mHealth-Supported Delivery of an Evidence-Based Family Home-Visiting Intervention in Sierra Leone: Protocol for a Pilot Randomized Controlled Trial.
mHealth-Supported Delivery of an Evidence-Based Family Home-Visiting Intervention in Sierra Leone: Protocol for a Pilot Randomized Controlled Trial.
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DOI：
10.2196/25443
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发表时间：
2021-02-02
影响因子：
1.7
通讯作者：
Betancourt T
中科院分区：
文献类型：
--
作者：
Desrosiers A;Schafer C;Esliker R;Jambai M;Betancourt T
过去的创伤和暴力暴露与不良的情绪调节和家庭暴力有关，这可能对几代人的心理健康产生持久的影响。加强家庭幼儿发展干预（FSI-ECD/在卢旺达称为Sugira Muryango）是一种基于证据的行为家访干预措施，旨在促进照顾者的心理健康，积极的育儿做法，以及面临困境的家庭的幼儿发展。在塞拉利昂和其他中低收入国家，移动的保健技术有可能改善保健服务和保健成果。本研究旨在（1）应用以用户为中心的设计来开发和测试移动健康工具，以改善对提供FSI-ECD的社区卫生工作者（CHW）的监督和忠诚度监测;（2）进行FSI-ECD的试点随机对照试验，以评估其可行性，可接受性和对照顾者心理健康，情绪调节，行为，与接受标准护理的对照家庭相比，有6-36个月儿童的高危家庭中的家庭暴力。我们将从塞拉利昂的社区卫生诊所招募和登记社区卫生工作者、监督员和有6-36个月孩子的家庭。CHW和主管将参加1个问题分析焦点小组和2个用户界面/用户体验周期，以提供有关mHealth工具原型的反馈。家庭将被随机分配到mHealth支持的FSI-ECD或标准孕产妇和儿童健康服务。我们将在基线、干预后和3个月随访时收集有关照顾者心理健康、情绪调节、照顾行为和家庭功能的定量数据。我们将使用混合方法来探索移动健康工具和FSI-ECD的可行性和可接受性。混合效应线性模型将评估FSI-ECD对护理人员结局的影响。成本效益分析将估计FSI-ECD与标准治疗的成本。这项研究的资金于2020年8月17日从美国国立精神卫生研究院获得。于2020年9月4日收到机构审查委员会批准。数据收集预计将于2020年12月15日开始。这项研究将提供重要的数据的可行性，可接受性和初步疗效的mHealth支持交付的证据为基础的家庭家访干预在冲突后的LMIC。ClinicalTrials.gov NCT 04481399; https://clinicaltrials.gov/ct2/show/NCT04481399. PRR1-10.2196/25443
Past trauma and exposure to violence have been related to poor emotion regulation and household violence, which can have persistent mental health effects across generations. The Family Strengthening Intervention for Early Childhood Development (FSI-ECD/called Sugira Muryango in Rwanda) is an evidence-based behavioral home-visiting intervention to promote caregiver mental health, positive parenting practices, and early childhood development among families facing adversity. In Sierra Leone and other lower- and middle-income countries, mobile health (mHealth) technology has the potential to improve health care delivery and health outcomes. This study aims to (1) apply a user-centered design to develop and test mHealth tools to improve supervision and fidelity monitoring of community health workers (CHWs) delivering the FSI-ECD and (2) conduct a pilot randomized controlled trial of the FSI-ECD to assess feasibility, acceptability, and preliminary effects on caregiver mental health, emotion regulation, caregiving behaviors, and family violence in high-risk families with children aged 6-36 months in comparison with control families receiving standard care. We will recruit and enroll CHWs, supervisors, and families with a child aged 6-36 months from community health clinics in Sierra Leone. CHWs and supervisors will participate in 1 problem analysis focus group and 2 user interface/user experience cycles to provide feedback on mHealth tool prototypes. Families will be randomized to mHealth-supported FSI-ECD or standard maternal and child health services. We will collect quantitative data on caregiver mental health, emotion regulation, caregiving behaviors, and family functioning at baseline, postintervention, and 3-month follow up. We will use a mixed methods approach to explore feasibility and acceptability of mHealth tools and the FSI-ECD. Mixed effects linear modeling will assess FSI-ECD effects on caregiver outcomes. Cost-effectiveness analysis will estimate costs across FSI-ECD versus standard care. Funding for this study was received from the National Institutes of Mental Health on August 17, 2020. Institutional Review Board approval was received on September 4, 2020. Data collection is projected to begin on December 15, 2020. This study will provide important data on the feasibility, acceptability, and preliminary efficacy of mHealth-supported delivery of an evidence-based family home-visiting intervention in a postconflict LMIC. ClinicalTrials.gov NCT04481399; https://clinicaltrials.gov/ct2/show/NCT04481399. PRR1-10.2196/25443
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影响因子：
1.7
作者：
Chaudhury S;Brown FL;Kirk CM;Mukunzi S;Nyirandagijimana B;Mukandanga J;Ukundineza C;Godfrey K;Ng LC;Brennan RT;Betancourt TS
通讯作者：
Betancourt TS
DOI：
10.1016/j.jaac.2010.03.008
发表时间：
2010-06-01
影响因子：
13.3
作者：
Betancourt, Theresa S.;Brennan, Robert T.;Gilman, Stephen E.
通讯作者：
Gilman, Stephen E.
DOI：
10.1002/bs.3830190102
发表时间：
1974-01-01
期刊：
BEHAVIORAL SCIENCE
影响因子：
--
作者：
DEROGATIS, LR;LIPMAN, RS;COVI, L
通讯作者：
COVI, L
影响因子：
1.4
作者：
Betancourt, Theresa S.;Franchett, Emily;Sezibera, Vincent
通讯作者：
Sezibera, Vincent
影响因子：
2.8
作者：
Haroz, E. E.;Bolton, P.;Murray, L.
通讯作者：
Murray, L.