Sue P Heiney, Sara B Donevant, Swann Arp Adams, Pearman D Parker, Hongtu Chen, Sue Levkoff
A Smartphone App for Self-Management of Heart Failure in Older African Americans: Feasibility and Usability Study
JMIR aging
study evaluated effects schoolbased creative expression program mental health classroom social relationships elementary school children refugee nonrefugee migration backgrounds hypothesized children receiving intervention would report less externalizing internalizing problem behaviors less posttraumatic functioning positive classroom social relationships posttest children receiving education usual particularly refugee children classes three multiethnic belgian elementary schools randomly assigned creative intervention 7 classes 68 students control condition 6 classes 52 students participants 812 years old migration background almost half 47 refugees 53 first thirdgeneration nonrefugee immigrants data collection included pre posttest assessment children parents teachers multilevel analysis used assess outcomes children intervention condition rated classroom climate posttest positive control peers 33 children received intervention show less symptomatic functioning children educationasusual condition however post hoc analysis baseline severity showed students high baseline levels posttraumatic stress reported less trauma symptoms posttest intervention group control group 97 effect moderated childrens refugee background indicating differential effect refugee children show reduction trauma symptoms compared nonrefugee immigrant children intervention supported classroom climate alleviated posttraumatic stress children increased posttraumatic symptomatology psycinfo database record c 2022 apa rights reserved