{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T21:22:58Z","timestamp":1788297778754,"version":"build-2803163510"},"reference-count":42,"publisher":"JMIR Publications Inc.","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Res Protoc"],"abstract":"\n Background<\/jats:title>\n Colombia has a long history of an armed conflict that has severely affected communities with forced internal displacement and violence. Victims of violence and armed conflicts have higher rates of mental health disorders, and children and adolescents are particularly affected. However, the mental health needs of this population are often overlooked, especially in low- and middle-Income countries, where scarcity of resources exacerbates the problem that has been further compounded by the global COVID-19 pandemic. Thus, special attention should be paid to the development of interventions that target this population.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n Our research aims to adapt an existing patient-centered digital intervention called DIALOG+ from a clinical setting to an educational setting using stakeholders\u2019 (teachers\u2019 and students\u2019) perspectives. We aim to evaluate the feasibility, acceptability, and estimated effect of implementing this intervention as a tool for the identification and mobilization of personal and social resources to mitigate the impact of social difficulties and to promote mental well-being.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We will conduct an exploratory mixed methods study in public schools of postconflict areas in Tolima, Colombia. The study consists of 3 phases: adaptation, exploration, and consolidation of the DIALOG+ tool. The adaptation phase will identify possible changes that the intervention requires on the basis of data from focus groups with teachers and students. The exploration phase will be an exploratory cluster randomized trial with teachers and school counselors to assess the acceptability, feasibility, and estimated effect of DIALOG+ for adolescents in school settings. Adolescents\u2019 data about mental health symptoms and wellness will be collected before and after DIALOG+ implementation. During this phase, teachers or counselors who were part of the intervention group will share their opinions through the think-aloud method. Lastly, the consolidation phase will consist of 2 focus groups with teachers and students to discuss their experiences and to understand acceptability.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Study recruitment was completed in March 2022, and follow-up is anticipated to last through November 2022.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This exploratory study will evaluate the acceptability, feasibility, and estimated effect of DIALOG+ for adolescents in postconflict school settings in Colombia. The use of this technology-supported tool aims to support interactions between teachers or counselors and students and to provide an effective student-centered communication guide. This is an innovative approach in both the school and the postconflict contexts that could help improve the mental health and wellness of adolescents in vulnerable zones in Colombia. Subsequent studies will be needed to evaluate the effectiveness of DIALOG+ in an educational context as a viable option to reduce the gap and inequities of mental health care access.<\/jats:p>\n <\/jats:sec>\n \n Trial Registration<\/jats:title>\n ISRCTN Registry ISRCTN14396374; https:\/\/www.isrctn.com\/ISRCTN14396374?q=ISRCTN14396374<\/jats:p>\n <\/jats:sec>\n \n International Registered Report Identifier (IRRID)<\/jats:title>\n DERR1-10.2196\/40286<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/40286","type":"journal-article","created":{"date-parts":[[2022,10,10]],"date-time":"2022-10-10T19:27:00Z","timestamp":1665430020000},"page":"e40286","source":"Crossref","is-referenced-by-count":10,"title":["Adapting DIALOG+ in a School Setting\u2014A Tool to Support Well-being and Resilience in Adolescents Living in Postconflict Areas During the COVID-19 Pandemic: Protocol for a Cluster Randomized Exploratory Study"],"prefix":"10.2196","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9013-5384","authenticated-orcid":false,"given":"Carlos","family":"G\u00f3mez-Restrepo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7762-6536","authenticated-orcid":false,"given":"Mar\u00eda Jos\u00e9","family":"Sarmiento-Su\u00e1rez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5769-0370","authenticated-orcid":false,"given":"Magda","family":"Alba-Saavedra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2053-7679","authenticated-orcid":false,"given":"Victoria Jane","family":"Bird","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9864-3394","authenticated-orcid":false,"given":"Stefan","family":"Priebe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5317-7983","authenticated-orcid":false,"given":"Francois","family":"van Loggerenberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2022,11,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1515\/peps-2013-0062"},{"key":"ref2","unstructured":"Unidad para la atenci\u00f3n y reparaci\u00f3n integral a las v\u00edctimas InternetV\u00edctimas conflicto armado Gobierno de Colombia2022-10-18https:\/\/www.unidadvictimas.gov.co\/es\/registro-unico-de-victimas-ruv\/37394"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1192\/bji.2018.4"},{"key":"ref4","unstructured":"UNHCR