Nurturing families: A feasibility randomised controlled trial of a whole-family intervention with vulnerable families in Jordan

Armed conflict and forced displacement can significantly strain nurturing family environments, which are essential for child well-being. Yet, limited evidence exists on the effectiveness of family-systemic interventions in these contexts. We conducted a two-arm, single-masked, feasibility Randomised...

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Veröffentlicht in:Global mental health Jg. 11; S. e51
Hauptverfasser: Brown, Felicity L., Yousef, Hind, Bleile, Alexandra C.E., Mansour, Hadeel, Barrett, Anna, Ghatasheh, Maha, Puffer, Eve S., Mansour, Zeinab, Hayef, Karam, Kurdi, Samer, Ali, Qaasim, Tol, Wietse A., El-Khani, Aala, Calam, Rachel, Abu Hassan, Hana, Jordans, Mark J.D.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Cambridge, UK Cambridge University Press 2024
Schlagworte:
Acceptability
Assessors
Caregivers
Child & adolescent mental health
Clinical assessment
Community-based care
Families & family life
Family conflict
family interventions
Family relations
Feasibility
Feedback
Fidelity
Humanitarianism
Hypotheses
Intervention
Interventions
Jordan
Measures
mental health
Military intervention
Parents & parenting
Perceptions
pilot randomised controlled trial
Property
Psychological distress
Quality of Care
Quantitative psychology
refugee
Refugees
Relocation
Retention
Special Issue: Community-based PSS interventions for displaced populations
Teaching and Learning
Training non-mental health professionals
Trends
Well being
Iraq
family interventions
Jordan
pilot randomised controlled trial
mental health
refugee
ISSN:2054-4251, 2054-4251
Online-Zugang:Volltext
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Zusammenfassung:Armed conflict and forced displacement can significantly strain nurturing family environments, which are essential for child well-being. Yet, limited evidence exists on the effectiveness of family-systemic interventions in these contexts. We conducted a two-arm, single-masked, feasibility Randomised Controlled Trial (fRCT) of a whole-family intervention with Syrian, Iraqi and Jordanian families in Jordan. We aimed to determine the feasibility of intervention and study procedures to inform a fully-powered RCT. Eligible families were randomised to receive the Nurturing Families intervention or enhanced usual care (1:1). Masked assessors measured outcomes at baseline and endline; primary outcome measures were caregiver psychological distress, family functioning, and parenting practices. Families and implementing staff participated in qualitative interviews at endline. Of the 62 families screened, 60 (98%) were eligible, 97% completed the baseline and 90% completed the endline. Qualitative feedback indicated specific improvements in adolescent well-being, caregiver distress and parenting, and family relationships. Data highlighted high participant engagement and adequate facilitator fidelity and competence. Outcome measures had good psychometric properties (most α > 0.80) and sensitivity to change, with significant changes seen on most measures in the intervention but not control group. Findings indicate the acceptability and feasibility of intervention and study procedures. Subsequent full-scale evaluation is needed to determine effectiveness.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:2054-4251
2054-4251
DOI:10.1017/gmh.2024.43