Effects of Mental Health Paraprofessional Training for Filipina Foreign Domestic Workers in Singapore
Research has found that 24% of foreign domestic workers (FDWs) in Singapore have poor mental health (24%), with depressive symptoms being identified as the second most severe psychological symptoms [ 1 ]. The study assessed the acceptability and effectiveness of a 4-week cognitive behavioral therapy...
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| Veröffentlicht in: | Journal of immigrant and minority health 2020-06, Vol.22 (3), p.571-579 |
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| creator | Wong, M. H. M. Keng, Shian-Ling Buck, P. J. Suthendran, S. Wessels, A. Østbye, T. |
| description | Research has found that 24% of foreign domestic workers (FDWs) in Singapore have poor mental health (24%), with depressive symptoms being identified as the second most severe psychological symptoms [
1
]. The study assessed the acceptability and effectiveness of a 4-week cognitive behavioral therapy (CBT)-based paraprofessional training program for FDWs in Singapore on depression literacy and CBT knowledge (primary outcomes), depression-related stigma, as well as attitudes towards seeking professional help (secondary outcomes) immediately and 2 months following the training. Forty female Filipino FDWs were recruited and randomized into either a CBT-based paraprofessional training program or wait-list (WL) group. Participants completed outcome measures before, after, and 2 months following their training. No significant difference was found on changes on any of the outcome variables in the intervention group as compared to the WL group. Following training, both groups showed significantly improved depression literacy, CBT knowledge, and attitudes towards seeking professional help. These changes were sustained at 2-month follow-up. All participants indicated a high level of satisfaction with the training program. While findings from between-group analyses do not support the efficacy of the CBT-based paraprofessional training program in improving depression literacy and related outcomes, participation in the program was associated with improvements in several outcomes within the training group. Future research should explore adaptations to the program (e.g., in terms of training duration and modes of delivery) that would increase its efficacy in improving depression literacy and CBT knowledge among FDWs. |
| doi_str_mv | 10.1007/s10903-019-00907-4 |
| format | Article |
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1
]. The study assessed the acceptability and effectiveness of a 4-week cognitive behavioral therapy (CBT)-based paraprofessional training program for FDWs in Singapore on depression literacy and CBT knowledge (primary outcomes), depression-related stigma, as well as attitudes towards seeking professional help (secondary outcomes) immediately and 2 months following the training. Forty female Filipino FDWs were recruited and randomized into either a CBT-based paraprofessional training program or wait-list (WL) group. Participants completed outcome measures before, after, and 2 months following their training. No significant difference was found on changes on any of the outcome variables in the intervention group as compared to the WL group. Following training, both groups showed significantly improved depression literacy, CBT knowledge, and attitudes towards seeking professional help. These changes were sustained at 2-month follow-up. All participants indicated a high level of satisfaction with the training program. While findings from between-group analyses do not support the efficacy of the CBT-based paraprofessional training program in improving depression literacy and related outcomes, participation in the program was associated with improvements in several outcomes within the training group. Future research should explore adaptations to the program (e.g., in terms of training duration and modes of delivery) that would increase its efficacy in improving depression literacy and CBT knowledge among FDWs.