Nurturing families: A feasibility randomised controlled trial of a whole-family intervention with vulnerable families in Jordan
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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Nurturing families : A feasibility randomised controlled trial of a whole-family intervention with vulnerable families in Jordan. / Brown, Felicity L; Yousef, Hind; Bleile, Alexandra C E; Mansour, Hadeel; Barrett, Anna; Ghatasheh, Maha; Puffer, Eve S; Mansour, Zeinab; Hayef, Karam; Kurdi, Samer; Ali, Qaasim; Tol, Wietse A; El-Khani, Aala; Calam, Rachel; Abu Hassan, Hana; Jordans, Mark J D.
I: Global mental health, Bind 11, e51, 2024.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Nurturing families
T2 - A feasibility randomised controlled trial of a whole-family intervention with vulnerable families in Jordan
AU - Brown, Felicity L
AU - Yousef, Hind
AU - Bleile, Alexandra C E
AU - Mansour, Hadeel
AU - Barrett, Anna
AU - Ghatasheh, Maha
AU - Puffer, Eve S
AU - Mansour, Zeinab
AU - Hayef, Karam
AU - Kurdi, Samer
AU - Ali, Qaasim
AU - Tol, Wietse A
AU - El-Khani, Aala
AU - Calam, Rachel
AU - Abu Hassan, Hana
AU - Jordans, Mark J D
N1 - © The Author(s) 2024.
PY - 2024
Y1 - 2024
N2 - Armed conflict and forced displacement can significantly strain nurturing family environments, which are essential for child well-being. Yet, limited evidence exists on the effectiveness of family-systemic interventions in these contexts. We conducted a two-arm, single-masked, feasibility Randomised Controlled Trial (fRCT) of a whole-family intervention with Syrian, Iraqi and Jordanian families in Jordan. We aimed to determine the feasibility of intervention and study procedures to inform a fully-powered RCT. Eligible families were randomised to receive the Nurturing Families intervention or enhanced usual care (1:1). Masked assessors measured outcomes at baseline and endline; primary outcome measures were caregiver psychological distress, family functioning, and parenting practices. Families and implementing staff participated in qualitative interviews at endline. Of the 62 families screened, 60 (98%) were eligible, 97% completed the baseline and 90% completed the endline. Qualitative feedback indicated specific improvements in adolescent well-being, caregiver distress and parenting, and family relationships. Data highlighted high participant engagement and adequate facilitator fidelity and competence. Outcome measures had good psychometric properties (most α > 0.80) and sensitivity to change, with significant changes seen on most measures in the intervention but not control group. Findings indicate the acceptability and feasibility of intervention and study procedures. Subsequent full-scale evaluation is needed to determine effectiveness.
AB - Armed conflict and forced displacement can significantly strain nurturing family environments, which are essential for child well-being. Yet, limited evidence exists on the effectiveness of family-systemic interventions in these contexts. We conducted a two-arm, single-masked, feasibility Randomised Controlled Trial (fRCT) of a whole-family intervention with Syrian, Iraqi and Jordanian families in Jordan. We aimed to determine the feasibility of intervention and study procedures to inform a fully-powered RCT. Eligible families were randomised to receive the Nurturing Families intervention or enhanced usual care (1:1). Masked assessors measured outcomes at baseline and endline; primary outcome measures were caregiver psychological distress, family functioning, and parenting practices. Families and implementing staff participated in qualitative interviews at endline. Of the 62 families screened, 60 (98%) were eligible, 97% completed the baseline and 90% completed the endline. Qualitative feedback indicated specific improvements in adolescent well-being, caregiver distress and parenting, and family relationships. Data highlighted high participant engagement and adequate facilitator fidelity and competence. Outcome measures had good psychometric properties (most α > 0.80) and sensitivity to change, with significant changes seen on most measures in the intervention but not control group. Findings indicate the acceptability and feasibility of intervention and study procedures. Subsequent full-scale evaluation is needed to determine effectiveness.
U2 - 10.1017/gmh.2024.43
DO - 10.1017/gmh.2024.43
M3 - Journal article
C2 - 38721483
VL - 11
JO - Global mental health
JF - Global mental health
SN - 2054-4251
M1 - e51
ER -
ID: 396082080