Mental and Behavioural Disorders
Conditions
Interventions
Caregiver Skills Training Waitlist control group
Sponsors
Kings College London
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Having a long-term caring responsibility for a child aged 2-9 in whom a developmental disorder or delay has been identified by a health worker (no formal clinical diagnosis is required); Living within easy travelling distance of training site; Able to attend three individual sessions and nine group sessions; Having sufficient contact time during the week with the child with DD (seeing the child at least 5 days a week on average) to carry out homework exercises; Ability to speak Amharic; Willingness to give qualitative and quantitative feedback on the programme; Caregiver 18 years of age or older.
Exclusion criteria
Exclusion criteria: Child with DD is acutely disturbed and/or in need of specialist medical attention; Lack of informed consent from caregiver; Child with DD has severe visual or hearing impairment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Caregiver child interaction CCI, rating based on video-taped interaction between caregiver and child rating adapted from Adamson et al., 2012. Rating conducted by trained raters blind to assessment time and intervention group status. | — |
Secondary
| Measure | Time frame |
|---|---|
| -Caregiver knowledge and skills test. Measure developed by WHO CST team specifically assessing the caregiver’s knowledge and skills related to CST content. -The adapted Family Interview Schedule (FIS). The original FIS was developed to assess stigma experienced by relatives of people with psychosis (Sartorius & Janca, 1996) and has been adapted to be suitable for caregivers of children with DD in Ethiopia (Tilahun et al., 2016). The adapted FIS includes 14 questions about the family’s experience of stigma in the community and additional structured open-ended questions concerning the caregivers explanatory models about their child's condition. -The Autism Treatment and Evaluation Checklist (ATEC; (Rimland & Edelson, 1999). The ATEC is a one-page 77-item checklist completed by caregivers assessing developmental skills and severity of symptoms of developmental disorders. -Child Behavior Checklist ((CBCL/1½ -5, Achenbach & Rescorla, 2000); CBCL/6-18, (Achenbach & Rescorla, 2001). The CBCL is a caregiver-report questionnaire assessing the frequency of internalising and externalising problem behaviours. -Communication Profile-Adapted (CP-A; Bunning et al., 2014). A caregiver-reported questionnaire assessing the child's abilities and activities for communication, and participation in family and community events. -Patient Health Questionnaire-9 (PHQ-9; (Kroenke et al., 2001). A 9 item scale that assesses the severity of depressive symptoms in the caregiver over the past 7 days and is sensitive to change in symptoms. -PedsQL parent-reported Family Impact module (Varni et al., 2004). A 36 item scale that assesses the impact of the child's condition on family functioning | — |
Countries
Ethiopia
Contacts
Public ContactCharlotte Hanlon
Reader in Global Mental Health Kings College London
Outcome results
None listed