</description><identifier>ISSN: 1557-1912</identifier><identifier>EISSN: 1557-1920</identifier><identifier>DOI: 10.1007/s10903-019-00907-4</identifier><identifier>PMID: 31183593</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adaptation ; Adult ; Attitudes ; Cognitive ability ; Cognitive behavioral therapy ; Cognitive Behavioral Therapy - education ; Cognitive Restructuring ; Comparative Law ; Depression (Psychology) ; Depression - therapy ; Domestic service ; Efficacy ; Emigrants and Immigrants ; Female ; Housekeeping ; Humans ; International & Foreign Law ; Knowledge ; Literacy ; Medicine ; Medicine & Public Health ; Mental depression ; Mental disorders ; Mental health ; Mental Health - ethnology ; Middle Aged ; Original Paper ; Outcome Measures ; Paraprofessionals ; Peer Group ; Philippines - ethnology ; Philippino ; Private International Law ; Professional attitudes ; Program Evaluation ; Psychological problems ; Psychotherapy ; Public Health ; Signs and symptoms ; Singapore ; Sociology ; Southeast Asian cultural groups ; Stigma ; Symptoms ; Training ; Workers</subject><ispartof>Journal of immigrant and minority health, 2020-06, Vol.22 (3), p.571-579</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-5f37ba339576584fdaa267421063d4b3ec6f962442454d3339441351c7f09d473</citedby><cites>FETCH-LOGICAL-c375t-5f37ba339576584fdaa267421063d4b3ec6f962442454d3339441351c7f09d473</cites><orcidid>0000-0002-7564-2425</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10903-019-00907-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10903-019-00907-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,12846,27344,27924,27925,30999,33774,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31183593$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wong, M. H. M.</creatorcontrib><creatorcontrib>Keng, Shian-Ling</creatorcontrib><creatorcontrib>Buck, P. J.</creatorcontrib><creatorcontrib>Suthendran, S.</creatorcontrib><creatorcontrib>Wessels, A.</creatorcontrib><creatorcontrib>Østbye, T.</creatorcontrib><title>Effects of Mental Health Paraprofessional Training for Filipina Foreign Domestic Workers in Singapore</title><title>Journal of immigrant and minority health</title><addtitle>J Immigrant Minority Health</addtitle><addtitle>J Immigr Minor Health</addtitle><description>Research has found that 24% of foreign domestic workers (FDWs) in Singapore have poor mental health (24%), with depressive symptoms being identified as the second most severe psychological symptoms [
1
]. The study assessed the acceptability and effectiveness of a 4-week cognitive behavioral therapy (CBT)-based paraprofessional training program for FDWs in Singapore on depression literacy and CBT knowledge (primary outcomes), depression-related stigma, as well as attitudes towards seeking professional help (secondary outcomes) immediately and 2 months following the training. Forty female Filipino FDWs were recruited and randomized into either a CBT-based paraprofessional training program or wait-list (WL) group. Participants completed outcome measures before, after, and 2 months following their training. No significant difference was found on changes on any of the outcome variables in the intervention group as compared to the WL group. Following training, both groups showed significantly improved depression literacy, CBT knowledge, and attitudes towards seeking professional help. These changes were sustained at 2-month follow-up. All participants indicated a high level of satisfaction with the training program. While findings from between-group analyses do not support the efficacy of the CBT-based paraprofessional training program in improving depression literacy and related outcomes, participation in the program was associated with improvements in several outcomes within the training group. Future research should explore adaptations to the program (e.g., in terms of training duration and modes of delivery) that would increase its efficacy in improving depression literacy and CBT knowledge among FDWs.</description><subject>Adaptation</subject><subject>Adult</subject><subject>Attitudes</subject><subject>Cognitive ability</subject><subject>Cognitive behavioral therapy</subject><subject>Cognitive Behavioral Therapy - education</subject><subject>Cognitive Restructuring</subject><subject>Comparative Law</subject><subject>Depression (Psychology)</subject><subject>Depression - therapy</subject><subject>Domestic service</subject><subject>Efficacy</subject><subject>Emigrants and Immigrants</subject><subject>Female</subject><subject>Housekeeping</subject><subject>Humans</subject><subject>International & Foreign Law</subject><subject>Knowledge</subject><subject>Literacy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Mental Health - ethnology</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Outcome Measures</subject><subject>Paraprofessionals</subject><subject>Peer Group</subject><subject>Philippines - ethnology</subject><subject>Philippino</subject><subject>Private International Law</subject><subject>Professional attitudes</subject><subject>Program Evaluation</subject><subject>Psychological problems</subject><subject>Psychotherapy</subject><subject>Public Health</subject><subject>Signs and symptoms</subject><subject>Singapore</subject><subject>Sociology</subject><subject>Southeast Asian cultural groups</subject><subject>Stigma</subject><subject>Symptoms</subject><subject>Training</subject><subject>Workers</subject><issn>1557-1912</issn><issn>1557-1920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>LD-</sourceid><sourceid>LD.