دورية أكاديمية
أعرض في EDS

Mechanisms of change for a family intervention in Kenya: An Integrated Clinical and Implementation Mapping approach.

التفاصيل البيبلوغرافية
العنوان: Mechanisms of change for a family intervention in Kenya: An Integrated Clinical and Implementation Mapping approach.
المؤلفون: Giusto A; New York State Psychiatric Institute, Columbia University, Department of Psychiatry, New York, NY, 10032, USA; Duke Global Health Institute, Durham, NC, USA. Electronic address: ali.giusto@nyspi.columbia.edu., Friis-Healy EA; Duke Global Health Institute, Durham, NC, USA; Department of Psychiatry Duke University School of Medicine, Durham, NC, USA. Electronic address: esla.friis@duke.edu., Kaiser BN; Duke Global Health Institute, Durham, NC, USA; University of California San Diego, Anthropology Department and Global Health Program, La Jolla, CA, USA. Electronic address: bfullard@gmail.com., Ayuku D; Moi University, Academic Highway, Eldoret, Usain Gishu County, Kenya. Electronic address: david.ayuku@gmail.com., Rono W; Moi Teaching & Referral Hospital, Eldoret, Rift Valley, Kenya. Electronic address: wilterrono4@gmail.com., Puffer ES; Duke Global Health Institute, Durham, NC, USA; Department of Neuroscience and Psychology, Duke University, Durham, NC, USA. Electronic address: eve.puffer@duke.edu.
المصدر: Behaviour research and therapy [Behav Res Ther] 2022 Dec; Vol. 159, pp. 104219. Date of Electronic Publication: 2022 Oct 19.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Elsevier Science Country of Publication: England NLM ID: 0372477 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-622X (Electronic) Linking ISSN: 00057967 NLM ISO Abbreviation: Behav Res Ther Subsets: MEDLINE
أسماء مطبوعة: Publication: Oxford : Elsevier Science
Original Publication: Oxford [etc.]
مواضيع طبية MeSH: Mental Health* , Caregivers*, Adolescent ; Humans ; Child ; Kenya ; Communication ; Surveys and Questionnaires
مستخلص: To increase cultural relevance and maximize access for historically underserved populations, there is a need to explore mechanisms underlying treatment outcomes during piloting. We developed a mixed-method approach, Integrated Clinical and Implementation Mapping (ICIM), to explore clinical and implementation mechanisms to inform improvements in content and delivery. We applied ICIM in a pilot of Tuko Pamoja, a lay counselor-delivered family intervention in Kenya (10 families with adolescents ages 12-17). ICIM is a 3-phase process to triangulate data sources to analyze how and why change occurs within individual cases and across cases. We synthesized data from session and supervision transcripts, fidelity and clinical skills ratings, surveys, and interviews. Outputs included a comprehensive narrative and visual map depicting how content and implementation factors influenced change. For Tuko Pamoja, ICIM results showed common presenting problems, including financial strain and caregivers' distress, triggering negative interactions and adolescent distress. ICIM demonstrated that active treatment ingredients included communication skills and facilitated, prescribed time together. Families improved communication, empathy, and hope, facilitated improved family functioning and mental health. Key implementation mechanisms included provider clinical competencies, alliance-building, treatment-aligned adaptations, and consistent attendance. Results guided manual and training refinements and generated hypotheses about mechanisms to test in larger trials.
Competing Interests: Declaration of competing interest None.
(Copyright © 2022 Elsevier Ltd. All rights reserved.)
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معلومات مُعتمدة: F32 MH113288 United States MH NIMH NIH HHS; K23 MH128742 United States MH NIMH NIH HHS; T32 MH096724 United States MH NIMH NIH HHS
فهرسة مساهمة: Keywords: Family therapy; Global mental health; Implementation science; Mechanisms; Mixed methods
تواريخ الأحداث: Date Created: 20221025 Date Completed: 20221206 Latest Revision: 20231202
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC10155602
DOI: 10.1016/j.brat.2022.104219
PMID: 36283239
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-622X
DOI:10.1016/j.brat.2022.104219