Culturally Adapted Strong Families Programme for Families Living in Gilgit Baltistan, Pakistan
- Conditions
- Mental Health
- Interventions
- Behavioral: Strong Families Programme Intervention
- Registration Number
- NCT05933850
- Lead Sponsor
- Pakistan Institute of Living and Learning
- Brief Summary
The aim of this exploratory study is to test the Strong Family (SF) programme in improving family functioning when implemented in Gilgit-Baltistan. Participants will be randomized to one of the two study arms 1)- Intervention group in which participants will receive 3 group sessions of SF programme (8-12 families per group) 2)- Control group (control group will be in the waiting list and receive SF training sessions once the study will be completed).
- Detailed Description
This will be multicentre feasibility randomised controlled trial to test the effectiveness of the SF programme in improving family skills outcomes and caregiver and child mental health, as reported by caregivers when implemented in Gilgit-Baltistan. The study will record families' rates of recruitment and attendance to SF programme, evaluate the completeness of programme delivery, cultural acceptability through qualitative interviews and assess the fidelity of training delivery. A small pilot study with N=10 families (a female caregiver (mother) and one child between the age of 8-15 years from each family) will be conducted before main RCT. The study will be conducted in three districts including; Gilgit, Hunza and Skardu in Gilgit Baltistan, Pakistan. We will interview a subset of participants i.e. up to 5 caregivers from each study site (N=15 caregivers) to explore participants' opinions on the acceptability of the programme and to explore any barriers or facilitators to participation.
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- Female
- Target Recruitment
- 90
- Female primary caregiver to a child aged between 8-15 years
- Able to speak and understand Urdu language
- Capable to give informed consent
- Families that had already taken part in another family skills training programme in the past 6 months or where the caregiver lived separately from the child
- Not the primary caregiver of the child
- Unlikely to be available for the duration of the whole study and outcome assessments (e.g., temporary residence).
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Waitlist control group Strong Families Programme Intervention This group will be on the waiting list and receive SF programme training sessions once the study will be completed. Strong Family Programme Intervention Strong Families Programme Intervention There will be 3 weekly group sessions of the strong family programme with caregivers and children (8-12 families per group).
- Primary Outcome Measures
Name Time Method Feasibility and acceptability indicators From baseline to end of intervention at 3 weeks (post randomisation) We will record feasibility indicators in terms of families' rates of recruitment and attendance to programme, and programme completeness. To evaluate cultural acceptability of programme by families, interviews with caregivers will be conducted to explore family members' opinions on the acceptability of the programme, any barriers or facilitators to participation.
- Secondary Outcome Measures
Name Time Method Parenting and Family Adjustment Scale At baseline, week 5 and week 9 of post baseline This will measures parenting practices and parental adjustment. This scale has been developed to be used in low resource settings.
Strengths and Difficulties Questionnaire At baseline, week 5 and week 9 of post baseline The Strengths and Difficulties Questionnaire is a brief behavioural screening questionnaire and ask about 25 attributes, some positive and others negative. This will be administered to both child and the caregiver.
Child and Youth Resilience Measure At baseline, week 5 and week 9 of post baseline This is a screening tool to explore the resources available that may bolster resilience.