Translating, contextually adapting, and pilot testing of psychosocial and mental health assessment instruments for Congolese refugees in Rwanda and Uganda.

Journal: Conflict and health

Volume: 16

Issue: 1

Year of Publication: 

Affiliated Institutions:  Department of Mental Health and Community Psychology, Makerere University, Kampala, Uganda. Department of Psychiatry, Makerere University, College of Health Sciences, Kampala, Uganda. Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK. Center for Mental Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda. Mental Health & Community Psychology and Behaviour Research Group, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda. Division of Resilience and Solutions, Public Health Section, United Nations High Commissioner for Refugees, Geneva, Switzerland. School of Psychology, Queen's University Belfast, David Keir Building, - Malone Road, Belfast, BT BN, UK. r.white@qub.ac.uk.

Abstract summary 

Forcibly displaced people are at elevated risk of experiencing circumstances that can adversely impact on mental health. Culturally and contextually relevant tools to assess their mental health and psychosocial needs are essential to inform the development of appropriate interventions and investigate the effectiveness of such interventions.We conducted two related studies: (1) to translate and contextually adapt the Patient Health Questionnaire (PHQ-9), a measure of depressive symptomatology, along with assessment instruments measuring levels of daily stress (Checklist for Daily & Environmental Stressors; CDES), social capital (Shortened and Adapted Social Capital Assessment Tool; SASCAT) and perceived social support (Multidimensional Scale of Perceived Social Support; MSPSS) for use with Congolese refugees; (2) to conduct pilot testing of the assessment instruments (including cognitive interviewing about participants' views of completing them) and a validation of the adapted PHQ-9 using a 'known group' approach by recruiting Congolese refugees from refugee settings in Rwanda (n = 100) and Uganda (n = 100).Study 1 resulted in the translation and adaptation of the assessment instruments. No substantive adaptations were made to the SASCAT or MSPSS, while notable linguistic and contextual adaptations were made in both sites to the CDES and the PHQ-9. The cognitive interviewing conducted in Study 2 indicated that the adapted assessment instruments were generally well received by members of the refugee communities. Participants recruited on the basis that local informants adjudged them to have high levels of depressive symptoms had significantly higher PHQ-9 scores (M = 11.02; SD = 5.84) compared to those in the group adjudged to have low levels of depressive symptoms (M = 5.66; SD = 5.04). In both sites, the adapted versions of the PHQ-9 demonstrated concurrent validity via significant positive correlations with levels of daily stressors. Each of the four adapted assessment instruments demonstrated at least adequate levels of internal consistency in both sites.The adapted versions of the PHQ-9, CDES, SASCAT and MSPSS are appropriate for use amongst Congolese refugees in Rwanda and Uganda. We recommend further application of the approaches used in the current studies for contextually adapting other assessment instruments in humanitarian settings.

Authors & Co-authors:  Kasujja Rosco R Bangirana Paul P Chiumento Anna A Hasan Tasdik T Jansen Stefan S Kagabo Daniel M DM Popa Maria M Ventevogel Peter P White Ross G RG

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Center for Disease Control and Prevention (CDC). Refugee Health Profiles: Congolese Refugees. Immigration, editor. 2014. Available from: https://www.cdc.gov/immigrantrefugeehealth/profiles/congolese/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fimmigrantrefugeehealth%2Fprofiles%2Fcongolese%2Fbackground%2Findex.html
Authors :  9
Identifiers
Doi : 17
SSN : 1752-1505
Study Population
Male,Female
Mesh Terms
Other Terms
Adaptation;Assessment;Depression;Humanitarian settings;Mental health and psychosocial support;Post-conflict;Refugees
Study Design
Study Approach
Country of Study
Uganda
Publication Country
England