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    Apr 14, 2021
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    Monitoring and Evaluating Psychosocial Intervention Outcomes in Humanitarian Aid

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    de Jong et al - 2016 - Monitoring ...
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    Authors
    de Jong, K
    Ariti, C
    van der Kam, S
    Mooren, T
    Shanks, L
    Pintaldi, G
    Kleber, R
    Issue Date
    2016-06-17
    Submitted date
    2016-06-22
    
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    Journal
    PLoS One
    Abstract
    Existing tools for evaluating psychosocial interventions (un-validated self-reporting questionnaires) are not ideal for use in non-Western conflict settings. We implement a generic method of treatment evaluation, using client and counsellor feedback, in 18 projects in non-Western humanitarian settings. We discuss our findings from the perspective of validity and suggestions for future research. A retrospective analysis is executed using data gathered from psychosocial projects. Clients (n = 7,058) complete two (complaints and functioning) rating scales each session and counsellors rate the client's status at exit. The client-completed pre- and post-intervention rating scales show substantial changes. Counsellor evaluation of the clients' status shows a similar trend in improvement. All three multivariable models for each separate scale have similar associations between the scales and the investigated variables despite different cultural settings. The validity is good. Limitations are: ratings give only a general impression and clinical risk factors are not measured. Potential ceiling effects may influence change of scales. The intra and inter-rater reliability of the counsellors' rating is not assessed. The focus on client and counsellor perspectives to evaluate treatment outcome seems a strong alternative for evaluation instruments frequently used in psychosocial programming. The session client rated scales helps client and counsellor to set mutual treatment objectives and reduce drop-out risk. Further research should test the scales against a cross-cultural valid gold standard to obtain insight into their clinical relevance.
    Publisher
    Public Library of Science
    URI
    http://hdl.handle.net/10144/614813
    DOI
    10.1371/journal.pone.0157474
    PubMed ID
    27315263
    Language
    en
    ISSN
    1932-6203
    ae974a485f413a2113503eed53cd6c53
    10.1371/journal.pone.0157474
    Scopus Count
    Collections
    Mental Health

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