Mark J D Jordans, Gabriela V Koppenol-Gonzalez, Alexandra C E Bleile, Bruce Orech, Areeba Brian, Katia Verreault
{"title":"以运动为基础的乌干达难民儿童心理健康促进干预措施的跟踪和调解结果。","authors":"Mark J D Jordans, Gabriela V Koppenol-Gonzalez, Alexandra C E Bleile, Bruce Orech, Areeba Brian, Katia Verreault","doi":"10.1080/15374416.2024.2344157","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>There is limited evidence for the effectiveness of mental health promotion interventions in low- and middle-income settings, especially for longer-term benefits. This study evaluates the 5-month follow-up outcomes of a movement-based mental health promotion intervention <i>(TeamUp)</i> for refugee children in Northern Uganda (West Nile) and further investigates what explains longer-term benefits.</p><p><strong>Methods: </strong>This quasi-experimental study was conducted in four primary schools, randomly allocated to an experimental or a control condition. Enrolled in the study were 549 children ages 10-15 years (<i>n</i> = 265 <i>TeamUp;</i> <i>n</i> = 284 control group). Primary outcomes were psychosocial well-being (Stirling Children's Wellbeing Scale), attitude toward school, and satisfaction with friendships (Multidimensional Students Life Satisfaction Scale [Friends and School subscales]). Mediators included social connectedness and sense of agency.</p><p><strong>Results: </strong>At 5 months postintervention, 467 (85.1%) children were retained. Intent-to-treat analyses demonstrated sustained benefits for <i>TeamUp</i> for well-being (estimated mean difference -1.88, 95% CI -3.14 to -0.66, <i>p = .003, effect size Cohen's d</i> = 0.25) and friendships (-1.52, 95% CI -2.55 to -0.48, <i>p</i> = .005, <i>d</i> = 0.25). There were no significant between-group differences for attitude toward school. Secondary benefits were shown for traumatic stress (2.18, 95% CI 0.45 to 3.91, <i>p</i> = .014, <i>d</i> = 0.21), quality of life (-1.29, 95% CI -2.31 to -0.30, <i>p</i> = .014, <i>d</i> = 0.21), bullying (0.53, 95% CI 0.08 to 0.97, <i>p</i> = .020, <i>d</i> = 0.20), and depression symptoms (1.31, 95% CI 0.09 to 2.52, <i>p</i> = .035, <i>d</i> = 0.18). Increased sense of connectedness mediates the effect of <i>TeamUp</i> on improving well-being (indirect effect = 0.30, <i>SE</i> = 0.13, <i>p</i> = .001), explaining 15% of variance.</p><p><strong>Conclusion: </strong>This study shows sustained benefits of a mental health promotion intervention 5 months postintervention. Prolonged benefits are explained by an increase in social connectedness.</p>","PeriodicalId":48350,"journal":{"name":"Journal of Clinical Child and Adolescent Psychology","volume":" ","pages":"1-12"},"PeriodicalIF":4.2000,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Follow-up and Mediation Outcomes of a Movement-Based Mental Health Promotion Intervention for Refugee Children in Uganda.\",\"authors\":\"Mark J D Jordans, Gabriela V Koppenol-Gonzalez, Alexandra C E Bleile, Bruce Orech, Areeba Brian, Katia Verreault\",\"doi\":\"10.1080/15374416.2024.2344157\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>There is limited evidence for the effectiveness of mental health promotion interventions in low- and middle-income settings, especially for longer-term benefits. This study evaluates the 5-month follow-up outcomes of a movement-based mental health promotion intervention <i>(TeamUp)</i> for refugee children in Northern Uganda (West Nile) and further investigates what explains longer-term benefits.</p><p><strong>Methods: </strong>This quasi-experimental study was conducted in four primary schools, randomly allocated to an experimental or a control condition. Enrolled in the study were 549 children ages 10-15 years (<i>n</i> = 265 <i>TeamUp;</i> <i>n</i> = 284 control group). Primary outcomes were psychosocial well-being (Stirling Children's Wellbeing Scale), attitude toward school, and satisfaction with friendships (Multidimensional Students Life Satisfaction Scale [Friends and School subscales]). Mediators included social connectedness and sense of agency.