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Holistic Facial Composite Creation and Subsequent Video Line-up Eyewitness Identification Paradigm

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Why Did Our Trial Not Work Out? A Qualitative Analysis.

Eva Heim¹, Bleta Ademi¹, Ardiana Dacaj¹

¹Institute of Psychology, University of Lausanne, Lausanne, Switzerland.

Clinical Psychology in Europe

|August 9, 2024

Summary

An online depression self-help program for Albanian immigrants faced low recruitment and high dropout. Reasons included unclear messaging, lack of consistent design, and cultural barriers to mental health help.

Keywords:

Albanians access to care cultural adaptation ethnic minorities online self-help recruitment

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Area of Science:

Digital mental health interventions
Cultural adaptation of health programs
Immigrant health disparities

Background:

An online self-help program for depression, Hap-pas-Hapi, was tested among Albanian-speaking immigrants in Switzerland and Germany.
The study aimed to compare two levels of cultural adaptation for the program.
Recruitment challenges led to insufficient participants and a dropout rate exceeding 90%.

Purpose of the Study:

To qualitatively investigate the reasons behind the low uptake and high dropout rates of the Hap-pas-Hapi program.
To understand user perceptions regarding the program's design, usability, and content.
To explore attitudes towards mental health and self-help within the Albanian-speaking immigrant community.

Main Methods:

Conducted 11 in-depth interviews with 17 Albanian-speaking individuals (aged 19-59).
Participants were recruited specifically for this qualitative study and reviewed program materials and the introduction module.
Data collection focused on graphic design, usability, content, and general views on mental health and self-help.

Main Results:

Criticism of the lack of a consistent "design system" and unclear recruitment messages.
While the program was seen as potentially beneficial for the community, most individuals stated they would not use it personally.
Younger participants preferred the program in local languages (German/French); older participants saw no value in online self-help for psychological distress.
Negative beliefs about mental disorders and interventions were prevalent in the target group.

Conclusions:

Improved recruitment strategies, targeted population selection (e.g., age), and tailored adaptations could enhance program acceptance.
Addressing stigma through anti-stigma campaigns and psychoeducation is crucial for improving treatment motivation in this community.