Please use this identifier to cite or link to this item:
PIRA download icon_1.1View/Download Full Text
Title: Effectiveness and cost-effectiveness of self-help plus (sh+) for preventing mental disorders in refugees and asylum seekers in Europe and Turkey : study protocols for two randomised controlled trials
Authors: Purgato, M
Carswell, K
Acarturk, C
Au, T
Akbai, S
Anttila, M
Baumgartner, J
Bailey, D
Biondi, M
Bird, M
Churchill, R
Eskici, S
Hansen, LJ
Heron, P
Ilkkursun, Z
Kilian, R
Koesters, M
Lantta, T
Nosè, M
Ostuzzi, G
Papola, D
Popa, M
Sijbrandij, M
Tarsitani, L
Tedeschi, F
Turrini, G
Uygun, E
Välimäki, MA 
Wancata, J
White, R
Zanini, E
Cuijpers, P
Barbui, C
Van Ommeren, M
Issue Date: 2019
Source: BMJ open, 2019, v. 9, no. 5, 30259
Abstract: Introduction This article describes two randomised controlled trials that will evaluate the effectiveness and cost-effectiveness of Self-Help Plus (SH+), a group self-help intervention developed by the WHO to reduce distress. In these trials SH+ is being tested as a preventative intervention to lower the incidence of mental disorders in asylum seekers and refugees with psychological distress resettled in Europe and Turkey. Methods and analysis Two prospective, multicentre, randomised, rater-blinded, parallel-group studies will follow participants over a period of 12 months. One trial will be conducted in Europe and one in Turkey. In each trial, 600 asylum seekers and refugees screening positive on the General Health Questionnaire (≥3), but without a formal diagnosis of any mental disorders according to the Mini International Neuropsychiatric Interview, will be randomly allocated to SH+or to enhanced treatment-as-usual. The primary outcome will be a lower incidence of mental disorders at 6 month follow-up. Secondary outcomes will include the evaluation of psychological symptoms, functioning, well-being, treatment acceptability and indicators of intervention cost-effectiveness. Ethics and dissemination The two trials received ethical clearance from the local Ethics Committees of the participating sites (seven sites), as well as from the WHO Ethics Committee. All participants will provide informed consent before screening and before study inclusion (a two-step procedure). The results of the trials will be disseminated in agreement with a dissemination plan that includes publication(s) in peer-reviewed journals and presentations at relevant national and international conferences and meetings. Trials registration numbers NCT03571347, NCT03587896.
Keywords: Asylum seekers
Global mental health
Psychosocial interventions
Randomized controlled trials
Publisher: BMJ Publishing Group Ltd
Journal: BMJ open 
EISSN: 2044-6055
DOI: 10.1136/bmjopen-2019-030259
Rights: © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ.
This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See:
The following publication Purgato M, Carswell K, Acarturk C, et al Effectiveness and cost-effectiveness of Self-Help Plus (SH+) for preventing mental disorders in refugees and asylum seekers in Europe and Turkey: study protocols for two randomised controlled trials BMJ Open 2019;9:e030259 is available at
Appears in Collections:Journal/Magazine Article

Files in This Item:
File Description SizeFormat 
Prugato_Effectiveness_cost-effectiveness_self-help.pdf388.67 kBAdobe PDFView/Open
Open Access Information
Status open access
File Version Version of Record
View full-text via PolyU eLinks SFX Query
Show full item record

Page views

Last Week
Last month
Citations as of May 28, 2023


Citations as of May 28, 2023


Citations as of May 25, 2023


Citations as of May 25, 2023

Google ScholarTM



Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.