The study will investigate if a standard integration programme in combination with a social and health promoting intervention can increase health and well-being among refugee families and influence success with education and employment.
Increased health and well-being can lead to stronger motivation and ability to get involved in education or employment and thereby improve integration of refugee families. The aim of the study is to investigate the effect of various social and health promoting activities such as physical activity workshops, community gardening, entrepreneurship training, MindSpring course, family excursions and language education on health, well-being, social relations and success with job and education. Increased success with self-sufficiency can support action competence and play a key role in the integration process. Outcome measures are based on self-reporting, biological measures and municipal registry data.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
88
* Basic language course, internships, courses in Labour market knowledge and Danish culture * Physical activity workshops * Community gardening (garden workshops) * Entrepreneurship course * MindSpring course * Family excursions * Danish language workshops
Standard integration program (basic language course, internships, courses in Labour market knowledge and Danish culture)
Nina Odgaard Nielsen
Roskilde, Region Sjælland, Denmark
The Warwick-Edinburgh Mental Well-Being Scale - 7 items (WEMWBS)
WEMWBS is a validated measure of mental well-being and contains seven questions (a shortened version of the WEMWBS - 14 items). The scoring range for each item is from 1- 5, and the total score is from 7-35. The seven items have superior scaling properties to the 14 items, and mean raw scores are therefore transformed to metric scores using a standard conversion table.
Time frame: Change from baseline to 12 months and 24 months
Mean change from baseline in self-reported health
General health is assessed based on a question on self-reported health in the SF-12 questionnaire (a 12-Item short form health survey). SF 12 is a short version of the generic questionnaire SF 36 that measures health-related quality of life in the past four weeks. Scoring range is between 1-5 points. Mean score is calculated at baseline, 12 months and 24 months.
Time frame: Change from baseline to 12 months and 24 months
Mean change from baseline in cortisol, nmol/L
Cortisol measured in saliva
Time frame: Change from baseline to 24 months
Mean change from baseline in blood sugar (HBA1C), mmol/mol
Blood sugar measured in venous blood
Time frame: Change from baseline to 24 months
Mean change from baseline in total cholesterol, mmol/L
Total cholesterol measured in venous blood
Time frame: Change from baseline to 24 months
Mean change from baseline in self-reported social relations
Social relations are assessed based on five questions from the National Health Profile Survey (used in the Danish National Health Survey) in combination with one self-formulated question regarding contact with family members, friends, colleagues, neighbors and friends from social medias. Scoring range is between 1-5 points. Mean score is calculated at baseline, 12 months and 24 months.
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Time frame: Change from baseline to 12 months and 24 months
Change in employment status
From unemployed to employed; from not being involved in education to being involved in education. Data from municipal registers.
Time frame: Change from baseline to 12 months and 24 months
Mean change from baseline in Dihydepiandrosteron-sulfate (DHEAS), µmol/L
DHEAS measured in venous blood
Time frame: Change from baseline to 24 months
Mean change from baseline in interleukin-6 (IL-6), ng/L
IL-6 measured in venous blood
Time frame: Change from baseline to 24 months
Mean change from baseline in C-reactive protein (CRP), nmol/L
CRP measured in venous blood
Time frame: Change from baseline to 24 months
Mean change from baseline in fibrinogen (FIBR), g/L
FIBR measured in venous blood
Time frame: Change from baseline to 24 months
Mean change from baseline in weight
Weight (in kilograms). Weight is measured in kilograms
Time frame: Change from baseline to 24 months
Mean change from baseline in BMI
Weight and height (measured in meters) will be combined to report BMI in kg/meters2
Time frame: Change from baseline to 24 months
Mean change from baseline in blood pressure
Systolic and diastolic blood pressure (mmHg) will be measured using the Omron M3 blood pressure monitor.
Time frame: Change from baseline to 24 months