Addressing Mental Health Disparities in Refugee Children
| Status: | Recruiting |
|---|---|
| Healthy: | No |
| Age Range: | 7 - Any |
| Updated: | 1/10/2019 |
| Start Date: | August 27, 2018 |
| End Date: | December 1, 2020 |
| Contact: | Jordan Farrar, PhD |
| Email: | farrarjb@bc.edu |
| Phone: | 617-552-8397 |
Addressing Mental Health Disparities in Refugee Children Through Family and Community-based Prevention: A CBPR Collaboration and Hybrid Implementation Effectiveness Trial
The proposed study will employ a cross-cultural Community Based Participatory Research (CBPR)
approach to build from prior needs assessments and mixed-methods research to evaluate the
effectiveness of the Family Strengthening Intervention for Refugees (FSI-R), a preventative
family home-based visiting intervention intended to mitigate mental health disparities among
refugee children and families using a hybrid implementation-effectiveness design. Results of
the investigator's trial will expand the evidence-base on community-based interventions for
refugees and has the potential to be replicated to reduce mental health disparities affecting
diverse groups of refugee children and families.
approach to build from prior needs assessments and mixed-methods research to evaluate the
effectiveness of the Family Strengthening Intervention for Refugees (FSI-R), a preventative
family home-based visiting intervention intended to mitigate mental health disparities among
refugee children and families using a hybrid implementation-effectiveness design. Results of
the investigator's trial will expand the evidence-base on community-based interventions for
refugees and has the potential to be replicated to reduce mental health disparities affecting
diverse groups of refugee children and families.
Using a CBPR approach, a family based prevention model, the Family Strengthening Intervention
for Refugees (FSI-R) was adapted from a tested model used in Africa and designed for delivery
by refugee community health workers with through a process involving stakeholder consultation
and local refugee Community Advisory Board input. Pilot data on the FSI-R demonstrates strong
feasibility and acceptability, but further data are needed on effectiveness as well as
barriers and facilitators to implementation by community health workers embedded in
refugee-serving social services agencies. Specific aims are to (1) examine the impact of a
family-based preventive intervention on outcomes of parent-child relationships, family
functioning, and child mental health using a Hybrid Type 2 Effectiveness-Implementation
Design (families with children aged 7-17 in a two-arm randomized controlled trial); (2)
identify barriers and facilitators to implementation of the FSI-R by community health workers
by conducting a process evaluation concurrent with the delivery of the intervention; and (3)
strengthen the science of community engagement to address health disparities by fortifying
CBPR-based pathways of change via collaborative partnerships between refugee communities,
service providers, and academic stakeholders.
for Refugees (FSI-R) was adapted from a tested model used in Africa and designed for delivery
by refugee community health workers with through a process involving stakeholder consultation
and local refugee Community Advisory Board input. Pilot data on the FSI-R demonstrates strong
feasibility and acceptability, but further data are needed on effectiveness as well as
barriers and facilitators to implementation by community health workers embedded in
refugee-serving social services agencies. Specific aims are to (1) examine the impact of a
family-based preventive intervention on outcomes of parent-child relationships, family
functioning, and child mental health using a Hybrid Type 2 Effectiveness-Implementation
Design (families with children aged 7-17 in a two-arm randomized controlled trial); (2)
identify barriers and facilitators to implementation of the FSI-R by community health workers
by conducting a process evaluation concurrent with the delivery of the intervention; and (3)
strengthen the science of community engagement to address health disparities by fortifying
CBPR-based pathways of change via collaborative partnerships between refugee communities,
service providers, and academic stakeholders.
Inclusion Criteria for families:
- being a resettled refugee family
- having one or more school-aged children living in the home (aged 7-17)
Inclusion Criteria for parents/caregivers:
- be aged 18 or older
- cares for and lives in the same household of the children at least 50% of the time
- is the child'd legal guardian
Exclusion Criteria:
- not meeting the above inclusion criteria
- families in the midst of a crisis (e.g. active suicide attempts)
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