Internet-based self-help intervention aimed at increasing social self-efficacy among internal migrants in Poland: Study protocol for a randomized controlled trial

Anna Rogala, Maria Szczepaniak, Natalia Michalak, Gerhard Andersson, Anna Rogala, Maria Szczepaniak, Natalia Michalak, Gerhard Andersson

Abstract

Background: Migration is a challenging life transition that may be a source of various problems related to well-being and mental health. However, the psychological adaptation of migrants may be potentially facilitated by social self-efficacy-the beliefs in one's ability to initiate and maintain interpersonal relationships. Previous research suggests that social self-efficacy is positively related to adjustment and negatively related to loneliness, depression, and psychological distress. Research also confirms that self-efficacy beliefs can be effectively enhanced using Internet-based interventions. These results served as a background for creating the New in Town, a self-help Internet-based intervention for internal migrants in Poland that aims at increasing social self-efficacy. Exercises in the intervention are based on the principles of Cognitive Behavioral Therapy and relate to sources of self-efficacy beliefs: mastery experiences, vicarious experiences, verbal persuasions, and emotional and physiological states. Users complete increasingly challenging tasks that encourage them to interact with their environment. The aim of this trial was to investigate the efficacy of the New in Town intervention.

Methods: The efficacy of the New in Town intervention will be tested in a two-arm randomized controlled trial with a waitlist control group. Social self-efficacy will be the primary outcome. Secondary outcomes will include loneliness, perceived social support, and satisfaction with life. Additionally, we will measure user experience among participants allocated to the experimental group. We aim to recruit a total of N = 280 participants aged at least 18 years who have changed their place of residence in the last 6 months and have an Internet connection. Participants will be assessed at baseline, 3-week post-test, and 8-week follow-up.

Discussion: The trial will provide insights into the efficacy of Internet-based self-help interventions in increasing social self-efficacy. Given that the intervention works, New in Town could provide an easily accessible support option for internal migrants in Poland.

Trial registration: The trial was registered with ClinicalTrials.gov (identifier: NCT04088487) on 11th September 2019.

Keywords: Internet-based interventions; Loneliness; Migration; Randomized controlled trial (RCT); Satisfaction with life; Self-help; Social self-efficacy; Social support.

Conflict of interest statement

The authors declare that they have no competing interests.

© 2020 The Authors.

Figures

Fig. 1
Fig. 1
Study flow.
Fig. 2
Fig. 2
Schedule of enrollment, intervention, and assessments.