Colombia | Operational Update January-February 2022UNHCR2022-10-18https:\/\/data2.unhcr.org\/en\/documents\/details\/91506"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1505-3-13"},{"key":"ref6","unstructured":"Programas de desarrollo con enfoque territorial InternetAgencia de Renovaci\u00f3n del Territorio20192022-10-18https:\/\/serviceweb.renovacionterritorio.gov.co\/artdev\/media\/files\/2021-02-06_003948_73789608.pdf"},{"key":"ref7","unstructured":"Programas de Desarrollo con Enfoque Territorial - Colombia Internet2022-10-18https:\/\/www.renovacionterritorio.gov.co\/especiales\/especial_pdet\/"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2018.00433"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.rcp.2016.09.004"},{"key":"ref10","unstructured":"NickersonALiddellBAsnaaniACarlssonJFazelMKnaevelsrudCNeunerFNewnhamERasmussenATrauma and mental health in forcibly displaced populations: an international society for traumatic stress studies briefing paperInternational Society for Traumatic Stress Studies2022-10-18https:\/\/istss.org\/getattachment\/Education-Research\/Briefing-Papers\/Trauma-and-Mental-Health-in-Forcibly-Displaced-Pop\/Displaced-Populations-Briefing-Paper_Final.pdf.aspx"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1505-6-10"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60827-1"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2018.00540"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.rcp.2016.09.006"},{"key":"ref15","unstructured":"G\u00f3mez-RestrepoCCruz-Ram\u00edrezVMedina-RicoMRinc\u00f3nCOriginal Salud mental en ni\u00f1os desplazados por conflicto armado -Encuesta Nacional de Salud Mental Colombia 2015 Mental health in displaced children by armed conflict -National Mental Health Survey Colombia 2015Actas Esp Psiquiatr Internet20182022-10-18https:\/\/www.actaspsiquiatria.es\/repositorio\/20\/112\/ESP\/20-112-ESP-51-7-517221.pdf"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1186\/s13034-020-00327-5"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.26633\/RPSP.2018.165"},{"key":"ref18","unstructured":"Mental Health ATLAS 2017World Health Organization20182022-10-18https:\/\/www.who.int\/publications\/i\/item\/9789241514019"},{"key":"ref19","unstructured":"MinisterioDSYPSEstimaci\u00f3n de la oferta de m\u00e9dicos especialistas en Colombia 1950-2030Organizaci\u00f3n Panamericana de la Salud2022-10-18https:\/\/www.minsalud.gov.co\/sites\/rid\/Lists\/BibliotecaDigital\/RIDE\/VS\/ED\/GCFI\/estimacion-cantidad-especialistas-medicas-septiembre-2018.pdf"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.26633\/RPSP.2018.165"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1177\/20503121221086712"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30460-8"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30547-X"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2020.0068"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1136\/gpsych-2020-100213"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-10-51"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1080\/13632752.2019.1582742"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.2196\/25870"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-018-2679-3"},{"issue":"6","key":"ref30","volume":"5","author":"Priebe, S","year":"2017","journal-title":"PGfAR"},{"key":"ref31","unstructured":"Implementation of an effective and cost-effective intervention for patients with psychotic disorders in low and middle income countries in South Eastern EuropeEuropean Commission2022-10-18https:\/\/cordis.europa.eu\/project\/id\/779334"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.1159\/000430991"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-019-2148-x"},{"key":"ref34","unstructured":"What are DIALOG and DIALOG+?DIALOG+2022-10-18https:\/\/www.elft.nhs.uk\/dialog"},{"issue":"6","key":"ref35","volume":"5","author":"Priebe, S","year":"2017","journal-title":"PGfAR"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2004.08.003"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"ref38","unstructured":"Qualitative Data Analysis SoftwareNVivo2022-10-18https:\/\/www.qsrinternational.com\/nvivo-qualitative-data-analysis-software\/home"},{"key":"ref39","unstructured":"ClarkeASorgenfreiMMulcahyJDaviePFriedrichCMcbrideTAdolescent mental health: a systematic review on the effectiveness of school-based interventionsEarly Intervention Foundation202107212022-10-18https:\/\/www.eif.org.uk\/report\/adolescent-mental-health-a-systematic-review-on-the-effectiveness-of-school-based-interventions"},{"key":"ref40","doi-asserted-by":"publisher","DOI":"10.1111\/camh.12381"},{"key":"ref41","doi-asserted-by":"publisher","DOI":"10.1097\/DBP.0000000000000623"},{"key":"ref42","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2019.01031"}],"container-title":["JMIR Research Protocols"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.researchprotocols.org\/2022\/11\/e40286","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T17:38:31Z","timestamp":1782841111000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.researchprotocols.org\/2022\/11\/e40286"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,9]]},"references-count":42,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.2196\/40286","relation":{},"ISSN":["1929-0748"],"issn-type":[{"value":"1929-0748","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,9]]}}}