Evaluation of a Family Strengthening Program Evaluation in Sierra Leone to Prevent Family Separation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 226
- 试验地点
- 1
- 主要终点
- Change in self-reported economic well-being
研究概览
简要总结
In Sierra Leone, poverty and challenges with family functioning can lead to family separation, and children may go to live on the street or enter residential care institutions/orphanages. Helping Children Worldwide (HCW), a non-profit organization with over 20 years of experience in Sierra Leone, has developed a two-part Family Strengthening Program delivered by their program partners in Sierra Leone, the Child Reintegration Centre, to improve families financial literacy and attachment between caregivers and children, with the ultimate goal of preventing family separation. The hypothesis of this study is that the Family Strengthening Program program is effective at (1) changing parenting behaviors, (2) improving emotional regulation, (3) improving caregiver-child attachment, and (4) improving financial literacy in dyads consisting of children ages 9-13 and their caregivers.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
盲法说明
During baseline data collection, participants were not yet assigned to arms, so all parties were masked.
入排标准
- 年龄范围
- 9 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Dyads must consist of a principal child (the one whose situation initiated their involvement with the Child Reintegration Centre) and their primary caregiver (as defined by the Child Reintegration Centre as the person in the family primarily responsible for the health and wellbeing of the principal child and is noted as such in their case file)
- •Primary child is ages 9-13
- •Dyad is actively participating in Child Reintegration Centre services (i.e., child must have been seen by the case manager in the last month)
- •Dyad lives in the Bo area.
- •Exclusion criterion:
- •(1) Family has been assessed by the Child Reintegration Centre to be in active crisis, i.e., specific concerns about the child being at-risk or unsafe (suspicions of abuse or neglect).
排除标准
- 未提供
研究组 & 干预措施
Family strengthening program
干预措施: Family strengthening program (Behavioral)
Care as usual
These participants have already been receiving case management from the Child Reintegration Centre prior to the study, and they will continue to receive care as usual, which is to receive normal case management visits without this added Family Strengthening Program component. Case management consists of a social work staff alternating between visiting children at home or at school each month to provide supervision, coaching, counseling, assessments, and identification of additional support needs.
结局指标
主要结局
Change in self-reported economic well-being
时间窗: Baseline: Up to 2 months before intervention; Endline: Up to 2 months after intervention
Measures developed for this study tailored for context and intervention content; e.g., awareness of income/spending, saving and budgeting behaviors, ability to pay for unexpected expense
Change in child attachment as measured by the Inventory of Parent and Peer Attachment (IPPA)
时间窗: Baseline: Up to 2 months before intervention; Endline: Up to 2 months after intervention
Caregiver and child change in emotional regulation as measured by the Difficulties in Emotional Regulation (DERS) scale
时间窗: Baseline: Up to 2 months before intervention; Endline: Up to 2 months after intervention
Change in caregiver- and child-reported use of punishment by caregiver
时间窗: Baseline: Up to 2 months before intervention; Endline: Up to 2 months after intervention
Measures developed for this study tailored for context; e.g., flogging child with hand or cane, public shaming, withholding food
次要结局
- Change in child- and caregiver-reported parenting behaviors by caregiver(Baseline: Up to 2 months before intervention; Endline: Up to 2 months after intervention)