References

    1. American Psychiatric Association . American Psychiatric Association; 2013. Diagnostic and Statistical Manual of Mental Disorders.
    1. Anderson S.L., Betz N.E. Sources of social self-efficacy expectations: their measurement and relation to career development. J. Vocat. Behav. 2001;58:98–117.
    1. Bandura A. W.H. Freeman; New York: 1997. Self-Efficacy: The Exercise of Control.
    1. Bandura A. Guide for constructing self-efficacy scales. In: Pajares F., Urdan T., editors. Self-Efficacy Beliefs Adolesc. Information Age Publishing; Greenwich: CT: 2006. pp. 307–337.
    1. Bhugra D., Gupta S. Migration and mental health. Migr Ment Heal. 2010:1–350.
    1. Christensen H., Griffiths K.M., Farrer L. Adherence in internet interventions for anxiety and depression. J. Med. Internet Res. 2009;11:1–17.
    1. Cieslak R., Benight C.C., Rogala A., Smoktunowicz E., Kowalska M., Zukowska K. Effects of internet-based self-efficacy intervention on secondary traumatic stress and secondary posttraumatic growth among health and human services professionals exposed to indirect trauma. Front. Psychol. 2016;7
    1. Constantine M.G., Okazaki S., Utsey S.O. Self-concealment, social self-efficacy, acculturative stress, and depression in African, Asian, and Latin American international college students. Am. J. Orthopsychiatry. 2004;74:230–241.
    1. Cuijpers P, Donker T, Johansson R, Mohr DC, van Straten A, Andersson G. Self-guided psychological treatment for depressive symptoms: a meta-analysis. Hempel S, editor. PLoS One [Internet]. Public Library of Science; 2011 [cited 2019 Sep 20]; vol. 6: e21274. Available from: .
    1. Das-Munshi J., Leavey G., Stansfeld S.A., Prince M.J. Vol. 17. Taylor & Francis Group; 2012. Migration, Social Mobility and Common Mental Disorders: Critical Review of the Literature and Meta-Analysis; pp. 17–53. (Ethn Health). [Internet]. [cited 2020 Mar 10]. Available from.
    1. De Jong-Gierveld J, Van Tilburg T. Manual of the Loneliness Scale [Internet]. Vrije Universiteit Amsterdam; 1999. Available from: . van.tilburg/manual_loneliness_scale_1999.html.
    1. Diener E.D., Emmons R.A., Larsen R.J., Griffin S. The satisfaction with life scale. J. Pers. Assess. 1985;49:71–75.
    1. Ebert DD, Lehr D, Boß L, Riper H, Cuijpers P, Andersson G, et al. Efficacy of an internet-based problem-solving training for teachers: results of a randomized controlled trial. Scand. J. Work Environ. Health [Internet]. 2014 [cited 2019 Sep 20];40: 582–96. Available from: abstract_id=3449.
    1. Fan C., Mak A.S. Measuring social self-efficacy in a culturally diverse student population c. Soc. Behav. Pers. 1998;26:131–144.
    1. Faul F., Erdfelder E., Lang A.-G., Buchner A. G*power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav. Res. Methods. 2007;39:175–191. [Internet]. [cited 2019 Sep 20]. Available from.
    1. Furukawa T.A., Noma H., Caldwell D.M., Honyashiki M., Shinohara K., Imai H. Waiting list may be a nocebo condition in psychotherapy trials: a contribution from network meta-analysis. Acta Psychiatr. Scand. 2014;130:181–192.
    1. Gillespie A., Peltzer K., Maclachlan M. Returning refugees: psychosocial problems and mediators of mental health among Malawian returnees. J. Ment. Health. 2016;9:165–178.
    1. Gist M.E., Mitchell T.R. Self-efficacy: a theoretical analysis of its determinants and malleability. Acad. Manag. Rev. 1992;17:183–211.
    1. Groenwold R.H.H., Donders A.R.T., Roes K.C.B., Harrell F.E., Moons K.G.M. Dealing with missing outcome data in randomized trials and observational studies. Am. J. Epidemiol. 2012;175:210–217. [Internet]. Narnia. [cited 2019 Sep 20]. Available from.
    1. Grygiel P., Humenny G., Rebisz S., Switaj P., Sikorska J. Validating the polish adaptation of the 11-item De Jong Gierveld Loneliness Scale. Eur. J. Psychol. Assess. 2013;29:129–139.
    1. Harrison J.K., Chadwick M., Scales M. The relationship between cross-cultural adjustment and the personality variables of self-efficacy and self-monitorin. Int. J. Intercult. Relat. 1996;20:167–188.
    1. Hedman E., Ljótsson B., Rück C., Furmark T., Carlbring P., Lindefors N. Vol. 26. Elsevier Ltd; 2010. Computers in Human Behavior Internet Administration of Self-Report Measures Commonly Used in Research on Social Anxiety Disorder: A Psychometric Evaluation; pp. 736–740. (Comput Human Behav). [Internet]. Available from.
    1. Hubbard A.E., Ahern J., Fleischer N.L., Der Laan M. Van, Lippman S.A., Jewell N. To GEE or not to GEE: comparing population average and mixed models for estimating the associations between neighborhood risk factors and health. Epidemiology. 2010;21:467–474.
    1. Jankowski K.S. Is the shift in chronotype associated with an alteration in well-being ? Biol. Rhythm. Res. 2015;46:237–248.
    1. Jerusalem M., Mittag W. Self-efficacy in stressful life transitions. In: Bandura A., editor. Self-Efficacy Chang Soc. 1995. pp. 177–201.
    1. Karin E., Dear B.F., Heller G.Z., Gandy M., Titov N. Measurement of symptom change following web-based psychotherapy: statistical characteristics and analytical methods for measuring and interpreting change. J. Med. Internet Res. 2018;20
    1. Kayrouz R., Karin E., Staples L.G., Nielssen O., Dear B.F., Titov N. A comparison of the characteristics and treatment outcomes of migrant and Australian-born users of a national digital mental health service. BMC Psychiatry. BMC Psychiatry. 2020;20:1–13.
    1. Kia-Keating M., Ellis B.H. Belonging and connection to school in resettlement: young refugees, school belonging, and psychosocial adjustment. Clin. Child Psychol. Psychiatry. 2007;12:29–43.
