Effects of an integrated parenting and mental health intervention on violence reduction and caregiver mental health among migrant and displaced families from Myanmar: a pragmatic randomized controlled trial.
Amanda Sim, Stephanie Eagling-Peche, Khaing Zar Lwin, Seema Vyas, Jamie Lachman, G J Melendez-Torres, Tawanchai Jirapramukpitak, Thidar Soe, Th'Blay Moo, Nway Nway Oo, Mary Soan, Win Thandar Kyaw, Greg Tyrosvoutis, Hannah Van Vijfeijken, Jeslyn Brouwers, Eve S Puffer
{"title":"Effects of an integrated parenting and mental health intervention on violence reduction and caregiver mental health among migrant and displaced families from Myanmar: a pragmatic randomized controlled trial.","authors":"Amanda Sim, Stephanie Eagling-Peche, Khaing Zar Lwin, Seema Vyas, Jamie Lachman, G J Melendez-Torres, Tawanchai Jirapramukpitak, Thidar Soe, Th'Blay Moo, Nway Nway Oo, Mary Soan, Win Thandar Kyaw, Greg Tyrosvoutis, Hannah Van Vijfeijken, Jeslyn Brouwers, Eve S Puffer","doi":"10.1111/jcpp.70241","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Caregiver mental ill-health and violence against children are pervasive in conflict and displacement settings with adverse impacts on child mental health and well-being. Parenting interventions are effective at reducing violence against children but typically prioritize improving parenting knowledge and skills over preventing or treating caregiver mental health difficulties. We assessed the effects of Parenting for Resilience, a co-designed, non-specialist delivered intervention to simultaneously reduce violence against children and improve caregiver mental health among migrant and displaced caregivers from Myanmar.</p><p><strong>Methods: </strong>We conducted a pragmatic parallel-group randomized controlled trial with 479 participants randomly allocated to Parenting for Resilience or treatment as usual consisting of information about local services. Primary outcomes were physical and psychological violence against children, caregiver psychological distress, and positive parenting assessed at baseline (T0), 1 month (T1), and 6 months (T2) post-intervention. Intention-to-treat analyses estimated intervention effects. The trial was prospectively registered at Thai Clinical Trials Registry (TCTR20240725001).</p><p><strong>Results: </strong>Participants were recruited from July to September 2024. There were sustained reductions in physical (T1: IRR 0.62, 0.55-0.71; T2: IRR 0.48, 0.42-0.55) and psychological (T1: IRR 0.76, 0.71-0.81; T2: IRR 0.69, 0.64-0.75) violence against children and caregiver psychological distress (T1: β -1.94, -2.94 to -0.93; T2: β -1.26, -2.30 to -0.21) in the intervention group at both time points. Positive parenting increased at T1 only (β 1.64, 0.19-3.08). Caregiver post-traumatic stress symptoms, emotion regulation, psychological flexibility, well-being, parenting knowledge and beliefs, engagement in children's early learning, and family functioning also improved in the intervention group. We did not find effects on parental efficacy, social support, or children's emotional and behavioral difficulties.</p><p><strong>Conclusions: </strong>Effects on multiple caregiver and family outcomes indicate potential for an integrated model of caregiver mental health and parenting support to yield wide-ranging benefits in a low-resource displacement setting.</p>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":" ","pages":""},"PeriodicalIF":6.6000,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Child Psychology and Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jcpp.70241","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Caregiver mental ill-health and violence against children are pervasive in conflict and displacement settings with adverse impacts on child mental health and well-being. Parenting interventions are effective at reducing violence against children but typically prioritize improving parenting knowledge and skills over preventing or treating caregiver mental health difficulties. We assessed the effects of Parenting for Resilience, a co-designed, non-specialist delivered intervention to simultaneously reduce violence against children and improve caregiver mental health among migrant and displaced caregivers from Myanmar.
Methods: We conducted a pragmatic parallel-group randomized controlled trial with 479 participants randomly allocated to Parenting for Resilience or treatment as usual consisting of information about local services. Primary outcomes were physical and psychological violence against children, caregiver psychological distress, and positive parenting assessed at baseline (T0), 1 month (T1), and 6 months (T2) post-intervention. Intention-to-treat analyses estimated intervention effects. The trial was prospectively registered at Thai Clinical Trials Registry (TCTR20240725001).
Results: Participants were recruited from July to September 2024. There were sustained reductions in physical (T1: IRR 0.62, 0.55-0.71; T2: IRR 0.48, 0.42-0.55) and psychological (T1: IRR 0.76, 0.71-0.81; T2: IRR 0.69, 0.64-0.75) violence against children and caregiver psychological distress (T1: β -1.94, -2.94 to -0.93; T2: β -1.26, -2.30 to -0.21) in the intervention group at both time points. Positive parenting increased at T1 only (β 1.64, 0.19-3.08). Caregiver post-traumatic stress symptoms, emotion regulation, psychological flexibility, well-being, parenting knowledge and beliefs, engagement in children's early learning, and family functioning also improved in the intervention group. We did not find effects on parental efficacy, social support, or children's emotional and behavioral difficulties.
Conclusions: Effects on multiple caregiver and family outcomes indicate potential for an integrated model of caregiver mental health and parenting support to yield wide-ranging benefits in a low-resource displacement setting.
期刊介绍：
The Journal of Child Psychology and Psychiatry (JCPP) is a highly regarded international publication that focuses on the fields of child and adolescent psychology and psychiatry. It is recognized for publishing top-tier, clinically relevant research across various disciplines related to these areas. JCPP has a broad global readership and covers a diverse range of topics, including:
Epidemiology: Studies on the prevalence and distribution of mental health issues in children and adolescents.
Diagnosis: Research on the identification and classification of childhood disorders.
Treatments: Psychotherapeutic and psychopharmacological interventions for child and adolescent mental health.
Behavior and Cognition: Studies on the behavioral and cognitive aspects of childhood disorders.
Neuroscience and Neurobiology: Research on the neural and biological underpinnings of child mental health.
Genetics: Genetic factors contributing to the development of childhood disorders.
JCPP serves as a platform for integrating empirical research, clinical studies, and high-quality reviews from diverse perspectives, theoretical viewpoints, and disciplines. This interdisciplinary approach is a key feature of the journal, as it fosters a comprehensive understanding of child and adolescent mental health.
The Journal of Child Psychology and Psychiatry is published 12 times a year and is affiliated with the Association for Child and Adolescent Mental Health (ACAMH), which supports the journal's mission to advance knowledge and practice in the field of child and adolescent mental health.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
