Addressing Mental Health Disparities in Refugee Children: A CBPR Collaboration
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 265
- 试验地点
- 4
- 主要终点
- Change in depressive symptoms among children and adolescents
研究概览
简要总结
This study will use CBPR mixed methods (qualitative and quantitative data collection) to conduct needs assessments and design and evaluate a core family-based intervention. Project activities will emphasize capacity building in two refugee communities resettled in Greater Boston-the Somali Bantu and the Bhutanese-actively engaging refugee community members, community advisory boards, services providers, and other stakeholders. Specific Aims are to: (1) deepen partnerships with the Somali Bantu and Bhutanese communities through co-leadership, capacity-building, and knowledge sharing; (2) collect and apply qualitative data to (a) prepare a needs assessment of mental health in children and adolescents, barriers to care, and services preferences with each target refugee group; (b) develop mental health/psychosocial assessments for refugee caregivers and children; (c) adapt the core components of a family-based strengthening intervention for use with refugees; and (3) conduct an 80-family pilot study to examine acceptability and sustainability of the intervention. Key outcomes will be reduced mental health symptoms among children and adolescents and improvement in caregiver-child relationships.
详细描述
The proposed mixed methods study will apply CBPR methods in an innovative, cross-cultural project to assess mental health problems in children and community strengths in two refugee communities-the Somali Bantu and the Bhutanese-and to design and pilot test a family-based intervention for refugees in their native languages (Somali Bantu Maay Maay and the Nepali language used by Bhutanese refugees). We will use qualitative research methods developed in preliminary research with the Somali Bantu to identify local conceptualizations of mental health problems, resilience, attitudes about healing and help-seeking, and preferences for mental health services among resettled Bhutanese. The CBPR team will collaborate on mental health needs assessments for both communities, with attention paid to shared experiences and strengths.
Findings on risk and protective factors influencing child mental health will inform development of a preventive intervention. Community Advisory Boards (CABs) will actively participate in the review and selection of intervention components. Based on preliminary research with the Somali Bantu community, we anticipate that a family-based intervention model will respond well to community requests for parenting support and psychoeducation about trauma and effects in families. An intervention positively oriented towards existing sources of family resilience and self-efficacy has great potential for improving access to and engagement in mental health care and other social services, and for increasing both formal and non-formal supports-all essential for reducing mental health disparities.
In this manner, community and university partners will collaborate to achieve four Specific Aims:
Aim 1: Strengthen existing relationships and decision-making partnerships with the Somali Bantu and Bhutanese refugee communities in Greater Boston through community based participatory research in partnership with the Shanbaro Community Association and Chelsea Collaborative in Chelsea, Massachusetts.
Aim 2: Collect and analyze qualitative data on local conceptualizations of mental health problems and resilience in school-age children (ages 5-17) as well as help seeking and services preferences among Somali Bantu and Bhutanese refugee families; use findings to inform intervention targets and critical components of a family-based preventive intervention, the Family Strengthening Intervention (FSI) for refugees.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 5 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Refugee families must have a school-aged child (aged 5-17), and caregivers must be at least 18 years of age and live in the same household as the child.
排除标准
- •Untreated mental illness or active family crisis
研究组 & 干预措施
Intervention
Family Strengthening Intervention-Refugees. A total of 20 Somali Bantu and 20 Bhutanese refugee families will participate in a Family Strengthening Intervention adapted for use with refugees.
干预措施: Family Strengthening Intervention-Refugees (Behavioral)
Control
A total of 20 Somali Bantu and 20 Bhutanese refugee families will receive services as usual.
结局指标
主要结局
Change in depressive symptoms among children and adolescents
时间窗: Depressive symptoms will be measured at three time points - at baseline prior to intervention, immediately post-intervention (an average of 16 weeks after baseline), and 6 months after the completion of the intervention
Depressive symptoms will be measured with an adapted version of the Center for Epidemiologic Study-Depression) CES-D scale
次要结局
- Change in anxiety symptoms among children and adolescents(Anxiety symptoms will be measured at three time points - at baseline prior to intervention, immediately post intervention (an average of 16 weeks after baseline), and six months after the completion of the intervention)
- Change in externalizing/behavioral problems among children and adolescents(Externalizing symptoms will be measured at three time points - at baseline prior to intervention, immediately post-intervention (an average of 16 weeks after the baseline), and 6 months after the completion of the intervention)
- Change in parent-child relationships(Quality of parent-child relationships will be measured at three time points - at baseline prior to intervention, immediately post-intervention (an average of 16 weeks after the baseline), and 6 months after the completion of the intervention.)
研究者
Theresa Betancourt
Salem Professor in Global Practice
Boston College