Mediational Intervention for Sensitizing Caregivers to Improve Mental Health Outcomes in Orphaned and Vulnerable Children
| Autor: | Carla Sharp, Michael J. Boivin, Paulina A. Kulesz, Lochner Marais, Kholisa Rani, Salome Vanwoerden, Molefi Lenka, Deborah Givon, Cilly Shohet, Jan Cloete |
|---|---|
| Rok vydání: | 2023 |
| Předmět: |
Male
medicine.medical_specialty education HIV Infections Mental health 03 medical and health sciences Clinical Psychology 0302 clinical medicine Caregivers 030225 pediatrics Intervention (counseling) Outcome Assessment Health Care Developmental and Educational Psychology medicine Feasibility Studies Humans Family Female 030212 general & internal medicine Psychology Psychiatry Child Child Orphaned |
| Zdroj: | Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53. 51(5) |
| ISSN: | 1537-4424 |
| Popis: | There is an urgent need to equip community-based careworkers with the skills to address the mental health needs of orphans and vulnerable children (OVC) as an essential response to shortages in human resources for mental health in Sub-Saharan Africa. We conducted a quasi-experimental feasibility trial in South Africa to adapt and evaluate an established year-long semi-structured, manualized video-feedback caregiver intervention (the Mediational Intervention for Sensitizing Caregivers; MISC) for community-based organizations (CBOs).Following a year-long iterative cross-cultural adaptation of MISC, we recruited 88 OVC (ages 7-11; 45.5% girls) and their CBO careworkers (MISC-CBO was acceptable and feasible in terms of attendance and post-intervention interviews. MISC improved child mental health, as well as the quality of careworker caregiving in terms of interactive effects for affective and cognitive (Expanding) components of MISC, and main effects for the cognitive components of Rewarding and Provision of meaning. MISC components did not mediate the effects of the intervention.The current study shows that laypersons with no tertiary education and virtually no prior training who undergo MISC training can improve caregiving quality and the mental health of OVCs. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|