</p><p><strong>Results: </strong>At 5 months postintervention, 467 (85.1%) children were retained. Intent-to-treat analyses demonstrated sustained benefits for <i>TeamUp</i> for well-being (estimated mean difference -1.88, 95% CI -3.14 to -0.66, <i>p = .003, effect size Cohen's d</i> = 0.25) and friendships (-1.52, 95% CI -2.55 to -0.48, <i>p</i> = .005, <i>d</i> = 0.25). There were no significant between-group differences for attitude toward school. Secondary benefits were shown for traumatic stress (2.18, 95% CI 0.45 to 3.91, <i>p</i> = .014, <i>d</i> = 0.21), quality of life (-1.29, 95% CI -2.31 to -0.30, <i>p</i> = .014, <i>d</i> = 0.21), bullying (0.53, 95% CI 0.08 to 0.97, <i>p</i> = .020, <i>d</i> = 0.20), and depression symptoms (1.31, 95% CI 0.09 to 2.52, <i>p</i> = .035, <i>d</i> = 0.18). Increased sense of connectedness mediates the effect of <i>TeamUp</i> on improving well-being (indirect effect = 0.30, <i>SE</i> = 0.13, <i>p</i> = .001), explaining 15% of variance.</p><p><strong>Conclusion: </strong>This study shows sustained benefits of a mental health promotion intervention 5 months postintervention. Prolonged benefits are explained by an increase in social connectedness.</p>\",\"PeriodicalId\":48350,\"journal\":{\"name\":\"Journal of Clinical Child and Adolescent Psychology\",\"volume\":\" \",\"pages\":\"1-12\"},\"PeriodicalIF\":4.2000,\"publicationDate\":\"2024-04-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Clinical Child and Adolescent Psychology\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1080/15374416.2024.2344157\",\"RegionNum\":1,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Child and Adolescent Psychology","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1080/15374416.2024.2344157","RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
Follow-up and Mediation Outcomes of a Movement-Based Mental Health Promotion Intervention for Refugee Children in Uganda.
Objective: There is limited evidence for the effectiveness of mental health promotion interventions in low- and middle-income settings, especially for longer-term benefits. This study evaluates the 5-month follow-up outcomes of a movement-based mental health promotion intervention (TeamUp) for refugee children in Northern Uganda (West Nile) and further investigates what explains longer-term benefits.
Methods: This quasi-experimental study was conducted in four primary schools, randomly allocated to an experimental or a control condition. Enrolled in the study were 549 children ages 10-15 years (n = 265 TeamUp;n = 284 control group). Primary outcomes were psychosocial well-being (Stirling Children's Wellbeing Scale), attitude toward school, and satisfaction with friendships (Multidimensional Students Life Satisfaction Scale [Friends and School subscales]). Mediators included social connectedness and sense of agency.
Results: At 5 months postintervention, 467 (85.1%) children were retained. Intent-to-treat analyses demonstrated sustained benefits for TeamUp for well-being (estimated mean difference -1.88, 95% CI -3.14 to -0.66, p = .003, effect size Cohen's d = 0.25) and friendships (-1.52, 95% CI -2.55 to -0.48, p = .005, d = 0.25). There were no significant between-group differences for attitude toward school. Secondary benefits were shown for traumatic stress (2.18, 95% CI 0.45 to 3.91, p = .014, d = 0.21), quality of life (-1.29, 95% CI -2.31 to -0.30, p = .014, d = 0.21), bullying (0.53, 95% CI 0.08 to 0.97, p = .020, d = 0.20), and depression symptoms (1.31, 95% CI 0.09 to 2.52, p = .035, d = 0.18). Increased sense of connectedness mediates the effect of TeamUp on improving well-being (indirect effect = 0.30, SE = 0.13, p = .001), explaining 15% of variance.
Conclusion: This study shows sustained benefits of a mental health promotion intervention 5 months postintervention. Prolonged benefits are explained by an increase in social connectedness.
期刊介绍：
The Journal of Clinical Child and Adolescent Psychology (JCCAP) is the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association. It publishes original contributions on the following topics: (a) the development and evaluation of assessment and intervention techniques for use with clinical child and adolescent populations; (b) the development and maintenance of clinical child and adolescent problems; (c) cross-cultural and sociodemographic issues that have a clear bearing on clinical child and adolescent psychology in terms of theory, research, or practice; and (d) training and professional practice in clinical child and adolescent psychology, as well as child advocacy.
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