Effectiveness of a Preventive Parenting Program Combining Attachment and Behavioral Approaches in an Arab Context: a Cluster-Based Randomized Control Trial

Dirani, Leyla Akoury; Shamseddeen, Wael; Ali, Linda Bou; Elbejjani, Martine; Raad, Hala; Fadlallah, Najat; Maalouf, Fadi T.

doi:10.1007/s11121-021-01311-x

Cited by 6 publications

(2 citation statements)

References 44 publications

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“…Efforts to proactively disseminate and implement both PFA and SPR have occurred in various contexts, with variable effects. Both PFA and SPR trainings are often provided within organizations that cater to individuals likely to be highly affected by traumas, such as healthcare, mental healthcare, and disaster response organizations (Wang et al, 2021), and in some cases, trainings have been associated with short‐term changes in perceived confidence in participants’ ability to implement the intervention (Akoury‐Dirani et al, 2015b; Sijbrandij et al, 2020). However, the sustainability of provider knowledge and readiness to implement these interventions is not well known, nor is the impact of these trainings with community‐based individuals who do not necessarily specialize in trauma and/or mental health.…”

Section: Disseminating Early Interventions For Disaster Response Usin...mentioning

confidence: 99%

Disseminating early interventions for disaster mental health response using the ECHO model

Hambrick

Williams

Hardt

et al. 2023

Journal Community Psychology

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Extension for Community Healthcare Outcomes (ECHO)‐based telementoring was evaluated for disseminating early disaster interventions, Psychological First Aid (PFA) and Skills for Psychological Recovery (SPR), to school professionals throughout rural, disaster‐affected communities further affected by COVID‐19. PFA and SPR complemented their Multitiered System of Support: PFA complemented tier 1 (universal) and SPR tier 2 (targeted) prevention. We evaluated the outcomes of a pretraining webinar (164 participants, January 2021) and four‐part PFA training (84 participants, June 2021) and SPR training (59 participants, July 2021) across five levels of Moore's continuing medical education evaluation framework: (1) participation, (2) satisfaction, (3) learning, (4) competence, and (5) performance, using pre‐, post‐, and 1‐month follow‐up surveys. Positive training outcomes were observed across all five levels, with high participation and satisfaction throughout, and high use at the 1‐month follow‐up. ECHO‐based telementoring may successfully engage and train community providers in these underused early disaster response models. Recommendations regarding training format and using evaluation to improve training are provided.

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Section: Disseminating Early Interventions For Disaster Response Usin...mentioning

confidence: 99%

Disseminating early interventions for disaster mental health response using the ECHO model

Hambrick

Williams

Hardt

et al. 2023

Journal Community Psychology

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“… 11 The effects of a universal parenting program have been well documented across the globe (i.e. UK, 7 Thailand, 12 Spain, 13 Great Beirut, 14 Brazil 15 ) as robust and often long-lasting across various developmental outcomes in children and adolescents. 8 , 16 For example, the CANparent Trial 7 was effective in improving parents’ sense of parenting efficacy and mental health which subsequently improved parents’ relationship with their child.…”

Section: Introductionmentioning

confidence: 99%

A pilot randomized control trial on the feasibility, acceptability, and initial effects of a digital-assisted parenting intervention for promoting mental health in Malaysian adolescents

