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. 2023 Oct 24;2023(10):CD014722. doi: 10.1002/14651858.CD014722.pub2

Burchert 2019.

Study name Randomized controlled trial to test the (cost‐)effectiveness of Step‐by‐Step, a smartphone‐based self‐help programme for Syrian refugees in Egypt
Methods Study design: RCT
Country: Egypt
Participants Adult Syrian refugees with symptoms of psychological distress and problems in daily life
Inclusion criteria: 
a. Syrian displaced person living in Egypt;
b. Arabic‐speaking;
c. minimum age 18 years;
d. K10 score > 15 and WHODAS 2.0 score > 16;
e. access to a smartphone (iOS or Android) or web‐browser;
f. internet access.
Exclusion criteria:
a. serious suicidal thoughts or plan
Stated purpose: to evaluate the effects of Step‐by‐Step on mental health and the use of health services
Interventions Intervention:
TAU + Step‐by‐Step
Step‐by‐Step is a smartphone‐ and internet‐based self‐help programme with an introduction session (15 minutes) and 5 weekly sessions (each 30 minutes), a digital mood diary, contact‐on‐demand by trained and supervised non‐specialist, Syrian research assistants (“e‐helpers”) and information on treatment‐as‐usual (TAU) in Egypt. Participants in this group can make use of other care services in parallel.
Control:
TAU + information (access to information about their symptoms, and on how to get help when experiencing difficult emotions or problems. Participants receive basic psychoeducation and information on treatment‐as‐usual (TAU) in Egypt. Participants in this group can make use of other care services in parallel).
Outcomes Participants' outcomes of interest for this review
  1. Mental health symptoms/distress – Hopkins Symptom Checklist (HSCL‐25) or Kessler‐10 Psychological Distress Scale (K10)

  2. Psychological functioning and impairment – WHO Disability Assessment Schedule 2.0 (WHODAS)

  3. Mental health symptoms/PTSD – Psychological Outcome Profiles Instrument (PSYCHLOPS)


Economic outcomes
Access to health services
Time points: baseline, post‐intervention (3 months after randomization)
Starting date 1 December 2020 (first enrolment)
Contact information Mr. Sebastian Burchert; s.burchert at fu‐berlin.de
Notes Source of funding: European Union’s Horizon 2020 Research and Innovation Program Societal Challenges under grant agreement No 733337
Prospective trial registration number: DRKS00023505