Mental Health

Rapid cultural adaptations for scalable dissemination of a single-session intervention among Polish and Ukrainian youth: An open pilot trial.

TL;DR

A digital self-guided single-session intervention showed significant mental health improvements among Polish youth and moderate improvements among Ukrainian youth, with high acceptability ratings across both groups, suggesting SSIs hold potential as a scalable option for mental health care for youth in crisis-affected regions.

Key Findings

Completion rates differed substantially between Polish and Ukrainian youth participants.

  • 176 Polish youth and 139 Ukrainian youth began the intervention.
  • Polish participants had a completion rate of 80.7%.
  • Ukrainian participants had a lower completion rate of 62.6%.
  • The study was conducted from March to June 2024.
  • Participants were aged 10-18 years, including Ukrainian refugees in Poland.

Polish youth showed significant improvements across multiple mental health indicators following the single-session intervention.

  • Polish participants exhibited significant improvements in hopelessness, self-hate, perceived control, and agency.
  • Statistical analyses included paired t-tests and effect size calculations to examine intervention effects.
  • The intervention was a digital, self-guided single-session intervention (SSI) completed after cultural adaptation and translation into Polish.

Ukrainian youth showed more limited mental health improvements compared to Polish youth, with only moderate improvements in perceived control.

  • Ukrainian youth showed moderate improvements in perceived control.
  • Ukrainian participants showed limited change in other mental health indicators beyond perceived control.
  • The authors note the varied outcomes highlight the need for further refinement, especially for displaced youth.
  • The Ukrainian sample included both youth in Ukraine and Ukrainian refugees in Poland.

Acceptability ratings for the culturally adapted single-session intervention were high across both Polish and Ukrainian youth.

  • Measures assessed hopelessness, self-hate, agency, perceived control, and acceptability.
  • High acceptability was observed across all youth regardless of country group.
  • The study design was a non-randomized, open pilot trial.
  • The intervention underwent cultural adaptations and translation into both Polish and Ukrainian prior to deployment.

A rapid cultural adaptation process was used to translate and adapt an existing single-session intervention for Polish and Ukrainian youth populations.

  • The intervention was adapted and translated into both Polish and Ukrainian.
  • The study involved youth from Poland and Ukraine, including Ukrainian refugees in Poland.
  • The adaptation process is described as 'rapid cultural adaptations for scalable dissemination.'
  • The target population included adolescents aged 10-18 years facing concerns related to ongoing war and displacement.

The study was framed as an open pilot trial assessing acceptability, feasibility, and short-term effects rather than a randomized controlled trial.

  • The design was explicitly described as 'a non-randomized, open pilot trial.'
  • Primary outcomes examined were acceptability, feasibility, and short-term effects.
  • Mental health outcomes measured included hopelessness, self-hate, agency, and perceived control.
  • The trial ran from March to June 2024.

What This Means

This research suggests that a brief, digital mental health program delivered in a single session can be feasible and acceptable for Polish and Ukrainian youth, including Ukrainian refugees living in Poland. The program was adapted and translated into Polish and Ukrainian, then tested with over 300 young people aged 10 to 18 during early 2024. Among Polish youth, the program was associated with meaningful improvements in feelings of hopelessness, self-hatred, sense of control, and sense of agency. Among Ukrainian youth, there were only modest improvements in sense of control, with limited changes in other mental health measures. Both groups rated the program as highly acceptable. The differences in outcomes between the two groups are notable. Ukrainian youth — many of whom may be displaced due to the ongoing war — showed fewer benefits, which the researchers suggest may indicate that this type of intervention needs additional tailoring for people experiencing active displacement and trauma. The lower completion rate among Ukrainian youth (about 63%) compared to Polish youth (about 81%) also points to potential barriers worth addressing in future work. This research suggests that single-session digital mental health interventions could be a practical, scalable tool for reaching large numbers of young people in regions where traditional mental health care is limited or overwhelmed. However, the results also highlight that one-size-fits-all approaches may not work equally well for all groups, and that youth facing acute crises like war and displacement may need more specialized support or a differently adapted version of such programs.

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Citation

Sotomayor I, Morska L, Fox C, Mamcarz P, Zapata J, Domagala-Zyśk E, et al.. (2026). Rapid cultural adaptations for scalable dissemination of a single-session intervention among Polish and Ukrainian youth: An open pilot trial.. Applied psychology. Health and well-being. https://doi.org/10.1111/aphw.70099