A Community-based Participatory Study to Support Parenting and Improve Family Mental Health in Refugee Shelters in Tijuana, Mexico
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 84
- 试验地点
- 1
- 主要终点
- parenting knowledge
研究概览
简要总结
The goal of this study is to better understand and support parenting practices and family mental health among migrant parents in Tijuana, Mexico. the main questions it aims to answer are:
- What parenting skills are most needed for learning?
- How can we teach them in a participatory way respecting cultural values and norms?
- How does this parenting program affect parental and child interactions and mental health?
Participants will
- have the opportunity to give their opinions on the priority parenting skills needed and on which curriculum to use for learning these skills;
- participate in small group learning sessions twice a week for 4 weeks;
- be asked to complete a few surveys before and after the learning sessions, and 2 months after they complete the learning sessions.
Researchers will compare parents randomly assigned to parenting sessions group with waitlist control group (starting learning sessions 1 month later) to see if the group learning benefits parent-child interactions, parental stress, and parental confidence in parenting.
详细描述
Month 1:
The researchers will use a participatory research model to convene focus groups engaging community stakeholders in two large shelters in Tijuana to prioritize 3-5 parenting skills.
Month 2:
The researchers will recruit participating parents until reaching a sample size of 120, divided into 8 groups of 15. All participants will vote for 1-2 interventions from a list of 5 to revise and adapt to the local context through small group discussions and consensus building.
Month 3:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Sequential
- 主要目的
- Prevention
- 盲法
- Double (Care Provider, Outcomes Assessor)
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •all consenting parents staying at refugee shelters in Tijuana
排除标准
- •known date of leaving Tijuana in less than 3 months
研究组 & 干预措施
parenting sessions group
This arm will receive a culturally adapted parenting curriculum twice a week for 4 weeks during month 3 of the study
干预措施: Refugee parenting education in a participatory community (Behavioral)
waitlist control group
This arm will receive a handout about parenting techniques in Spanish during month 3. They then receive the same parenting curriculum during month 4.
干预措施: Refugee parenting education in a participatory community (Behavioral)
结局指标
主要结局
parenting knowledge
时间窗: immediately before intervention and after 4-week intervention period
20 multiple choice questions (scores 0-20)
Child behavior and parental efficacy
时间窗: immediately before intervention and after 4-week intervention period
Child Adjustment and Parent Efficacy Scale (total scores 0-81, parental efficacy scores 19-190)
次要结局
- Child behavior and parental efficacy(post interventionand and at 2-month post-intervenion follow-up)
- parenting knowledge(post intervention and at 2-month post-intervenion follow-up)
- Observed parent-child interactions(immediately before intervention, after 4-week intervention period, and 2-month post-intervenion follow-up)
- parental stress(immediately before intervention, after 4-week intervention period, and 2-month post-intervenion follow-up)
- Qualitative feedback(after 4-week intervention period and at 2-month post-intervenion follow-up)
研究者
Xinshu She, MD, MPH
Clinical Associate Professor of Pediatrics
Stanford University