</sourceid><sourceid>M2O</sourceid><sourceid>QXPDG</sourceid><recordid>eNp9kU9PAyEQxYnR-P8LeDAkXrysAgPL7tFoa000mqjxSOguVOoWKmwPfnup1Zp48DST4cebBw-hI0rOKCHyPFFSEygIrQuSO1nwDbRLhZAFrRnZXPeU7aC9lKaEcFoxso12gNIKRA27yAysNU2fcLD4zvhed3hkdNe_4gcd9TwGa1Jywef5U9TOOz_BNkQ8dJ2bO6_xMETjJh5fhZlJvWvwS4hvJibsPH7MtJ5n4ABtWd0lc_hd99HzcPB0OSpu769vLi9uiwak6AthQY41QC1kKSpuW61ZKTmjpISWj8E0pa1LxjnjgreQQc4pCNpIS-qWS9hHpyvdbPx9kf2omUuN6TrtTVgkxYATAoJVPKMnf9BpWMT8zkwxkJKWXFaZYiuqiSGlaKyaRzfT8UNRopYhqFUIKoegvkJQS-njb-nFeGba9ZWfX88ArICUj_zExN_d_8h-AgamkD4</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Wong, M. 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H. M.</au><au>Keng, Shian-Ling</au><au>Buck, P. J.</au><au>Suthendran, S.</au><au>Wessels, A.</au><au>Østbye, T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of Mental Health Paraprofessional Training for Filipina Foreign Domestic Workers in Singapore</atitle><jtitle>Journal of immigrant and minority health</jtitle><stitle>J Immigrant Minority Health</stitle><addtitle>J Immigr Minor Health</addtitle><date>2020-06-01</date><risdate>2020</risdate><volume>22</volume><issue>3</issue><spage>571</spage><epage>579</epage><pages>571-579</pages><issn>1557-1912</issn><eissn>1557-1920</eissn><abstract>Research has found that 24% of foreign domestic workers (FDWs) in Singapore have poor mental health (24%), with depressive symptoms being identified as the second most severe psychological symptoms [
1
]. The study assessed the acceptability and effectiveness of a 4-week cognitive behavioral therapy (CBT)-based paraprofessional training program for FDWs in Singapore on depression literacy and CBT knowledge (primary outcomes), depression-related stigma, as well as attitudes towards seeking professional help (secondary outcomes) immediately and 2 months following the training. Forty female Filipino FDWs were recruited and randomized into either a CBT-based paraprofessional training program or wait-list (WL) group. Participants completed outcome measures before, after, and 2 months following their training. No significant difference was found on changes on any of the outcome variables in the intervention group as compared to the WL group. Following training, both groups showed significantly improved depression literacy, CBT knowledge, and attitudes towards seeking professional help. These changes were sustained at 2-month follow-up. All participants indicated a high level of satisfaction with the training program. While findings from between-group analyses do not support the efficacy of the CBT-based paraprofessional training program in improving depression literacy and related outcomes, participation in the program was associated with improvements in several outcomes within the training group. Future research should explore adaptations to the program (e.g., in terms of training duration and modes of delivery) that would increase its efficacy in improving depression literacy and CBT knowledge among FDWs.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>31183593</pmid><doi>10.1007/s10903-019-00907-4</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-7564-2425</orcidid></addata></record> |
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| ispartof | Journal of immigrant and minority health, 2020-06, Vol.22 (3), p.571-579 |
| issn | 1557-1912 1557-1920 |
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| source | MEDLINE; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA); JSTOR Archive Collection A-Z Listing; SpringerLink Journals - AutoHoldings |
| subjects | Adaptation Adult Attitudes Cognitive ability Cognitive behavioral therapy Cognitive Behavioral Therapy - education Cognitive Restructuring Comparative Law Depression (Psychology) Depression - therapy Domestic service Efficacy Emigrants and Immigrants Female Housekeeping Humans International & Foreign Law Knowledge Literacy Medicine Medicine & Public Health Mental depression Mental disorders Mental health Mental Health - ethnology Middle Aged Original Paper Outcome Measures Paraprofessionals Peer Group Philippines - ethnology Philippino Private International Law Professional attitudes Program Evaluation Psychological problems Psychotherapy Public Health Signs and symptoms Singapore Sociology Southeast Asian cultural groups Stigma Symptoms Training Workers |
| title | Effects of Mental Health Paraprofessional Training for Filipina Foreign Domestic Workers in Singapore |
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