Assessing parenting practices and service system to adapted a prevention program to promote child wellbeing in Kenya

项目摘要/摘要 虐待儿童是一个全球公共卫生问题，影响到肯尼亚70%的儿童和 显著增加儿童患负面后遗症的风险(例如，非传染性疾病、 受伤、精神疾病)。家长培训计划是解决这一问题的关键 全球流行病。在高收入国家，许多循证育儿项目 解决与虐待有关的家庭风险因素。取得进展的关键障碍出现了 在低收入和中等收入国家，几乎没有特定文化的项目可用。这 Project通过利用现有的家长培训计划和其 实施基础设施。这项为期两年的发展研究的目标是：(1) 进行基础工作，将循证计划SafeCare®引入第一个地点 非洲；和(2)继续和扩大格鲁吉亚国家之间的合作伙伴关系 大学(GSU)和非洲精神卫生基金会(AMHF)，我们的内罗毕合作伙伴 增进幼儿和家庭的福祉。具体地说，我们的项目旨在：(1) 在肯尼亚建立一个多学科利益攸关方特别工作组，为研究和 适应进程，(2)评估肯尼亚SafeCare的需要和必要的适应，(3) 调整和测试SafeCare课程和实施，以及(4)扩大AMHF的能力 在实施科学方面。AMHF成功开展心理健康量化研究 以及肯尼亚各地学龄儿童(6至17岁)和成年人的药物使用情况。这个项目 将扩大AMHF在文化方面的实施科学研究能力 适应和扩大针对幼儿(0至5岁)的循证预防方案 以及肯尼亚和非洲的家庭，通过SafeCare之间的广泛伙伴关系 GSU国家安全护理培训和研究中心和重点国家和地区的开发人员 区域利益攸关方，包括家庭、专业人员、政府和研究人员。我们会 利用焦点小组和对父母、专业人士、童工和 家庭和其他社区利益相关者了解面临的普遍挑战 家长和国家现有的服务基础设施。利用形成性研究数据，我们 将调整SafeCare课程和实施流程，以便与肯尼亚人一起交付 家庭，为更全面的项目评估工作成效铺平道路 调整后的课程。我们项目的长期目标是：(1)建立可持续的研究和 在肯尼亚和非洲的实施能力，以及(2)设计一项育儿计划，以促进 改善儿童健康，减少虐待儿童、非传染性疾病和终身伤害。

Project Summary/Abstract Child maltreatment is a global public health problem, affecting 70% of children in Kenya and significantly increasing children’s risk for negative sequelae (e.g., non-communicable diseases, injury, mental illness) across their lifespan. Parent training programs are key to addressing this global epidemic. In high-income countries, numerous evidence-based parenting programs address familial risk factors associated with maltreatment. The critical barrier to progress occurs in low- and middle-income countries, where few culturally specific programs are available. This project addresses this significant need by leveraging an existing parent training program and its implementation infrastructure. The objectives of this 2-year development study are to: (1) conduct the groundwork to bring SafeCare®, an evidence-based program, to the first location in Africa; and (2) continue and expand the collaborative partnership between Georgia State University (GSU) and Africa Mental Health Foundation (AMHF), our Nairobi partner, to promote the wellbeing of young children and families. Specifically, our project aims to: (1) establish a multi-disciplinary Stakeholder Task Force in Kenya to advise the research and adaptation processes, (2) assess the need and necessary adaptations for SafeCare in Kenya, (3) adapt and test the SafeCare curriculum and implementation, and (4) expand AMHF’s capacity in implementation science. AMHF successfully conducts quantitative research on mental health and substance use with school aged children (ages 6 to 17) and adults across Kenya. This project will expand AMHF’s research capacity for implementation science with respect to cultural adaption and scale-up of evidence-based prevention programs for young children (ages 0 to 5) and families across Kenya and Africa, through extensive partnerships amongst the SafeCare developers at GSU’s National SafeCare Training and Research Center and key country and regional stakeholders, including families, professionals, government, and researchers. We will use focus groups and in-depth interviews with parents, professionals working children and families, and other community stakeholders to understand the prevalent challenges facing parents and the country’s existing service infrastructure. Using the formative research data, we will adapt the SafeCare curriculum and implementation process for delivery with Kenyan families, paving the way for a more comprehensive project evaluating the effectiveness of the adapted curriculum. Our project’s long-term goals are to: (1) build sustainable research and implementation capacity in Kenya and Africa, and (2) design a parenting program to promote children’s wellbeing, and reduce child maltreatment, NCDs and injuries across the lifespan.