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Process evaluation of TeamUp: a movement-based psychosocial intervention for refugee children in the Netherlands
International Journal of Mental Health Systems ( IF 3.463 ) Pub Date : 2021-03-19 , DOI: 10.1186/s13033-021-00450-6
Alexandra C. E. Bleile , Gabriela V. Koppenol-Gonzalez , Katia Verreault , Karin Abeling , Elin Hofman , Willem Vriend , Adnan Hasan , Mark J. D. Jordans

Nearly 60,000 people applied for asylum in the Netherland in 2015, confronting the governmental structures and services with great administrative, logistical and service provision challenges. Refugee children’s psychosocial needs and wellbeing are often overlooked, and post-migration support is of pivotal importance. An easy accessible movement–based psychosocial intervention, called TeamUp, was developed for children aged 6–17 living in refugee reception centres. A mixed-method process evaluation was conducted of (1) implementation process, assessing attendance (n = 2183 children, and n = 209 children); (2) implementation quality, using structured observations at two time points to evaluate facilitator’s (2a) individual-level fidelity (n = 81 facilitators); (2b) team-level fidelity (n = 22 teams); (2c) facilitators’ competencies (n = 81); (2d) trainee perceived self-efficacy pre-post training (n = 73); and (3) perceptions on implementation and outcomes, employing a survey (n = 99), focus group discussions and key informant interviews with children (n = 94), facilitators (n = 24) and reception centre staff (n = 10). Attendance lists showed a mean of 8.5 children per session, and children attending 31.3% of sessions. Structured observations demonstrated 49.2% and 58.2% individual-level fidelity, 72.5% and 73.0% team-level fidelity, and 82.9% and 88.4% adequacy in competencies, each at T1 and T2 respectively. The main reported challenges included managing children’s energy regulation (e.g. offering settling moments) and challenging behaviour. Training participation significantly improved perceived self-efficacy for trainees. The facilitator survey demonstrated on average, high satisfaction and self-efficacy, low experienced burden, and high perceived capacity-building support. Qualitatively, TeamUp was positively perceived by all stakeholders and was regarded as contributing to children’s psychosocial outcomes. (1) Attendance and group size were lower than expected. (2) The intervention’s facilitator fidelity ranged from moderate to adequate—exhibiting a need for specific fidelity and capacity strengthening—while facilitator competencies were high. Trainee’s perceived self-efficacy improved significantly following a 2-day training. (3) Facilitators expressed high levels of satisfaction, self-efficacy and support, and low burden. The intervention was positively perceived by all stakeholders and to have a positive impact on children’s psychosocial learning and wellbeing.

中文翻译:

TeamUp的过程评估:针对荷兰难民儿童的基于运动的社会心理干预

2015年,将近60,000人在荷兰申请庇护,使政府机构和服务机构面临巨大的行政,后勤和服务提供挑战。难民儿童的社会心理需要和福祉常常被忽视,移居后的支持至关重要。针对居住在难民收容中心的6-17岁儿童,开发了一种基于运动的,易于运动的心理干预方法,称为TeamUp。对以下方面进行了混合方法评估:(1)实施过程,评估出勤率(n = 2183名儿童,n = 209名儿童);(2)实施质量,在两个时间点使用结构化观察来评估协调人(2a)的个人保真度(n = 81个协调人);(2b)团队级别的忠诚度(n = 22个团队);(2c)促进者的能力(n = 81);(2d)受训者在岗前接受自我效能感训练(n = 73);(3)对实施和结果的看法,进行一项调查(n = 99),焦点小组讨论以及与儿童(n = 94),协调人(n = 24)和接待中心工作人员(n = 10)的关键知情人访谈。出席者名单显示,每节课平均有8.5个孩子,参加课程的孩子占31.3%。结构化观察表明,分别在T1和T2时,个人级别的忠诚度分别为49.2%和58.2%,团队级别的忠诚度分别为72.5%和73.0%,以及82.9%和88.4%的胜任能力。报告的主要挑战包括管理儿童的能量调节(例如提供安定的时光)和挑战性的行为。参加培训显着提高了学员的自我效能感。主持人调查显示,较高的满意度和自我效能感,较低的经验负担以及较高的感知能力建设支持。在质量上,所有利益相关者都对TeamUp给予了积极的评价,并认为这有助于促进儿童的心理社会成果。(1)出席人数和小组人数均低于预期。(2)干预的促进者保真度从中等到适当不等-表现出对特定保真度和能力增强的需求-同时促进者的能力很高。经过为期2天的培训,受训者的自我效能感得到了显着改善。(3)主持人表达了很高的满意度,自我效能感和支持以及较低的负担。所有利益攸关方均积极地认为该干预措施会对儿童的心理社会学习和福祉产生积极影响。经验丰富的负担低,并且对能力建设的支持很高。在质量上,所有利益相关者都对TeamUp给予了积极的评价,并认为这有助于促进儿童的心理社会成果。(1)出席人数和小组人数均低于预期。(2)干预的促进者保真度从中等到适当不等-表现出对特定保真度和能力增强的需求-同时促进者的能力很高。经过为期2天的培训,受训者的自我效能感得到了显着改善。(3)主持人表达了很高的满意度,自我效能感和支持以及较低的负担。所有利益攸关方都对干预措施给予了积极的评价,并且对儿童的心理社会学习和福祉产生了积极的影响。经验丰富的负担低,并且对能力建设的支持很高。在质量上,所有利益相关者都对TeamUp给予了积极的评价,并认为这有助于促进儿童的心理社会成果。(1)出席人数和小组人数均低于预期。(2)干预的促进者保真度从中等到适当不等-表现出对特定保真度和能力增强的需求-同时促进者的能力很高。经过为期2天的培训,受训者的自我效能感得到了显着改善。(3)主持人表达了很高的满意度,自我效能感和支持以及较低的负担。所有利益攸关方都对干预措施给予了积极的评价,并且对儿童的心理社会学习和福祉产生了积极的影响。所有利益相关者都对TeamUp给予了积极的评价,并认为这有助于促进儿童的心理社会成果。(1)出席人数和小组人数均低于预期。(2)干预的促进者保真度从中等到适当不等-表现出对特定保真度和能力增强的需求-同时促进者的能力很高。经过为期2天的培训,受训者的自我效能感得到了显着改善。(3)主持人表达了很高的满意度,自我效能感和支持以及较低的负担。所有利益攸关方都对干预措施给予了积极的评价,并且对儿童的心理社会学习和福祉产生了积极的影响。所有利益相关者都对TeamUp给予了积极的评价,并认为这有助于促进儿童的心理社会成果。(1)出席人数和小组人数均低于预期。(2)干预的促进者保真度从中等到适当不等-表现出对特定保真度和能力增强的需求-同时促进者的能力很高。经过为期2天的培训,受训者的自我效能感得到了显着改善。(3)主持人表达了很高的满意度,自我效能感和支持以及较低的负担。所有利益攸关方都对干预措施给予了积极的评价,并且对儿童的心理社会学习和福祉产生了积极的影响。(2)干预的促进者保真度从中等到适当不等-表现出对特定保真度和能力增强的需求-同时促进者的能力很高。经过为期2天的培训,受训者的自我效能感得到了显着改善。(3)主持人表达了很高的满意度,自我效能感和支持以及较低的负担。所有利益攸关方都对干预措施给予了积极的评价,并且对儿童的心理社会学习和福祉产生了积极的影响。(2)干预的促进者保真度从中等到适当不等-表现出对特定保真度和能力增强的需求-同时促进者的能力很高。经过为期2天的培训,受训者的自我效能感得到了显着改善。(3)主持人表达了很高的满意度,自我效能感和支持以及较低的负担。所有利益攸关方都对干预措施给予了积极的评价,并且对儿童的心理社会学习和福祉产生了积极的影响。和低负担。所有利益攸关方都对干预措施给予了积极的评价,并且对儿童的心理社会学习和福祉产生了积极的影响。和低负担。所有利益攸关方都对干预措施给予了积极的评价,并且对儿童的心理社会学习和福祉产生了积极的影响。
更新日期:2021-03-19
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