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Öğe Group problem management plus (PM plus ) to decrease psychological distress among Syrian refugees in Turkey: A pilot randomised controlled trial(BMC, 2022) Acartürk, Ceren; Uygun, Ersin; İlkkurşun, Zeynep; Yurtbakan, Taylan; Kurt, Gülşah; Adam Troian, Jais; Şenay, İbrahim; Bryant, R.; Cuijpers, P.; Kiselev, N.; Mcdaid, D.; Morina, Njomeza; Nişancı, Zehra Nuray; Park, Alison L.; Sijbrandij, M.; Ventevogel, Peter; Fuhr, Daniela C.Background: Syrian refugees resettled in Turkey show a high prevalence of symptoms of mental disorders. Problem Management Plus (PM+) is an effective psychological intervention delivered by non-specialist health care providers which has shown to decrease psychological distress among people exposed to adversity. In this single-blind pilot randomised controlled trial, we examined the methodological trial procedures of Group PM+ (gPM+) among Syrian refugees with psychological distress in Istanbul,Turkey, and assessed feasibility, acceptability, perceived impact and the potential cost-effectiveness of the intervention. Methods: Refugees with psychological distress (Kessler Psychological Distress Scale, K10 > 15) and impaired psychosocial functioning (World Health Organization Disability Assessment Schedule, WHODAS 2.0> 16) were recruited from the community and randomised to either gPM+ and enhanced care as usual (E-CAU) (n = 24) or E-CAU only (n = 22). gPM+ comprised of five weekly group sessions with eight to ten participants per group. Acceptability and feasibility of the intervention were assessed through semi-structured interviews. The primary outcome at 3-month follow-up was symptoms of depression and anxiety (Hopkins Symptoms Checklist-25). Psychosocial functioning (WHODAS 2.0), symptoms of posttraumatic stress disorder and self-identified problems (Psychological Outcomes Profiles, PSYCHLOPS) were included as secondary outcomes. A modified version of the Client Service Receipt Inventory was used to document changes in the costs of health service utilisation as well as productivity losses. Results: There were no barriers experienced in recruiting study participants and in randomising them into the respective study arms. Retention in gPM+ was high (75%). Qualitative analyses of the interviews with the participants showed that Syrian refugees had a positive view on the content, implementation and format of gPM+. No adverse events were reported during the implementation. The study was not powered to detect an effect. No significant difference between gPM+ and E-CAU group on primary and secondary outcome measures, or in economic impacts were found. Conclusions: gPM+ delivered by non-specialist peer providers seemed to be an acceptable, feasible and safe intervention for Syrian refugees in Turkey with elevated levels of psychological distress. This pilot RCT sets the stage for a fully powered RCT.Öğe Social identification and collective action participation in the internet age: A meta-analysis(Masarykova Univerzita, 2021) Akfırat, Serap; Uysal, Mete Sefa; Bayrak, Fatih; Ergiyen, Tolga; Üzümçeker, Emir; Yurtbakan, Taylan; Özkan, Özlem SerapSince the digitally-mediated large-scale protests took place all over the world, the role of social identities in collective actions has become the center of academic attention. Some scholars have claimed that interpersonal or individual reasons have become more important than collective identifications in participating digitally-mediated collective actions. To answer the question that whether social identification has lost its centrality in collective actions in the Internet age, we conducted a meta-analysis of 46 studies (N = 18,242) which examined digitally-mediated collective actions across the world reported between January 2011 and January 2020. We focused on the relationship between social identification and collective action, and the possible moderator effects of group type to be identified (emergent vs. pre-existing group), participation type (actual behavior vs. intention), and WEIRDness of the sample. The analyses showed a moderate to strong relationship between social identification and participation in digitally-mediated collective actions, while group type was the only significant moderator. Accordingly, the relationship between identification with emergent groups and collective action participation was much stronger compared to the relationship between identification with pre-existing groups and collective action participation. We discussed the theoretical implications of the results emphasized the basic dynamics of collective actions.