循证多家庭小组干预(Amaka Amasanyufu)对乌干达儿童家庭凝聚力的纵向影响:集群随机SMART非洲-乌干达扩大研究(2016-2022年)分析。

IF 2.6 3区 心理学 Q1 FAMILY STUDIES
Family Process Pub Date : 2024-05-18 DOI:10.1111/famp.13007
William Byansi, Ozge Sensoy Bahar, Latoya Small, Phionah Namatovu, Josephine Nabayinda, Joshua Kiyingi, Abel Mwebembezi, Gertrude Nakigozi, Kimberly Hoagwood, Mary M McKay, Fred M Ssewamala
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引用次数: 0

摘要

家庭功能在儿童破坏性行为障碍中起着至关重要的作用(《家庭杂志》,2003 年,11(1),33-41;《护理与健康研究》,2016 年,39(4),229-243)。然而,关于循证家庭强化干预对提高家庭凝聚力作为行为障碍儿童保护因素的影响的研究十分有限。为了填补这一空白,我们分析了 "SMART 非洲-乌干达研究"(2016-2022 年)的数据(N = 636),该研究是一项群组随机临床试验,测试一种名为 "Amaka Amasanyufu"(当地语言译为 "幸福家庭")的循证家庭强化干预措施。从 26 所公立小学招募了 8-13 岁的儿童及其看护人,他们被随机分配到以下几种情况:(1)对照组(10 所学校)接受一般社会心理文献;(2)通过家长同伴进行干预(8 所学校);(3)通过社区医疗工作者进行干预(8 所学校)。儿童分别在干预完成后的基线、8 周、16 周和 6 个月填写家庭凝聚力问卷。干预效果通过三级逻辑混合效应模型进行评估,并在每个时间点对不同研究条件进行配对比较。在 8 周(OR = 3.24)、16 周(OR = 1.88)和 6 个月(OR = 2.07)时,家长同伴干预组的参与者比对照组的参与者有更大的几率跻身家庭凝聚力较高组。在 8 周、16 周和 6 个月时,社区卫生工作人员组的参与者属于家庭凝聚力较高组的几率分别是对照组参与者的 3.98 倍、2.08 倍和 1.79 倍。我们的研究结果加强了 "阿玛卡-阿曼萨尤福 "作为一种有效干预措施的证据基础,这种干预措施可用于改善有行为问题儿童的家庭的家庭凝聚力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The longitudinal impact of an evidence-based multiple family group intervention (Amaka Amasanyufu) on family cohesion among children in Uganda: Analysis of the cluster randomized SMART Africa-Uganda scale-up study (2016-2022).

Family functioning plays a critical role in childhood disruptive behavior disorders (The Family Journal, 2003, 11(1), 33-41; Research in Nursing and Health, 2016, 39(4), 229-243). Yet, there is limited research on the impact of evidence-based family strengthening interventions on improving family cohesion as a protective factor among children experiencing behavioral challenges. To address this gap, we analyzed data (N = 636) from the SMART Africa-Uganda study (2016-2022), a cluster randomized clinical trial testing an evidence-based family-strengthening intervention called Amaka Amasanyufu (translated as "Happy Families" in the local language). Children aged 8-13 and their caregivers were recruited from 26 public primary schools that were randomized to: (1) control condition receiving generalized psychosocial literature (10 schools), (2) intervention delivered via parent peers (eight schools), and (3) intervention delivered via community healthcare workers (eight schools). Children completed the family cohesion questionnaire at baseline, 8 weeks, 16 weeks, and 6 months post-intervention completion. The intervention effectiveness was evaluated via a three-level logistic mixed effects model with pairwise comparisons across study conditions within each time point. Participants in the parent-peer intervention group had greater odds of being in the higher family cohesion group than participants in the control group at 8 weeks (OR = 3.24), 16 weeks (OR = 1.88) and 6 months (OR = 2.07). At 8 weeks, 16 weeks, and 6 months, participants in the community health worker group had 3.98, 2.08, and 1.79 times greater odds of being in the higher family cohesion group than participants in the control group, respectively. Our findings strengthen the evidence base for Amaka Amansayufu as an effective intervention that can be utilized in SSA to improve family cohesion in families with children experiencing behavioral challenges.

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来源期刊
Family Process
Family Process Multiple-
CiteScore
8.00
自引率
5.10%
发文量
96
期刊介绍: Family Process is an international, multidisciplinary, peer-reviewed journal committed to publishing original articles, including theory and practice, philosophical underpinnings, qualitative and quantitative clinical research, and training in couple and family therapy, family interaction, and family relationships with networks and larger systems.
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