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Improving Retention in Mental Health and Psychosocial Support Interventions: An Analysis of Completion Rates Across a Multi-Site Trial with Displaced and Host Populations in Latin America
Fernández Capriles, I.; Armijos, A.; Angulo, A.; Schojan, M.; Wainberg, M.L.; Bonz, A.G.; Tol, W.A.; Greene, M.C. Improving Retention in Mental Health and Psychosocial Support Interventions: An Analysis of Completion Rates across a Multi-Site Trial with Refugee, Migrant, and Host Communities in Latin America. Int. J. Environ. Res. Public Health2024, 21, 397.
Fernández Capriles, I.; Armijos, A.; Angulo, A.; Schojan, M.; Wainberg, M.L.; Bonz, A.G.; Tol, W.A.; Greene, M.C. Improving Retention in Mental Health and Psychosocial Support Interventions: An Analysis of Completion Rates across a Multi-Site Trial with Refugee, Migrant, and Host Communities in Latin America. Int. J. Environ. Res. Public Health 2024, 21, 397.
Fernández Capriles, I.; Armijos, A.; Angulo, A.; Schojan, M.; Wainberg, M.L.; Bonz, A.G.; Tol, W.A.; Greene, M.C. Improving Retention in Mental Health and Psychosocial Support Interventions: An Analysis of Completion Rates across a Multi-Site Trial with Refugee, Migrant, and Host Communities in Latin America. Int. J. Environ. Res. Public Health2024, 21, 397.
Fernández Capriles, I.; Armijos, A.; Angulo, A.; Schojan, M.; Wainberg, M.L.; Bonz, A.G.; Tol, W.A.; Greene, M.C. Improving Retention in Mental Health and Psychosocial Support Interventions: An Analysis of Completion Rates across a Multi-Site Trial with Refugee, Migrant, and Host Communities in Latin America. Int. J. Environ. Res. Public Health 2024, 21, 397.
Abstract
Research on mental health and psychosocial support (MHPSS) interventions with displaced communities has increasingly focused on evaluating implementation, including identifying strategies to promote retention in services. This study examines the relationship between participant characteristics, study setting, and reasons for intervention noncompletion using data from the Entre Nosotras feasibility trial, a community-based MHPSS intervention targeting displaced and host community women in Ecuador and Panama that aimed to promote psychosocial wellbeing. Among 225 enrolled women, approximately half completed the intervention, with varying completion rates and reasons for nonattendance across study sites. Participants who were older, had migrated for family reasons, had spent more time in the study community, and were living in Panamá (vs. Ecuador) were more likely to complete the intervention. The findings suggest the need to adapt MHPSS interventions to consider the duration of access to the target population and explore different delivery modalities including the role of technology and cellular devices as reliable or unreliable source for engaging with participants. Engaging younger, newly arrived women is crucial, as they showed lower completion rates. Strategies such as consulting scheduling preferences, providing on-site childcare, and integrating MHPSS interventions with other programs could enhance intervention attendance.
Public Health and Healthcare, Public Health and Health Services
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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