Öğe Social support and resilience among Syrian refugees: The mediating role of self-efficacy(Routledge Journals, 2023) Pak, Şükufe; Yurtbakan, Taylan; Acartürk, CerenRefugees are exposed to potentially traumatic events before, during, and after the forced displacement. Related to these events, they are at risk of developing mental health problems. From a public-health perspective, it is important to investigate factors fostering resilience among refugee population. This study aimed to explore the mediation role of self-efficacy between social support and resilience among Syrian refugees living in Istanbul, Turkey. A cross-sectional survey of 339 Syrian refugees aged 18 and older was conducted between September 2018 and March 2019 in Istanbul. The Connor-Davidson Resilience Scale (CD-RISC) was used to measure resilience, the Multidimensional Scale of Perceived Social Support (MSPSS) assessed social support, and self-efficacy was measured by the General Self-Efficacy Scale (GSE). The simple mediation model analysis showed the mediating effect of self-efficacy on the social support and resilience relationship. Among the demographic factors, males and individuals with higher education levels reported increased resilience. Findings illuminated the importance of self-efficacy in promoting resilience among refugee population. Implications were discussed in a culturally appropriate way to enhance self-efficacy among Syrian refugees.Öğe The roles of national and global identities and leaders in the acceptance of COVID-19 vaccines developed by different countries(Routledge Journals, Taylor & Francis Ltd, 2022) Akfırat, Serap; Üzümçeker, Emir; Uysal, Mete Sefa; Yurtbakan, Taylan; Ergiyen, Tolga; Görüryılmaz, TanerThe current paper aims to study the social-psychological factors that would play roles in COVID-19 vaccine acceptance. Specifically, we examined whether national and global identifications and the leaders whom people think being in charge of managing the COVID-19 pandemic on a national scale could explain people's acceptance of the COVID-19 vaccines developed by different countries. We proposed a model in which people's assessment of the leader in terms of identity-leadership mediates the relationship between different identification types (i.e., global and national) and acceptance of Western, Asian or national vaccines. The model was tested on self-reported data collected in Turkey (N = 694) utilizing Structural Equation Modelling (SEM) in R software. The results revealed that national identification positively predicted acceptance of national vaccines and negatively predicted acceptance of Western vaccines; both of the relationships were also mediated by people's assessments of the leader in terms of identity-leadership dimensions. On the other side, global identification positively predicted acceptance of Western vaccines. The implications of the findings were discussed in terms of their practical contributions along with their theoretical relevance.Öğe The roles of social norms and leadership in health communication in the context of COVID-19(Elsevier Ltd, 2023) Akfırat, Serap; Bayrak, Fatih; Üzümçeker, Emir; Ergiyen, Tolga; Yurtbakan, Taylan; Uysal, Mete SefaThe global struggle with the COVID-19 pandemic has lasted for almost three years. Although national and local leaders have often called on the public to comply with preventive measures through health communication, large sections of society sometimes violated precautions and did not adequately follow these calls. We propose that social norms and leaders' identity entrepreneurship characteristics could be essential in effective health communication. In line with this notion, we investigated the effects of social norm types and leadership on complying with preventive measures, the intention to be vaccinated, and prosocial behavioral tendency through a high-powered experiment that focused on three factors: leadership quality (presence/lack of entrepreneurship), descriptive norm (supportive/obstructive), and injunctive norm (supportive/obstructive). Results showed that when support for injunctive and descriptive norms was present, people tended to more readily adhere to preventive measures, get vaccinated, and engage in prosocial behavior. There was also a significant effect of the interaction between descriptive and injunctive norms on compliance with preventive measures. The compliance level was highest when both norm types were supportive and lowest when both were obstructive. The effect decreased in the discrepant norms condition, where one type of norm was supportive and the other obstructive. There is also a significant interaction between leadership and the descriptive norm, indicating that a combination of an entrepreneur leader and a supportive descriptive norm increases compliance with the preventive measure. We discussed the role of leadership and social norms in effective health communication.
