Family-centred interventions addressing sociocultural and emotional stressors promise to prevent mental health problems among refugees in the United States. Peer-led strategies are highly valued, as they engage communities and promote the sustainability of interventions. We assessed the effects of a peer-led family-centred Social and Emotional Well-being (SEW) intervention on preventive (coping, social networking and conflict resolution) and mental health outcomes (stress, anxiety and depression) among resettled Bhutanese adults in Massachusetts. We conducted a SEW intervention with a pre-intervention versus post-intervention (7-day) and follow-up (3-month) evaluation among 103 adults (50 families). The SEW is a culturally tailored 5-weekly session program that included health education, problem-solving and mind–body exercises to increase knowledge and skills regarding stress management and conflict resolution. We measured anxiety and depression using the Hopkins Symptom Checklist-25 and stress using Cohen Perceived Stress scales. Health-promoting behaviours were measured using validated scales. We used paired t-tests for continuous and McNemar tests for categorical variables. Mean scores significantly decreased from pre-intervention to post-intervention and follow-up for stress by 15% and 13.9%, anxiety by 20.9% and 25.1% and depression by 18.7% and 20.4% (all p's < 0.01). Mean scores increased from pre-intervention to post-intervention and follow-up for coping by 10% and 17.2%, and for community networking by 28% and 36.8% (all p's < 0.01). Generalised estimating equations showed a significant reduction in stress, anxiety, depression and improved coping, self-efficacy, family and community networking scored from baseline to follow-ups (all p's < 0.01). Our peer-led family-centred SEW intervention was associated with improved preventive and mental health outcomes among Bhutanese adults.

中文翻译：

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马萨诸塞州重新安置的不丹成年人的心理健康促进：以同伴为中心的以家庭为中心的社会和情绪健康 (SEW) 干预研究的结果

针对社会文化和情绪压力的以家庭为中心的干预措施有望预防美国难民的心理健康问题。同行主导的策略受到高度重视，因为它们让社区参与并促进干预措施的可持续性。我们评估了以同伴为中心的以家庭为中心的社会和情绪健康 (SEW) 干预对马萨诸塞州重新安置的不丹成年人的预防（应对、社交网络和解决冲突）和心理健康结果（压力、焦虑和抑郁）的影响. 我们对 103 名成年人（50 个家庭）进行了 SEW 干预，包括干预前与干预后（7 天）和随访（3 个月）的评估。SEW 是一项针对文化量身定制的 5 周课程计划，其中包括健康教育、解决问题和身心锻炼，以增加有关压力管理和解决冲突的知识和技能。我们使用 Hopkins Symptom Checklist-25 测量焦虑和抑郁，使用 Cohen Perceived Stress 量表测量压力。使用经过验证的量表测量促进健康的行为。我们使用了配对t测试用于分类变量的连续和 McNemar 测试。从干预前到干预后，压力的平均得分显着下降 15% 和 13.9%，焦虑下降 20.9% 和 25.1%，抑郁下降 18.7% 和 20.4%（所有p < 0.01）。从干预前到干预后和随访的平均得分分别增加了 10% 和 17.2%，社区网络分别增加了 28% 和 36.8%（所有p < 0.01）。广义估计方程显示压力、焦虑、抑郁显着减少，应对、自我效能、家庭和社区网络得分从基线到随访（所有p的 < 0.01)。我们由同伴主导的以家庭为中心的 SEW 干预与改善不丹成年人的预防和心理健康结果有关。