Zulkefly,

Dzeidee Schaff,

Zaini

et al. 2024

DIGITAL HEALTH

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Objective Online parenting interventions for enhancing child development, specifically mental health is relatively new in Malaysia. This pilot study tests the feasibility, acceptability, and initial effects of a universal digital-assisted parenting intervention (DaPI) in promoting mental health in adolescents by improving parental behaviors and self-efficacy. Methods A two-arm pilot randomized controlled trial was conducted. Twenty-four mothers of adolescent aged 10 to 14 years from a non-clinical sample were recruited online and randomly allocated into two groups (intervention [DaPI] and waitlist-control [WLC]). Eight weekly sessions were delivered online via technological devices. Feasibility outcomes were based on the participants’ engagement in DaPI and study retention. Primary (parental behaviors and self-efficacy) and secondary (adolescent mental health) outcomes were assessed using an online survey at baseline (T0), post-intervention (T1), and 1-month follow-up (T2). Data were analyzed using descriptive and inferential statistics and an intention-to-treat approach. Results The DaPI was well received by the mothers. Retention was high (81.8%) in both groups and intervention adherence was excellent (91.6%). Within-group analyses showed a significant decrease in physical control at T2 and an increase in parental self-efficacy at T1 and T2 among the DaPI mothers. No significant differences were observed in adolescents’ mental health at any time point. As for the WLC group, there were no significant differences in all the outcome variables across the three assessment moments. Between groups analyses revealed DaPI mothers had significant differences in proactive parenting at T1, and in positive reinforcement and lax control at T2. There were no significant differences in adolescents’ mental health between the groups at any time point. Discussion The DaPI is feasible and acceptable in the Malaysian context. Findings show promise regarding the initial effects of the DaPI. However, a larger RCT is needed to determine its effectiveness in promoting mental health of adolescents. Trial registration https://www.irct.ir/ ; identifier: IRCT20211129053207N1.

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Primary-level and community worker interventions for the prevention of mental disorders and the promotion of well-being in low- and middle-income countries

Purgato,

Prina,

Ceccarelli

et al. 2023

Cochrane Database of Systematic Reviews

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Background There is a significant research gap in the field of universal, selective, and indicated prevention interventions for mental health promotion and the prevention of mental disorders. Barriers to closing the research gap include scarcity of skilled human resources, large inequities in resource distribution and utilization, and stigma. Objectives To assess the effectiveness of delivery by primary workers of interventions for the promotion of mental health and universal prevention, and for the selective and indicated prevention of mental disorders or symptoms of mental illness in low‐ and middle‐income countries (LMICs). To examine the impact of intervention delivery by primary workers on resource use and costs. Search methods We searched CENTRAL, MEDLINE, Embase, CINAHL, Global Index Medicus, PsycInfo, WHO ICTRP, and ClinicalTrials.gov from inception to 29 November 2021. Selection criteria Randomized controlled trials (RCTs) of primary‐level and/or community health worker interventions for promoting mental health and/or preventing mental disorders versus any control conditions in adults and children in LMICs. Data collection and analysis Standardized mean differences (SMD) or mean differences (MD) were used for continuous outcomes, and risk ratios (RR) for dichotomous data, using a random‐effects model. We analyzed data at 0 to 1, 1 to 6, and 7 to 24 months post‐intervention. For SMDs, 0.20 to 0.49 represented small, 0.50 to 0.79 moderate, and ≥ 0.80 large clinical effects. We evaluated the risk of bias (RoB) using Cochrane RoB2. Main results Description of studies We identified 113 studies with 32,992 participants (97 RCTs, 19,570 participants in meta‐analyses) for inclusion. Nineteen RCTs were conducted in low‐income countries, 27 in low‐middle‐income countries, 2 in middle‐income countries, 58 in upper‐middle‐income countries and 7 in mixed settings. Eighty‐three RCTs included adults and 30 RCTs included children. Cadres of primary‐level workers employed primary care health workers (38 studies), community workers (71 studies), both (2 studies), and not reported (2 studies). Interventions were universal prevention/promotion in 22 studies, selective in 36, and indicated prevention in 55 RCTs. Risk of bias The most common concerns over risk of bias were performance bias, attrition bias, and reporting bias. Intervention effects 'Probably', 'may', or 'uncertain' indicates 'moderate‐', 'low‐', or 'very low‐'certainty evidence. *Certainty of the evidence (using GRADE) was assessed at 0 to 1 month post‐intervention as specified in the review protocol. In the abstract, we did not report results for outcomes for which evidence was missing or very uncertain. Adults Promotion/universal prevention, compared...

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Effectiveness of a Preventive Parenting Program Combining Attachment and Behavioral Approaches in an Arab Context: a Cluster-Based Randomized Control Trial

Cited by 6 publications

References 44 publications

Disseminating early interventions for disaster mental health response using the ECHO model

Disseminating early interventions for disaster mental health response using the ECHO model

A pilot randomized control trial on the feasibility, acceptability, and initial effects of a digital-assisted parenting intervention for promoting mental health in Malaysian adolescents

Primary-level and community worker interventions for the prevention of mental disorders and the promotion of well-being in low- and middle-income countries

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