Sibling-Support for Adolescent Girls (SSAGE): A whole-family, gendertransformative approach to preventing mental illness among forcibly displaced adolescent girls

青春期女孩兄弟姐妹支持 (SSAGE)：一种全家庭、性别变革的方法，用于预防被迫流离失所的青春期女孩的精神疾病

• 批准号: 10730656
• 负责人: Ilana Seff
• 金额: $ 66.61万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10730656
• 关键词: Address; Adolescent; Adult; Affect; Anxiety; Attitude; Behavior; Caribbean region; Child; Chronic; Colombia; Colombian; Communities; Conflict (Psychology); Coping Skills; Data; Development; Diffusion; Disease; Distress; Domestic Violence; Economics; Education; Educational Curriculum; Effectiveness; Emergency Situation; Enrollment; Evaluation; Evidence based intervention; Exploration, Preparation, Implementation, and Sustainment; Exposure to; Face; Family; Female Adolescents; Gender; Goals; Household; Housing; Hybrids; Inequity; International; Intervention; Jordan; Latin America; Literature; Major Depressive Disorder; Malnutrition; Marriage; Measures; Mental Depression; Mental Health; Mental disorders; Methods; Modeling; National Institute of Mental Health; Nigeria; Pathway interactions; Policies; Politics; Population; Post-Traumatic Stress Disorders; Pregnancy; Prevention; Program Effectiveness; Randomized, Controlled Trials; Refugees; Risk; Sex Discrimination; Siblings; Social support; Suicide attempt; Symptoms; Target Populations; Testing; Theoretical model; Universities; Venezuela; Venezuelan; Violence; Washington; Woman; adolescent health outcomes; civil society; effectiveness measure; evidence base; experience; food insecurity; gender difference; gender equity; gender-based violence; girls; high risk; human centered design; implementation determinants; implementation evaluation; implementation facilitators; implementation outcomes; implementation/effectiveness; improved; innovation; insight; low and middle-income countries; male; mental development; migration; neglect; peer support; post intervention; prevent; prevention service; programs; protective factors; psychologic; psychosocial; self esteem; sexual violence; socioeconomics; suicide rate; trafficking

Project Summary Forcibly displaced adolescents face increased risks for mental illness and distress, with adolescent girls disproportionately affected in part due to the heightened gender inequity that often accompanies forced displacement. Although the family unit has the potential to prevent mental illness and promote healthy development in adolescents, few family interventions have employed a gender transformative approach or included male siblings in an effort to maximize benefits for adolescent girls. Therefore, we propose to assess an innovative whole-family and gender transformative intervention—Sibling Support for Adolescent Girls in Emergencies (SSAGE)—to prevent mental health disorders among adolescent girls in Colombia who were recently and forcibly displaced from Venezuela. The proposed R34 study will adapt the SSAGE curriculum through human-centered design with a range of stakeholders, including Venezuelan refugees, Colombian returnees and relevant civil society organizations. The proposed study will then employ a hybrid type 1 effectiveness-implementation pilot randomized control trial (RCT) to test the program’s effectiveness and mechanistic pathways as well as to explore determinants of implementation in order to establish the feasibility, acceptability, and fidelity of SSAGE. To address these aims, we will enroll 180 recently arrived, forcibly displaced adolescent girls in an RCT and examine the program’s effectiveness on the prevention of mental illness (through reduction in anxiety, depression, interpersonal sensitivity, and somatization symptoms) one-month post-intervention. We will use contextually adapted and piloted measures to collect additional data on the hypothesized mechanistic pathways, including family attachment, gender equitable family functioning, self-esteem, and coping strategies. The implementation evaluation will employ mixed methods to assess the program’s feasibility, acceptability, fidelity and barriers and facilitators to successful implementation. Potential findings can support humanitarian program implementation, as well as inform policy to support adolescent girls’ mental health and to prevent the myriad disorders that can arise as a result of exposure to displacement, conflict, and inequitable gender norms in their households and communities.

项目摘要 被迫流离失所的青少年面临更大的精神疾病和痛苦风险， 青春期女孩受到不成比例的影响，部分原因是 经常伴随着被迫流离失所。尽管家庭单位有可能阻止 精神疾病和促进青少年健康发展，很少有家庭干预 采用了性别转变的方法或纳入了男性兄弟姐妹，以努力最大限度地 青春期女孩的福利。因此，我们建议评估一个创新的全家和 性别变革性干预--紧急情况下对青春期女孩的兄弟姐妹支持 (SAGE)-预防哥伦比亚青春期女孩的心理健康障碍 最近被强行驱逐出委内瑞拉。拟议的R34研究将适应SSGE 通过与包括委内瑞拉人在内的一系列利益攸关方进行以人为本的设计来设置课程 难民、哥伦比亚回返者和相关民间社会组织。拟议的研究将 然后采用混合类型1有效性-实施试点随机对照试验 (RCT)以测试计划的有效性和机制路径，并探索 实施的决定因素，以确定以下各项的可行性、可接受性和忠实性 塞萨奇。为了实现这些目标，我们将招收180名新近抵达、被迫流离失所的人 并审查该方案在预防艾滋病方面的有效性。 精神疾病(通过减少焦虑、抑郁、人际关系敏感和 躯体化症状)干预后1个月。我们将使用适应环境的和 为收集关于假设的机械路径的额外数据而试行的措施，包括 家庭依恋、性别平等的家庭功能、自尊和应对策略。这个 实施评估将采用混合方法来评估该计划的可行性， 可接受性、忠诚度以及成功实施的障碍和促进者。潜在的发现 可以支持人道主义计划的实施，并为政策提供支持 青春期女孩的心理健康，并预防因以下原因可能导致的各种疾病 暴露于流离失所、冲突和家庭中不公平的性别规范 社区。