Protocol for a caregiver psychosocial support intervention for populations affected by displacement in Uganda.

Child protection Psychosocial support Refugee South Sudan Uganda

Journal

BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562

Informations de publication

Date de publication:
17 05 2021
Historique:
received: 13 04 2021
accepted: 26 04 2021
entrez: 18 5 2021
pubmed: 19 5 2021
medline: 25 5 2021
Statut: epublish

Résumé

Child psychological distress in refugee settings is a significant public health concern, which is exacerbated by poor caregiver mental health and functioning. However, there are limited studies about effective interventions to improve caregiver mental health in support of child wellbeing. The objective of the current study is to evaluate the effectiveness and implementation of the Journey of Life (JoL) intervention to improve caregiver mental health in a refugee camp in Western Uganda. A waitlist-control quasi-experimental design is being implemented in the Kiryandongo refugee settlement (intervention n = 600, control n = 600). Caregiver mental distress, measured using the Kessler-6, was selected as the primary outcome. Secondary outcomes include (a) functioning measured by the World Health Organization Disability Assessment Schedule, (b) social support measured by the Medical Outcomes Study Social Support Survey, and (c) caregiving behaviors according to the Parental Acceptance and Rejection Questionnaire and the Child Protection Index. The study aims to examine the implementation of the JoL intervention through qualitative assessments of intervention feasibility, adaptations, and reach. This trial will add much-needed evidence for the implementation of caregiver psychosocial programming within the humanitarian community. Findings will be disseminated amongst local, regional, and global actors in order to guide potential scale up within humanitarian settings. Clinical Trials NCT04817098 (Registered: 3/24/21).

Sections du résumé

BACKGROUND
Child psychological distress in refugee settings is a significant public health concern, which is exacerbated by poor caregiver mental health and functioning. However, there are limited studies about effective interventions to improve caregiver mental health in support of child wellbeing. The objective of the current study is to evaluate the effectiveness and implementation of the Journey of Life (JoL) intervention to improve caregiver mental health in a refugee camp in Western Uganda.
METHODS
A waitlist-control quasi-experimental design is being implemented in the Kiryandongo refugee settlement (intervention n = 600, control n = 600). Caregiver mental distress, measured using the Kessler-6, was selected as the primary outcome. Secondary outcomes include (a) functioning measured by the World Health Organization Disability Assessment Schedule, (b) social support measured by the Medical Outcomes Study Social Support Survey, and (c) caregiving behaviors according to the Parental Acceptance and Rejection Questionnaire and the Child Protection Index. The study aims to examine the implementation of the JoL intervention through qualitative assessments of intervention feasibility, adaptations, and reach.
DISCUSSION
This trial will add much-needed evidence for the implementation of caregiver psychosocial programming within the humanitarian community. Findings will be disseminated amongst local, regional, and global actors in order to guide potential scale up within humanitarian settings.
TRIAL REGISTRATION
Clinical Trials NCT04817098 (Registered: 3/24/21).

Identifiants

pubmed: 34001055
doi: 10.1186/s12889-021-10921-7
pii: 10.1186/s12889-021-10921-7
pmc: PMC8127267
doi:

Banques de données

ClinicalTrials.gov
['NCT04817098']

Types de publication

Clinical Trial Protocol Journal Article Research Support, U.S. Gov't, Non-P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

932

Subventions

Organisme : NIAAA NIH HHS
ID : K01 AA028199
Pays : United States
Organisme : USAID
ID : AID-OAA-A-17-00002

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Auteurs

Flora Cohen (F)

Washington University in St. Louis, Box 1196, 1 Brookings Drive, St. Louis, MO, 63130, USA.

Sabrina Hermosilla (S)

University of Michigan, 500 S. State St, Ann Arbor, MI, 48109, USA.

Justin Knox (J)

Columbia University, New York, NY, 10027, USA.

Gary Samuel Agaba (GS)

Transcultural Psychosocial Organization Uganda, P.O. Box 21646, Kampala, Uganda.

Grace Obalim (G)

Transcultural Psychosocial Organization Uganda, P.O. Box 21646, Kampala, Uganda.

Rehema Kajungu (R)

Transcultural Psychosocial Organization Uganda, P.O. Box 21646, Kampala, Uganda.

Patrick Onyango Mangen (PO)

Regional Psychosocial Support Initiative, P.O. Box 23076, Randburg West, South Africa.

Lindsay Stark (L)

Washington University in St. Louis, Box 1196, 1 Brookings Drive, St. Louis, MO, 63130, USA. lindsaystark@wustl.edu.

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Classifications MeSH