Skip to main content
Top
Published in: BMC Health Services Research 1/2023

Open Access 01-12-2023 | Study Protocol

Blended-ALMAMAR app for inpatient mental health care for refugees: study protocol for a multicenter implementation study within the I-REACH consortium (Internet based REfugee mentAl healtH Care)

Authors: Isabelle Reinhardt, Laura Schmidt, Dirk Reske, Jürgen Zielasek, Gracia Braun, Maria Böttche, Johanna Boettcher, Sebastian Burchert, Heide Glaesmer, Christine Knaevelsrud, Alexander Konnopka, Louisa Muntendorf, Laura Nohr, Sophia Paskuy, Babette Renneberg, Susan Sierau, Nadine Stammel, Birgit Wagner, Tina Wirz, Euphrosyne Gouzoulis-Mayfrank

Published in: BMC Health Services Research | Issue 1/2023

Login to get access

Abstract

Background

Refugees are at high risk for developing mental illnesses. Due to language and cultural barriers, there is need for specifically adapted therapeutic procedures for refugees in inpatient mental health care settings. Internet-based applications in refugee mother tongues have the potential to improve the outcomes of mental health care for this vulnerable population. The key research question of the present implementation study is whether the newly developed “blended ALMAMAR” app for Arabic and Farsi speaking refugees in Germany is used and accepted by patients and professionals in routine inpatient mental health care (blended care).

Methods

We present the design of an observational, prospective multicenter implementation study in eight psychiatric hospitals. We plan to recruit 100 Farsi or Arabic speaking refugees receiving in-patient treatment due to depression, anxiety disorder, posttraumatic stress disorder or substance use disorders. These patients will get access to the “blended ALMAMAR” app during their inpatient stay in a blended-care approach. We will assess the usage (e.g., duration and frequency of use of the app) as well as subjective acceptability and usability of the intervention. To identify sociodemographic and clinical factors associated with “blended ALMAMAR” usage, we will also perform clinical and questionnaire assessments.

Discussion

The newly developed “blended ALMAMAR” app may help to close communication gaps for the hard-to reach and vulnerable group of refugees in inpatient mental health care. It is the first blended-care intervention that addresses severely mentally ill refugees in an inpatient psychiatric setting in Germany.

