O le tagata ma lona aiga, o le tagata ma lona fa'asinomaga (Every person belongs to a family and every family belongs to a person): Development of a parenting framework for adolescent mental wellbeing in American Samoa.

Autor: Mew EJ; Department of Chronic Disease Epidemiology, Yale School of Public Health, Yale University, New Haven, Connecticut, USA., Hunt L; Department of Health, American Samoa Government, Pago Pago, American Samoa, USA., Toelupe RLM; Department of Veterans Affairs, Pago Pago, American Samoa, USA., Blas V; Department of Chronic Disease Epidemiology, Yale School of Public Health, Yale University, New Haven, Connecticut, USA., Winschel J; Department of Social and Behavioral Sciences, Yale School of Public Health, Yale University, New Haven, Connecticut, USA., Naseri J; Obesity, Lifestyle, And Genetic Adaptations (OLAGA) Study Group, Pago Pago, American Samoa, USA., Soliai-Lemusu S; Department of Health, American Samoa Government, Pago Pago, American Samoa, USA., Tofaeono JF; The Alliance Against Domestic & Sexual Violence, Pago Pago, American Samoa, USA., Seui MA; Intersections, Inc., Pago Pago, American Samoa, USA., Ledoux-Sunia T; Christopher James Foeoletini Ledoux Foundation, Pago Pago, American Samoa, USA., Sunia F; Christopher James Foeoletini Ledoux Foundation, Pago Pago, American Samoa, USA., Reid A; The Church of Jesus Christ of Latter-day Saints, Pago Pago, American Samoa, USA., Helsham D; American Samoa Community College, Pago Pago, American Samoa, USA., Lowe SR; Department of Social and Behavioral Sciences, Yale School of Public Health, Yale University, New Haven, Connecticut, USA., Poulin R; Yale College, Yale University, New Haven, Connecticut, USA., Hawley NL; Department of Chronic Disease Epidemiology, Yale School of Public Health, Yale University, New Haven, Connecticut, USA., McCutchan-Tofaeono J; Empowering Pacific Island Communities (EPIC) Pago Pago, American Samoa, USA.
Jazyk: angličtina
Zdroj: Children and youth services review [Child Youth Serv Rev] 2024 May; Vol. 160. Date of Electronic Publication: 2024 Mar 05.
DOI: 10.1016/j.childyouth.2024.107502
Abstrakt: American Samoan adolescents experience a high prevalence of mental health problems, including depression, anxiety, substance use, and suicidal thoughts and behaviors. To complement existing health system efforts, family-based interventions may be a feasible, cost-effective, and relevant opportunity to promote mental health. This community-partnered, qualitative study aimed to: (1) identify potential family-related psychosocial protective factors for adolescent mental health and (2) develop a framework for a parenting program to promote adolescent mental health in American Samoa. Applying the fa'afaletui framework developed for research in Samoan communities, which emphasizes the importance of weaving a range of community member perspectives to reach consensus, semi-structured in-depth interviews with adult key informants (n=28) were conducted between October 2020 and February 2021. Results were validated through five focus groups with Samoan adolescents (n=35) between May and June 2022. Adult participants were sampled for diversity in profession, age, gender, education, and region of residence; adolescent participants were sampled for diversity in gender. Participants were recruited using personal networks and snowball sampling; adolescent participants also responded to Facebook advertising. The semi-structured interviews focused on broad topics including common mental health problems, contributors to mental illness, and potential interventions, among others. Transcripts were coded in duplicate and analyzed using deductive thematic analysis. Themes were collaboratively mapped onto an adapted fonofale model, an existing framework for Pacific Island health research. Six themes described key practices: (1) provide emotional safety and security; (2) provide physical safety and security; (3) encourage sense of self; (4) strengthen intergenerational communication skills; (5) prioritize quality time; and (6) cultivate healthy coping strategies. Participants also expressed the importance of a supportive environment grounded in culture, family and community, and caregiver mental health. These results provide an initial step to identify family-focused factors that promote adolescent mental health in American Samoa and categorize them into a framework to inform intervention development. Drawing on a collaborative and community-partnered process, these findings provide the first evidence-based framework to develop a parenting program to promote adolescent mental wellbeing and resilience in Samoan communities.
Competing Interests: CONFLICTS OF INTEREST The authors have no conflicts of interest to declare.
Databáze: MEDLINE
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