Wietse A. Tol
Johns Hopkins University
199 Papers
730 Citations
Wietse A. Tol is an academic researcher from Johns Hopkins University. The author has contributed to research in topics: Mental health & Psychological intervention. The author has an hindex of 44, co-authored 173 publications. Previous affiliations of Wietse A. Tol include Yale University & VU University Medical Center.
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Papers
Longitudinal path analysis of depressive symptoms and functioning among women of child-rearing age in postconflict Timor-Leste
Derrick Silove,Mohammed Mohsin,Mohammed Mohsin,Louis Klein,Louis Klein,Natalino De Jesus Tam,Mark R. Dadds,Valsamma Eapen,Valsamma Eapen,Wietse A. Tol,Zelia Maria Da Costa,Elisa Savio,Rina Soares,Zachary Steel,Zachary Steel,Susan Rees,Susan Rees +16 more
TL;DR: The findings highlight the association between ongoing trauma-related depressive symptoms and the capacity of women in the childbearing age to function in multiple areas of their lives in a postconflict country.
Process evaluations of mental health and psychosocial support interventions for populations affected by humanitarian crises.
Alessandro Massazza,Carl May,Bayard Roberts,Wietse A. Tol,Sergiy Bogdanov,Abhijit Nadkarni,Daniela C. Fuhr +6 more
TL;DR: In this article , the authors conducted semi-structured interviews with 24 researchers involved in RCTs of mental health and psychosocial support interventions in 23 different countries and found that process evaluations were overwhelmingly considered as an important component of an RCT, there were different opinions on their perceived quality.
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Global Mental Health 3 Mental health and psychosocial support in humanitarian settings: linking practice and research
Wietse A. Tol,Corrado Barbui,Ananda Galappatti,Derrick Silove,Theresa S. Betancourt,Renato Souza,Anne Golaz,Mark van Ommeren +7 more
- 01 Jan 2011
TL;DR: Overall, research and evidence focuses on interventions that are infrequently implemented, whereas the most commonly used interventions have had little rigorous scrutiny.
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Mixed methods evaluation of a group psychosocial intervention for refugee, migrant and host community women in Ecuador and Panamá: Results from the Entre Nosotras cluster randomized feasibility trial
M. Claire Greene,Ann G. Bonz,María Hermoso Cristóbal,Alejandra Angulo,Andrea Armijos,Maria Guevara,Carolina Vega,Lucia Benavides,Alejandra De la Cruz,Maria Jose Lopez,Arianna Moyano,Andrea Murcia,María José Noboa,Abhimeleck Rodriguez,Jenifer Solis,D. Lago de Vergara,E. Brennan Bollman,Lena S. Andersen,Milton L. Wainberg,Wietse A. Tol +19 more
Abstract: Abstract Community-based psychosocial interventions are key elements of mental health and psychosocial support; yet evidence regarding their effectiveness and implementation in humanitarian settings is limited. This study aimed to assess the appropriateness, acceptability, feasibility and safety of conducting a cluster randomized trial evaluating two versions of a group psychosocial intervention. Nine community clusters in Ecuador and Panamá were randomized to receive the standard version of the Entre Nosotras intervention, a community-based group psychosocial intervention co-designed with community members, or an enhanced version of Entre Nosotras that integrated a stress management component. In a sample of 225 refugees, migrants and host community women, we found that both versions were safe, acceptable and appropriate. Training lay facilitators to deliver the intervention was feasible. Challenges included slow recruitment related to delays caused by the COVID-19 pandemic, high attrition due to population mobility and other competing priorities, and mixed psychometric performance of psychosocial outcome measures. Although the intervention appeared promising, a definitive cluster randomized comparative effectiveness trial requires further adaptations to the research protocol. Within this pilot study we identified strategies to overcome these challenges that may inform adaptations. This comparative effectiveness design may be a model for identifying effective components of psychosocial interventions.
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