Community-Based Caregiver and Family Interventions to Support the Mental Health of Orphans and Vulnerable Children: Review and Future Directions.

IF 3.4 3区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL
Francesca Penner, Carla Sharp, Lochner Marais, Cilly Shohet, Deborah Givon, Michael Boivin
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引用次数: 7

Abstract

The goal of this paper was to conduct a review of studies from 2008 to 2019 that evaluated community-based caregiver or family interventions to support the mental health of orphans and vulnerable children (OVC) in sub-Saharan Africa, across four domains: (a) study methodology, (b) cultural adaptation and community participation, (c) intervention strategies, and (d) effects on child mental health. Ten interventions were identified. Findings revealed that the majority of studies used a randomized controlled trial or quasi-experimental design, but few conducted long-term follow-up; that all programs undertook cultural adaptation of the intervention using community participatory methods, or were locally developed; that the majority of interventions targeted caregiving behavior and/or caregiver-child relationships using behavioral and cognitive-behavioral strategies, or were home visiting interventions; and that interventions had mixed effects on OVC mental health. Progress and gaps revealed by these findings are discussed, as are suggestions for possible new directions in this area of intervention science.

以社区为基础的照顾者和家庭干预以支持孤儿和弱势儿童的心理健康:回顾和未来方向。
本文的目标是对2008年至2019年的研究进行回顾,这些研究评估了以社区为基础的护理人员或家庭干预措施,以支持撒哈拉以南非洲孤儿和弱势儿童(OVC)的心理健康,涉及四个领域:(a)研究方法,(b)文化适应和社区参与,(c)干预策略,(d)对儿童心理健康的影响。确定了10种干预措施。研究结果显示,大多数研究采用随机对照试验或准实验设计,但很少进行长期随访;所有的项目都采用社区参与的方法进行干预的文化适应,或者在当地开发;大多数干预针对照顾行为和/或照顾者与儿童的关系,使用行为和认知行为策略,或家访干预;干预措施对OVC心理健康有不同的影响。讨论了这些发现所揭示的进展和差距,以及对这一干预科学领域可能的新方向的建议。
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来源期刊
CiteScore
7.70
自引率
3.60%
发文量
34
期刊介绍: The mission of New Directions for Child and Adolescent Development is to provide scientific and scholarly presentations on cutting edge issues and concepts in the field of child and adolescent development. Each issue focuses on a specific new direction or research topic, and is peer reviewed by experts on that topic. Any topic in the domain of child and adolescent development can be the focus of an issue. Topics can include social, cognitive, educational, emotional, biological, neuroscience, health, demographic, economical, and socio-cultural issues that bear on children and youth, as well as issues in research methodology and other domains. Topics that bridge across areas are encouraged, as well as those that are international in focus or deal with under-represented groups. The readership for the journal is primarily students, researchers, scholars, and social servants from fields such as psychology, sociology, education, social work, anthropology, neuroscience, and health. We welcome scholars with diverse methodological and epistemological orientations.
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