Testing a refugee family dynamics model: A study with Sri Lankan Tamils

测试难民家庭动态模型：对斯里兰卡泰米尔人的研究

• 批准号: 9182909
• 负责人: Miriam Kuttikat
• 金额: $ 12.96万
• 依托单位: VIRGINIA COMMONWEALTH UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-12-26 至 2018-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9182909
• 关键词: Address; Africa; Area; Attenuated; Communication; Communities; Complex; Conflict (Psychology); Country; Data; Development; Exhibits; Family; Family dynamics; Family health status; Far East; Focus Groups; Future; Goals; Grant; Health; Health Care Costs; Healthcare; Housing; Income; India; Institution; International; Intervention; Knowledge; Leadership; Link; Longevity; Longitudinal Studies; Mediating; Medical; Mental Health; Mentored Research Scientist Development Award; Mentorship; Methods; Middle East; Mission; Modeling; Outcome; Outcome Study; Parents; Phase; Population; Poverty; Process; Public Health; Qualitative Methods; Quality of life; Refugee Camp; Refugees; Research; Research Design; Research Methodology; Research Personnel; Research Proposals; Research Training; Resources; Role; Scientist; Site; Statistical Methods; Testing; Training; Training Programs; Unemployment; United Nations; United States; United States National Institutes of Health; War; Work; Writing; adolescent health; base; burden of illness; career development; cohesion; design; epidemiology study; evidence base; experience; global health; improved; innovation; intergenerational; international center; migration; next generation; phase 2 study; physical conditioning; psychological distress; public health relevance; research study; skills; stressor; support network; therapy development

DESCRIPTION (provided by applicant): The relationship between refugee family dynamics - such as poor communication and responsiveness, lack of cohesion, and intergenerational conflict - and physical and psychological health is complex. Little research has been conducted with the aim of better understanding the role of family dynamics in promoting or degrading the health of refugees. Factors such as migration daily stressors have a theoretical impact on both refugee family dynamics and refugee health, yet few studies have used appropriate statistical methods to capture these complex relationships, resulting in a severe lack of family-based resources and interventions to address these issues. The objective of this International Research Scientist Development Award (IRSDA) is to study refugee family dynamics and their association with migration daily stressors, resource utilization and family health among Sri Lankan Tamil refugees in the Gummidipoondi refugee camp in India. Preliminary work (George, 2009) from the Gummidipoondi refugee camp suggests that refugees with families may have more negative health outcomes than other refugees in the camp. The results of this IRDSA K01 research study and training program will inform future work developing family-based, culturally appropriate interventions for the promotion of Sri Lankan Tamil refugee well-being. The specific aims of this mixed method research proposal are: 1) To examine the longitudinal associations among migration daily stressors, resource utilization, family dynamics, and parent/adolescent health in order to identify critical areas for intervention development~ and 2) To identify culturally appropriate interpretations of findings related to family dynamics from Aim 1 and strategies for developing interventions for Sri Lankan Tamil refugee families. This approach is innovative because of the integration of quantitative data with the refugee community's experiential knowledge to identify critical areas for intervention development. This proposed research is significant because the study outcomes - a refined conceptual model for understanding refugee family dynamics, and a research design that identifies intervention strategies using longitudinal and qualitative methods - will lead to dialectical development of tes designs and findings across cultures. Ultimately, such knowledge has the potential to inform specific health care support for refugee families that will have a positive impact on public health

描述（由申请人提供）：难民家庭动态（如沟通和反应不良、缺乏凝聚力和代际冲突）与身心健康之间的关系是复杂的。很少进行旨在更好地了解家庭动态在促进或降低难民健康方面的作用的研究。移民日常压力等因素在理论上对难民家庭动态和难民健康都有影响，但很少有研究使用适当的统计方法来捕捉这些复杂的关系，导致严重缺乏以家庭为基础的资源和干预措施来解决这些问题。本国际研究科学家发展奖的目标是研究难民家庭动态及其与印度Gummidipoondi难民营的斯里兰卡泰米尔难民的移徙日常压力源、资源利用和家庭健康之间的关系。来自Gummidipoondi难民营的初步工作（George， 2009年）表明，有家庭的难民可能比难民营中的其他难民有更多的负面健康结果。IRDSA K01研究研究和培训项目的结果将为未来制定以家庭为基础、文化上适当的干预措施以促进斯里兰卡泰米尔难民福祉的工作提供信息。这项混合方法研究计划的具体目的是：1)研究移民日常压力源、资源利用、家庭动态和父母/青少年健康之间的纵向关联，以确定干预发展的关键领域；2)确定对目标1中与家庭动态相关的发现的文化上适当的解释，以及为斯里兰卡泰米尔难民家庭制定干预措施的策略。这种方法具有创新性，因为它将定量数据与难民社区的经验知识结合起来，以确定发展干预措施的关键领域。这项拟议的研究具有重要意义，因为研究结果——一个用于理解难民家庭动态的精炼概念模型，以及一个使用纵向和定性方法确定干预策略的研究设计——将导致这些设计和发现在不同文化中的辩证发展。最终，这些知识有可能为难民家庭提供具体的保健支助，从而对公共卫生产生积极影响