标题：Acceptability of the videoconference-based SOLAR program to reduce subclinical distress in trauma survivors – a pilot study conducted during the COVID-19 pandemic
摘要：SOLAR (International Program for Promoting Adjustment and Resilience) is a brief intervention developed by international disaster- and trauma experts to reduce persistent subclinical distress following disaster and trauma. Online-based delivery seems crucial in times of a pandemic where face-toface contact is not feasible. This pilot study examined the acceptability of SOLAR, delivered in a video-conferencing format, in trauma survivors with subclinical distress. Method: Single group pre-post pilot study conducted during the first weeks of the pandemic in Germany. N = 13 survivors of trauma (PTSD A-criterion of DSM-5) with subclinical levels of depression (PHQ-9 = 5-15), anxiety (GAD-7 = 5-15) or posttraumatic stress disorder (PCL-5 = 5-32), or functional impairment (PHQ-9: functional impairment scale = 1-3), but no current mental disorder except adjustment disorder (MINI Plus 7), were included. Participants’ acceptability was measured by the number of completed sessions and by satisfaction with SOLAR (CSQ-8) postintervention. Psychological distress (K10+) was assessed pre-and post-intervention as a secondary efficacy outcome. Results: Mean number of completed sessions was M = 3.23 (SD = 1.30). Nine out of eleven participants reassessed at post-intervention were “largely” (n = 6, 54.55%) or “very satisfied” (n = 3, 27.27%) with SOLAR, two participants (18.18%) were “slightly unsatisfied”. A small effect size (Cohen’s d = .23) was found for the reduction of distress. Conclusions: The results indicate first evidence for acceptability of SOLAR in survivors of trauma delivered via videoconferencing during the COVID-19 pandemic. The efficacy of SOLAR to reduce distress should be further tested in a larger trial.
