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Effectiveness of a Community-based Group Mindfulness Program tailored for Arabic and Bangla-speaking Migrants
International Journal of Mental Health Systems ( IF 3.463 ) Pub Date : 2021-04-13 , DOI: 10.1186/s13033-021-00456-0
Ilse Blignault 1 , Hend Saab 2 , Lisa Woodland 3 , Haider Mannan 1 , Arshdeep Kaur 1
Affiliation  

Migrant communities are often underserved by mainstream mental health services resulting in high rates of untreated psychological distress. This collaborative study built on evidence that mindfulness-based interventions delivered in-language and culturally tailored were acceptable and clinically effective for Arabic speakers in Australia. It aimed to establish whether a group mindfulness program produced expected outcomes under normal operational conditions, and to test its scalability and its transferability to Bangla speakers. A 5-week mindfulness program was delivered to 15 Arabic-speaking and 8 Bangla-speaking groups in community settings. The mixed-methods evaluation incorporated a pre-post study. Descriptive statistics were used to summarise the socio-demographic data, group attendance and home practice. Differences in DASS 21 and K10 scores from pre to post-intervention were tested using the nonparametric sign test for paired samples (two-sided). Multiple linear regression analysis was performed to determine the effects of selected sociodemographic variables, group attendance and home practice on clinical outcomes, based on intention to treat. Content analysis was used to examine the qualitative data. The program attracted 168 Arabic speakers and 103 Bangla speakers aged 16 years and over, mostly women. Cultural acceptability was evident in the overall 80% completion rate, with 78% of Arabic speakers and 84% of Bangla speakers retained. Both language groups showed clinically and statistically significant improvements in mental health outcomes on the DASS21 and K10. Thirty new referrals were made to mental health services. Participant feedback emphasised the benefits for their everyday lives. All but one participant reported sharing the mindfulness skills with others. Across multiple and diverse groups of Arabic and Bangla speakers in Sydney, the community-based group mindfulness program was shown to have high levels of cultural acceptability and relevance. It resulted in clinically and statistically significant improvements in mental health outcomes, facilitated access to mental health care and boosted mental health literacy. This innovative, low-intensity, in-language mental health intervention that was originally developed for Arabic speakers is scalable. It is also transferable—with cultural tailoring—to Bangla speakers.

中文翻译:

为阿拉伯语和孟加拉语移民量身定制的基于社区的团体正念计划的有效性

移民社区往往得不到主流心理健康服务的支持,导致心理困扰未得到治疗的比例很高。这项合作研究的证据表明,以语言和文化定制的正念干预措施对于澳大利亚阿拉伯语使用者来说是可以接受的,并且具有临床效果。它的目的是确定团体正念计划在正常操作条件下是否产生预期结果,并测试其可扩展性以及对孟加拉语使用者的可移植性。为社区环境中的 15 个阿拉伯语群体和 8 个孟加拉语群体提供了为期 5 周的正念计划。混合方法评估纳入了事前研究。使用描述性统计来总结社会人口统计数据、团体出勤率和家庭实践。使用配对样本(两侧)的非参数符号检验测试干预前后 DASS 21 和 K10 分数的差异。根据治疗意向,进行多元线性回归分析,以确定选定的社会人口统计学变量、团体出勤率和家庭实践对临床结果的影响。内容分析用于检查定性数据。该项目吸引了 168 名讲阿拉伯语和 103 名讲孟加拉语的年龄在 16 岁及以上的人,其中大多数是女性。整体完成率达到 80%,文化可接受性显而易见,其中 78% 的阿拉伯语使用者和 84% 的孟加拉语使用者保留了下来。两个语言组在 DASS21 和 K10 上的心理健康结果均显示出临床和统计上的显着改善。向心理健康服务机构提出了 30 个新转诊。参与者的反馈强调了对他们日常生活的好处。除一名参与者外,所有参与者均表示与其他人分享了正念技巧。在悉尼多个不同的阿拉伯语和孟加拉语使用者群体中,基于社区的团体正念计划被证明具有高度的文化可接受性和相关性。它在临床和统计上显着改善了心理健康结果,促进了心理健康护理的获得,并提高了心理健康素养。这种创新、低强度、语言内的心理健康干预措施最初是为阿拉伯语使用者开发的,并且具有可扩展性。通过文化定制,它也可以转移到讲孟加拉语的人身上。
更新日期:2021-04-13
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