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

Autor:	Brown FL; Research and Development Department, War Child Alliance, Amsterdam, The Netherlands.; Research and Development Department, War Child Alliance, Amman, Jordan.; Amsterdam Institute of Social Science Research, University of Amsterdam, Amsterdam, The Netherlands., Yousef H; Research and Development Department, War Child Alliance, Amman, Jordan., Bleile ACE; Research and Development Department, War Child Alliance, Amsterdam, The Netherlands.; Amsterdam Institute of Social Science Research, University of Amsterdam, Amsterdam, The Netherlands., Mansour H; Research and Development Department, War Child Alliance, Amman, Jordan., Barrett A; Research and Development Department, War Child Alliance, Amsterdam, The Netherlands., Ghatasheh M; Research and Development Department, War Child Alliance, Amman, Jordan., Puffer ES; Department of Psychology and Neuroscience, Duke Global Health Institute, Duke University, Durham, NC, USA., Mansour Z; Research and Development Department, War Child Alliance, Amman, Jordan., Hayef K; Collateral Repair Project, Amman, Jordan., Kurdi S; Collateral Repair Project, Amman, Jordan., Ali Q; Collateral Repair Project, Amman, Jordan., Tol WA; Section of Global Health, University of Copenhagen, Copenhagen, Denmark.; Athena Research Institute, VU University Amsterdam, Amsterdam, The Netherlands.; Arq International, Diemen, The Netherlands., El-Khani A; Division of Psychology and Mental Health, The University of Manchester, Manchester, UK., Calam R; Division of Psychology and Mental Health, The University of Manchester, Manchester, UK., Abu Hassan H; University of California San Diego, San Diego, CA, USA.; Imperial College NHS Trust, London, UK., Jordans MJD; Research and Development Department, War Child Alliance, Amsterdam, The Netherlands.; Amsterdam Institute of Social Science Research, University of Amsterdam, Amsterdam, The Netherlands.
Jazyk:	angličtina
Zdroj:	Global mental health (Cambridge, England) [Glob Ment Health (Camb)] 2024 Apr 11; Vol. 11, pp. e51. Date of Electronic Publication: 2024 Apr 11 (Print Publication: 2024).
DOI:	10.1017/gmh.2024.43
Abstrakt:	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. Competing Interests: The authors have no competing interests to declare. (© The Author(s) 2024.)
Databáze:	MEDLINE
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