A Randomised Control Trial of Enhanced Child Friendly Space Interventions for Girls and Boys Affected by Conflict and Displacement
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 2,015
- 试验地点
- 1
- 主要终点
- Child and Youth Resilience Measure (CYRM-28)
研究概览
简要总结
A 3-arm randomised controlled trial will be conducted to compare the effectiveness of a new enhanced Child Friendly Space service package with the basic Child Friendly Space service implementation, and to a waitlist control condition, within the West Nile refugee response in Uganda.
详细描述
A Child Friendly Space (CFS) is an acute phase humanitarian intervention designed to provide children with a safe, supportive, and stable environment early after the onset of crisis that will promote their social and emotional well-being, as well strengthen the existing systems of protection required to support children in reaching developmental milestones. Typically, CFSs house a range of structured and unstructured activities led by trained animators in a community-designated safe area.
The basic service package offers a mixture of recreational and non-formal education activities over a twelve-week period. Each session lasts around 1.5 - 3 hours. Structured activities offered include basic literacy and numeracy lessons, life skills exercises, health and hygiene sessions, and traditional song and dance. Many activities are centered around various forms of play that enable expression and age-appropriate skill development. Unstructured free play and playground time is allocated throughout the daily session.
The enhanced service package provides 40 sequential sessions selected by CFS program staff in advance and implemented over a twelve-week period. Activities are meant to build upon and reinforce one another and are organized into seven psychosocial themes: 1) Building community: "Our space together", 2) Emotional learning: "My feelings", 3) Wellbeing and coping: "Feeling good", 4) Social support: "My friends and family", 5) Relating to others: "Being a good friend", 6) Protection and boundaries: "My safety", and 7) Building on strengths: "All my supports". Each session takes approximately 1.5 - 2 hours to facilitate and will conclude with 1-1.5 hours unstructured free play time.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 6 Years 至 14 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Primary caregiver has a child between the ages 6-8
- •Child is between the ages of 9-14 years
排除标准
- •No child resides in the home between the ages of 6 and 14 years
结局指标
主要结局
Child and Youth Resilience Measure (CYRM-28)
时间窗: up to 1 hour from the start of a session
A 28-item caregiver (for children aged 6-8 years) or child-reported (for children aged 9-14 years) measure that explores the resources that may bolster the resilience of children. Each item of the child self-report has response options rated on a 5-point scale ranging from 1 (Not at all) to 5 (A Lot). Higher scores are indicative of increased presence of resilience processes. Each item of the caregiver-reported measure has three response options - 1 (No), 2(Sometimes), and 3 (Yes). Higher scores are indicative of increased presence of resilience processes of the child (better outcome).
次要结局
- Child PTSD Symptom Scale (CPSS) Part 1(up to 1 hour from the start of a session)
- Child PTSD Symptom Scale (CPSS) Part 2(up to 1 hour from the start of a session)
- Children's Hope Scale (CHS)(up to 1 hour from the start of a session)
- Children's Revised Impact of Events Scale (CRIES-8)(up to 1 hour from the start of a session)
- Short Mood and Feelings Questionnaire (S-MFQ)(up to 1 hour from the start of a session)
- Emergency Developmental Assets Profile (EMDAP)(up to 1 hour from the start of a session)
研究者
Cassie Landers, Ed.D, MPH
Assistant Professor of Population and Family Health
Columbia University