Refugees, Secondary prevention, Multi-family groups, Feasability study Vluchtelingen, Secundaire preventie, Meergezinsgroepen, Wenselijkheid en uitvoerbaarheid
Conditions
Interventions
Family Empowerment (FAME) is a secondary prevention program. Both parents and their children living in asylum seeker centers as well as parents and children living in family locations will receive sev
Sponsors
Foundation Centrum ’45 (part of Arq Psychotrauma Expert Group)
Eligibility
Inclusion criteria
Inclusion criteria: To be eligible to participate in this study, a subject must meet the following criteria: - At least one caregiver participates (male or female) - At least one child aged 0-18 will participate - Living in an asylum center or family location
Exclusion criteria
Exclusion criteria: A potential subject who meets any of the following criteria will be excluded from participation in this study: - Not being able to function in a group or to profit from participating: (Severe psychiatric illness, such as psychosis; Severe mental challenges; Severe behavioral problems) - Although participants speaking a different language in the group is not an obstacle to taking part in this study, the limit to the number of interpreters present in one group is three interpreters.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main study parameters are the difference in pre- versus post FAME family functioning and parental symptoms of depression/anxiety between the families living in asylum centres and families living in family locations. SCORE-15 Family functioning will be measured using the Systemic Clinical Outcome and Routine Evaluation (SCORE-15; Stratton, Bland, Janes, & Lask, 2010). The SCORE-15 is a self-report questionnaire assessing changes in family relationships. The SCORE includes 19 questions, which take less than 10 minutes to complete. The questionnaire can be used to monitor and report indicators of progress in systemic therapy. It is an overall measure of family functioning as well as ‘sub-scale’ scores on the dimensions: strength and adaptability, overwhelmed by difficulties and disrupted communication. The validity as an index of therapeutic change is established. The questionnaire is acceptable and has strong consistency and reliability (Stratton et al., 2013). PHQ-4 Parental symptoms of depression/anxiety are assessed using the Patient Health Questionnaire for Depression and Anxiety (PHQ-4; Kroenke, Spitzer, Williams, & Löwe, 2009), an ultra-brief screener for depression and anxiety. It can be either self-administered or administered by health care personnel. Reliability and validity of the PHQ-4 were supported by Löwe et al. (2010). Moreover, the authors offer normative data to compare scale scores with a general population reference group. | — |
Secondary
| Measure | Time frame |
|---|---|
| What is the difference between families living in asylum centers and those living in family locations? PHQ-4 & SCORE-15, as described above. EAS Emotional Availability Scales (EAS) was developed by Biringen, Robinson and Emde (2000). Biringen, Derscheid, Vliegen, Closson, & Easterbrooks (2014) described emotional availability as "the capacity of a dyad to share an emotionally healthy relationship" (p. 114). As both child and caregiver can impact the caregiver-child relationship, EAS addresses both caregiver and child components. EAS measures four caregiver components: sensitivity, structuring, non-intrusiveness and non-hostility. The child components are the child's responsiveness to the caregiver and the child's involvement with the caregiver. A score on a Likert scale of 1-7 on each component will be used for data analysis. A score of 7 suggests that the participant displays optimal behaviors on that scale. A score of 4 indicates inconsistent behavior. Moreover, a score of 1 indicates that the participant displays non-optimal behavior. Studies focusing on the EAS suggest that it is universally applicable. Moreover, an association between EA-scales and parenting, child development and the parent-child relationship is demonstrated in various countries (Selin, 2014). Offers insight in the parent-child relationship in this two different groups. Can the program be conducted in a naturalistic setting? PIL To measure whether the program can be executed as intended, a program integrity list (PIL) has been developed. The checklist is based on the four dimensions of program integrity: - Adherence: specific components of the program (FAME), as described in the manual of FAME (Mooren, & Bala, 2016); - Exposure: the extent to which family members were exposed to the program (e.g. presence list, duration of the program); - Quality of delivery: therapeutic skills and competence; - Participants responsiveness: reactions during the session (e.g. participation, | — |
Contacts
Public ContactCarlijn van Es
Outcome results
None listed