Experimental | For the experimental intervention, Hap-pas-Hapi was adapted to Albanian immigrants' cultural concepts of distress (CCD). An ethnopsychological study was conducted for this purpose, since evidence on CCD in South Eastern Europe is scarce. Based on this study, three deep-structure adaptations were done: i) the symptom narrative provided by the narrator in the app was re-written to reflect Albanian immigrants' CCD; ii) a new explanatory model builder was implemented to address the target group's fatalistic beliefs; and iii) a goal-setting task was programmed to address the target group's socio-centric notion of the self. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hap-pas-Hapi | Device | Hap-pas-Hapi is a Smartphone-based intervention for the treatment of psychological distress. It includes five sessions and uses a narrative approach. Behavioural activation is the main active therapeutic agent in the intervention, along with stress management, positive self-talk, mood tracking, social support, and relapse prevention. |
| Measure | Description | Time Frame |
|---|---|---|
| Psychological distress | Hopkins Symptom Checklist-25 (HSCL-25) | Six weeks |
| Treatment adherence | Completing at least three (out of five) sessions of Hap-pas-Hapi; | Six weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Functional impairment (health and disability) | WHO Disability Assessment Schedule (WHODAS 2.0) | Six weeks |
| Well-being | The WHO Wellbeing Index (WHO-5) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Freie Universität Berlin | Berlin | Germany | ||||
| University of Zurich |
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| Six weeks |
| Post-traumatic stress disorder | The PTSD checklist, 8 items version (PCL-8) | Six weeks |
| Self-defined problems | The Psychological Outcome Profiles (PSYCHLOPS) | Six weeks |
| Zurich |
| 8050 |
| Switzerland |