    1. King R., Skeldon R. “Mind the gap!” integrating approaches to internal and international migration. J. Ethn. Migr. Stud. 2010;36:1619–1646.
    1. Kirmayer L.J., Narasiah L., Munoz M., Rashid M., Ryder A., Guzder J. Common mental health problems in immigrants and refugees: general approach in primary care. CMAJ. 2011;183:959–967.
    1. Laugwitz B., Held T., Schrepp M. In: Construction and Evaluation of a User Experience Questionnaire. Holzinger A., editor. 2008. pp. 63–76. (USAB 2008, LNCS 5298 [Internet]). cited 2019 Sep 20. Available from.
    1. Leung CM |Berry JW. The Psychological Adaptation of International and Migrant Students in Canada. [Internet]. 2001a [cited 2019 Sep 20]. Available from: . .
    1. Leung C. The psychological adaptation of overseas and migrant students in Australia. Int. J. Psychol. 2001;36:251–259.
    1. Liang K.Y., Zeger S.L. Longitudinal data analysis using generalized linear models. Biometrika. 1986;73:13–22.
    1. Locascio J.J., Atri A. An overview of longitudinal data analysis methods for neurological research. Dement. Geriatr. Cogn. Dis. Extra. 2011;1:330–357.
    1. Maciejewski P.K., Prigerson H.G., Mazure C.M. Self-efficacy as a mediator between stressful life events and depressive symptoms differences based on history of prior depression. Br. J. Psychiatry. 2000;176:373–378.
    1. Mao Z.H., Zhao X.D. BMC Public Health [Internet] Vol. 12. BioMed Central Ltd; 2012. The effects of social connections on self-rated physical and mental health among internal migrant and local adolescents in Shanghai, China; p. 97. Available from.
    1. Melville K.M., Casey L.M., Kavanagh D.J. Dropout from internet-based treatment for psychological disorders. Br J Clin Psychol. 2010;49:455–471.
    1. United Nations . United Nations Development Programme. 2009. Human development report 2009: Overcoming barriers: Human mobility and development.
    1. Ouweneel E., Le Blanc P.M., Schaufeli W.B. Flourishing students: a longitudinal study on positive emotions, personal resources, and study engagement. J. Posit. Psychol. 2011;6:142–153.
    1. Pavot W., Diener E. The Satisfaction With Life Scale and the emerging construct of life satisfaction. J. Posit. Psychol. 2008;3:137–152.
    1. Pavot W., Diener E., Colvin C.R., Sandvik E. Further validation of the satisfaction with life scale: evidence for the cross-method convergence of well-being measures. J. Pers. Assess. 1991;57:149–161. [Internet]. [cited 2019 Sep 23]. Available from.
    1. Poddar KH, Hosig KW, Anderson ES, Nickols-Richardson SM, Duncan SE. Web-Based Nutrition Education Intervention Improves Self-Efficacy and Self-Regulation Related to Increased Dairy Intake in College Students. J Am Diet Assoc [Internet]. Elsevier Inc.; 2010; vol. 110:1723–7. Available from: .
    1. Qiu Peiyuan, Caine Eric, Yang Yang, Chen Quan, Jin Li X.M. Depression and associated factors in internal migrant workers in China. J. Affect. Disord. 2011;134:198–207.
    1. Salanova M., Peiró J.M., Schaufeli W.B. Self-efficacy specificity and burnout among information technology workers: an extension of the job demand-control model. Eur. J. Work Organ. Psychol. 2002;11:1–25.
    1. Schulz U., Schwarzer R. Soziale unterstützung bei der krankheitsbewältigung: Die Berliner Social Support Skalen (BSSS) Diagnostica. 2003;49:73–82.
    1. Schulz U., Schwarzer R. Long-term effects of spousal support on coping with cancer after surgery. J. Soc. Clin. Psychol. 2004;23:716–732.
    1. Schwarzer R., Hahn A. Negative affect in east German migrants: longitudinal effects of unemployment and social support. Anxiety, Stress Coping. 1993;6:57–69.
    1. Sherer M., Maddux J.E., Mercandante B., Prentice-Dunn S., Jacobs B., Rogers R.W. The self-efficacy scale: construction and validation. Psychol. Rep. 1982;51:663–671.
    1. Statistics Poland . 2012. The National Census of Population and Housing 2011.
    1. Statistics Poland. Terms used in official statistics [internet]. 2020. Available from: ,term. html?pdf=1.
    1. Sulaiman-Hill C.M.R., Thompson S.C. Learning to fit in: an exploratory study of general perceived self efficacy in learning to fit in: an exploratory study of general perceived self efficacy in selected refugee groups. J. Immigr. Minor. Health. 2013;15:125–131.
    1. Thabane L., Mbuagbaw L., Zhang S., Samaan Z., Marcucci M., Ye C. A tutorial on sensitivity analyses in clinical trials: the what, why, when and how. BMC Med. Res. Methodol. 2013;13
    1. Tossmann H., Jonas B., Tensil M., Lang P., Stru E. A controlled trial of an internet-based intervention. Cyberpsychol. Behav. Soc. Netw. 2011;14:673–679.
    1. United Nations . 2017. 2017 International Migration Report. New York.
    1. Usher E.L., Pajares F. Sources of self-efficacy in school: critical review of the literature and future directions. Rev. Educ. Res. 2008;78:751–796. Internet. Available from.
    1. Wang X., Sangalang P.J. Work adjustment and job satisfaction of Filipino immigrant employees in Canada. Can. J. Adm. Sci. 2005;22:243–254.
    1. Wei M., Russell D.W., Zakalik R.A. Adult attachment, social self-efficacy, self-disclosure, loneliness, and subsequent depression for freshman college students: a longitudinal study. J. Couns. Psychol. 2005;52:602–614.
    1. WHO WHO announces COVID-19 outbreak a pandemic. [Internet]. 12-03-2020. Available from.
    1. Yusoff Y.M. Self-efficacy, perceived social support, and psychological adjustment in international undergraduate students in a public higher education institution in Malaysia. J. Stud. Int. Educ. 2011;16(4):353–371.
    1. Zheng X., Berry J.W. Psychological adaptation of Chinese sojourners in Canada. Int. J. Psychol. 1991;26:451–470.

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