The role of mind-body interventions in traumatised refugees’ primary care : A qualitative exploration of professionals’ experiences in a dedicated programme in Geneva

Article Article scientifique Article The role of mind-body interventions in traumatised refugees’ primary care : A qualitative exploration of professionals’ experiences in a dedicated programme in Geneva eng 2024-10-11 2024-11 author Incagli Caterina Faculty of Medicine, University of Geneva, Rue Michel-Servet 1, 1206 Geneva, Switzerland. Electronic address: caterina.incagli@etu.unige.ch. 895118 author Sommer Nora Marie Faculty of Medicine, University of Geneva, Rue Michel-Servet 1, 1206 Geneva, Switzerland. Electronic address: Nora.Sommer@etu.unige.ch. 871366 author Durieux Sophie Primary care department, University Hospital of Geneva, Rue Gabrielle-Perret-Gentil 4, 1205 Geneva, Switzerland. Electronic address: Sophie.Durieux@hug.ch. 27777 Sophie Durieux-Paillard author Rocillo Arechaga Eva Patricia Primary care department, University Hospital of Geneva, Rue Gabrielle-Perret-Gentil 4, 1205 Geneva, Switzerland. Electronic address: Eva.RocilloArechaga@hug.ch. 418556 author Reyre Aymeric 0000-0002-3592-8859 Department of psychiatry, University Hospital of Geneva, Domaine de Belle-Idée, Chemin du Petit Bel-Air 2, 1226 Thônex, Switzerland; CESP-INSERM, U1018, Developmental psychiatry team, Paris-Saclay University, UVSQ, INSERM, 16 Avenue Paul Vaillant Couturier, 94807, Villejuif Cedex, France. Electronic address: Aymeric.Reyre@hug.ch. 857691 103072 10.1016/j.explore.2024.103072 39413536 1550-8307 https://www.sciencedirect.com/science/article/pii/S1550830724001794 Post-traumatic physical and psychological symptoms are pervasive among refugees. Primary care staff face numerous challenges and often seek innovative ways of addressing their refugee patients' physical and mental health needs. A nascent body of literature suggests that mind-body interventions (MBIs<sup>1</sup> ) have a positive effect on post-traumatic symptoms in this population. But the quality of evidence is still poor, and little is known about the role MBI could play in the primary care of refugees. Following the implementation of two different kinds of MBI in a dedicated primary care unit, this study aimed to explore staff members' perceptions and prescribing habits for MBI. Given the paucity of information about this topic, we used a qualitative design combining ethnography and discourse analysis providing in-depth insight into professionals' experiences of MBI. Data collected over five-months of non-participative observation and the transcription of twelve interviews were analysed following the Interpretative Phenomenological Analysis method (IPA) yielding four main results: (1) Generally poor initial understanding of MBI; (2) A variety of conditions and situations where MBIs appeared acceptable and helpful; (3) A persistent lack of experience and knowledge about the indications for MBI, hindering prescription; (4) The importance of articulating MBIs with mental health services. These results, in the light of the existing literature, suggest that stronger evidence for MBI efficacy for refugees is required, a key to improving professionals' understanding of MBI, providing them with explicit prescription criteria, and encouraging stakeholders to implement these innovative interventions. Asylum seeker Complementary and alternative medicine Mind-body intervention Post-traumatic stress Primary care Qualitative study Refugee Dewey 616.89 Dewey 613 60 Département de psychiatrie 225 201 Institut de médecine de premier recours 22A9 false Explore 20 6 7ad6cdd5-c8df-4026-a0cd-501b657264de Article (Published version) Public 1-s2.0-S1550830724001794-main.pdf 568906 application/pdf CC BY-4.0 9d7b1f37d115fcb8b79446d6f84f2da55367e3c3fe01b4edf8b9ef75dee20f53 e0fc3261-2d58-4d7e-a51a-72f02ee37ff5 Supplemental data Public 1-s2.0-S1550830724001794-mmc1.pdf 727864 application/pdf 1d0de8b7d625e1c906f704bca4fdec88fc81cf0edc1ae1501c7e882b3344b17a openAccess Faculté de médecine / Section de médecine clinique / Département de psychiatrie Faculté de médecine / Section de médecine clinique / Département de santé et médecine communautaires / Institut de médecine de premier recours

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The role of mind-body interventions in traumatised refugees’ primary care : A qualitative exploration of professionals’ experiences in a dedicated programme in Geneva	Explore			2024	53	285

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Rocillo Arechaga, Eva Patricia