Trial registration

The trial was registered in the German Clinical Trials Register on November 11, 2021 (DRKS00025972) and adapted on November 14, 2023.
Literature
2.
go back to reference Priebe S, Giacco D, El-Nagib R. Health evidence Network Synthesis Report, No. 47: public health aspects of mental health among migrants and refugees: a review of the evidence on mental health care for refugees, asylum seekers and irregular migrants in the WHO European Region. Copenhagen: World Health Organization, Regional Office for Europe; 2016. Priebe S, Giacco D, El-Nagib R. Health evidence Network Synthesis Report, No. 47: public health aspects of mental health among migrants and refugees: a review of the evidence on mental health care for refugees, asylum seekers and irregular migrants in the WHO European Region. Copenhagen: World Health Organization, Regional Office for Europe; 2016.
3.
go back to reference Böttche M, Heeke C, Knaevelsrud C. Sequential traumatizations, trauma sequelae and psychological treatment approaches for war-traumatized adult refugees in Germany. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz. 2016; https://doi.org/10.1007/s00103-016-2337-4. Böttche M, Heeke C, Knaevelsrud C. Sequential traumatizations, trauma sequelae and psychological treatment approaches for war-traumatized adult refugees in Germany. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz. 2016; https://​doi.​org/​10.​1007/​s00103-016-2337-4.
8.
go back to reference Gaebel W, Falkai P, Sartorius N, Zielasek J. Mental healthcare for refugees. Die Psychiatrie. 2016;13:61–4.CrossRef Gaebel W, Falkai P, Sartorius N, Zielasek J. Mental healthcare for refugees. Die Psychiatrie. 2016;13:61–4.CrossRef
12.
go back to reference Richter LE, Machleit-Ebner A, Scherbaum N, Bonnet U. How effective is a web-based Mental Health intervention (Deprexis) in the treatment of Moderate and Major Depressive Disorders when started during Routine Psychiatric Inpatient Treatment as an Adjunct Therapy? A pragmatic parallel-group Randomized Controlled Trial. Fortschr Neurol Psychiatr. 2022. https://doi.org/10.1055/a-1826-2888.CrossRefPubMed Richter LE, Machleit-Ebner A, Scherbaum N, Bonnet U. How effective is a web-based Mental Health intervention (Deprexis) in the treatment of Moderate and Major Depressive Disorders when started during Routine Psychiatric Inpatient Treatment as an Adjunct Therapy? A pragmatic parallel-group Randomized Controlled Trial. Fortschr Neurol Psychiatr. 2022. https://​doi.​org/​10.​1055/​a-1826-2888.CrossRefPubMed
18.
go back to reference Drozd F, Vaskinn L, Bergsund HB et al. The implementation of internet interventions for depression: a scoping review. J Med Internet Res 2016. doi:10ß.2196/jmir.5670. Drozd F, Vaskinn L, Bergsund HB et al. The implementation of internet interventions for depression: a scoping review. J Med Internet Res 2016. doi:10ß.2196/jmir.5670.
31.
go back to reference Busner J, Targum SD. The Clinical Global Impression Scale. Applying a Research Tool in Clinical Practice. Psychiatry (Edgmont). 2007;4:28–37.PubMed Busner J, Targum SD. The Clinical Global Impression Scale. Applying a Research Tool in Clinical Practice. Psychiatry (Edgmont). 2007;4:28–37.PubMed
32.
go back to reference Saß H, Wittchen HU, Zaudig M, et al. Diagnostische Kriterien Des Diagnostischen Und Statistischen manuals Psychischer Störungen – DSM-IV-TR, Deutsche überarbeitete Version. Göttingen: Hogrefe; 2003. Saß H, Wittchen HU, Zaudig M, et al. Diagnostische Kriterien Des Diagnostischen Und Statistischen manuals Psychischer Störungen – DSM-IV-TR, Deutsche überarbeitete Version. Göttingen: Hogrefe; 2003.
34.
go back to reference Bakken S, Ruland CM. Translating clinical informatics interventions into routine clinical care: how can the RE-AIM framework help? J Am Med Inform Assoc. 2009 Nov-Dec;16(6):889 – 97. doi: 10.1197/jamia.M3085. Epub 2009 Aug 28. PMID: 19717799; PMCID: PMC3002125. Bakken S, Ruland CM. Translating clinical informatics interventions into routine clinical care: how can the RE-AIM framework help? J Am Med Inform Assoc. 2009 Nov-Dec;16(6):889 – 97. doi: 10.1197/jamia.M3085. Epub 2009 Aug 28. PMID: 19717799; PMCID: PMC3002125.
35.
go back to reference Fuller TE, Pong DD, Piniella N, et al. Interactive Digital Health Tools to engage patients and caregivers in Discharge Preparation: implementation study. J Med Internet Res. 2020;22(4):e15573.CrossRefPubMedPubMedCentral Fuller TE, Pong DD, Piniella N, et al. Interactive Digital Health Tools to engage patients and caregivers in Discharge Preparation: implementation study. J Med Internet Res. 2020;22(4):e15573.CrossRefPubMedPubMedCentral
36.
go back to reference Lambert MJ, Ogles BM. The efficacy and effectiveness of psychotherapy. In: Lambert MJ, editor. Bergin and Garfield’s handbook of psychotherapy and Behavior Change. Hoboken, NJ US: John Wiley & Sons; 2004. pp. 139–93. Lambert MJ, Ogles BM. The efficacy and effectiveness of psychotherapy. In: Lambert MJ, editor. Bergin and Garfield’s handbook of psychotherapy and Behavior Change. Hoboken, NJ US: John Wiley & Sons; 2004. pp. 139–93.
Metadata
Title
Blended-ALMAMAR app for inpatient mental health care for refugees: study protocol for a multicenter implementation study within the I-REACH consortium (Internet based REfugee mentAl healtH Care)
Authors
Isabelle Reinhardt
Laura Schmidt
Dirk Reske
Jürgen Zielasek
Gracia Braun
Maria Böttche
Johanna Boettcher
Sebastian Burchert
Heide Glaesmer
Christine Knaevelsrud
Alexander Konnopka
Louisa Muntendorf
Laura Nohr
Sophia Paskuy
Babette Renneberg
Susan Sierau
Nadine Stammel
Birgit Wagner
Tina Wirz
Euphrosyne Gouzoulis-Mayfrank
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2023
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-023-10403-z

Other articles of this Issue 1/2023

BMC Health Services Research 1/2023 Go to the issue