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Assessing the efficacy of a brief universal family skills programme on child behaviour and family functioning in Gilgit-Baltistan, Pakistan: protocol for a feasibility randomised controlled trial of the Strong Families programme.
El-Khani, Aala; Asif, Muqaddas; Shahzad, Salman; Bux, Majid Sain; Maalouf, Wadih; Rafiq, Noor Ul Zaman; Khoso, Ameer B; Chaudhry, Imran Bashir; Van Hout, Marie-Claire; Zadeh, Zainab; Tahir, Azam; Memon, Rakhshi; Chaudhry, Nasim; Husain, Nusrat.
Afiliación
  • El-Khani A; Prevention, Treatment and Rehabilitation Section, Drug Prevention and Health Branch, Division of Operations, United Nations Office on Drugs and Crime, Wien, Austria.
  • Asif M; Pakistan Institute of Living and Learning, Karachi, Pakistan muqaddasasif@hotmail.com.
  • Shahzad S; Division of Population Health, Health Services Research and Primary Care, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
  • Bux MS; Pakistan Institute of Living and Learning, Karachi, Pakistan.
  • Maalouf W; University of Karachi, Karachi, Pakistan.
  • Rafiq NUZ; Pakistan Institute of Living and Learning, Karachi, Pakistan.
  • Khoso AB; Treatment and Rehabilitation Section, Drug Prevention and Health Branch, Division of Operations, United Nations Office on Drugs and Crime, Vienna, Austria.
  • Chaudhry IB; Pakistan Institute of Living and Learning, Lahore, Pakistan.
  • Van Hout MC; Pakistan Institute of Living and Learning, Karachi, Pakistan.
  • Zadeh Z; Division of Population Health, Health Services Research and Primary Care, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
  • Tahir A; Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
  • Memon R; Ziauddin University, Karachi, Sindh, Pakistan.
  • Chaudhry N; Public Health Institute, Liverpool John Moores University, Liverpool, UK.
  • Husain N; Child and Adolescent Mental Health, Pakistan Institute of Living and Learning, Karachi, Pakistan.
BMJ Open ; 14(6): e081557, 2024 Jul 01.
Article en En | MEDLINE | ID: mdl-38951006
ABSTRACT

PURPOSE:

The global burden of mental health difficulties among children underscores the importance of early prevention. This study aims to assess the efficacy, feasibility and acceptability of the Strong Families programme in enhancing child behaviour and family functioning in low-resource settings in Gilgit-Baltistan, Pakistan. METHODS AND

ANALYSIS:

This is a two-arm, multisite feasibility randomised controlled trial with an embedded process evaluation in three districts of Gilgit-Baltistan, namely Gilgit, Hunza and Skardu. 90 families living in these challenged settings, comprising a female primary caregiver aged 18 or above, and at least one child aged 8-15 years, will participate. Participants will be randomly assigned to either receive the Strong Families programme or to the waitlist group. Strong Families is a 7-hour family skills group intervention programme attended by children and their primary caregivers over 3 weeks. The waitlist group will be offered the intervention after their outcome assessment. Three raters will conduct blind assessments at baseline, 2 and 6 weeks postintervention. The primary outcome measures include the feasibility of Strong Families, as determined by families' recruitment and attendance rates, and programme completeness (mean number of sessions attended, attrition rates). The secondary outcomes include assessment of child behaviour, parenting practices, parental adjustment and child resilience. Purposefully selected participants, including up to five caregivers from each site, researchers and facilitators delivering the intervention, will be interviewed. Descriptive statistics will be used to analyse primary and secondary outcomes. The process evaluation will be conducted in terms of programme context, reach, fidelity, dose delivered and received, implementation, and recruitment. ETHICS AND DISSEMINATION This study has been approved by the UNODC Drug Prevention and Health Branch in the Headquarters office of Vienna and the National Bioethics Committee of Pakistan. Findings will be disseminated through publication in reputable journals, newsletters and presentations at conferences. TRIAL REGISTRATION NUMBER NCT05933850.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estudios de Factibilidad Límite: Adolescent / Child / Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: BMJ Open Año: 2024 Tipo del documento: Article País de afiliación: Austria Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estudios de Factibilidad Límite: Adolescent / Child / Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: BMJ Open Año: 2024 Tipo del documento: Article País de afiliación: Austria Pais de publicación: Reino Unido