scholarly journals Protocol for a Randomized Control Trial of the Caregiver Support Intervention with Syrian Refugees in Lebanon

2020 ◽  
Author(s):  
Kenneth E Miller ◽  
Maguy Arnous ◽  
Fadila Tossyeh ◽  
Alexandra Chen ◽  
Ioannis Bakolis ◽  
...  

Abstract Background There is evidence that chronic stress negatively impacts parenting among refugees and other war-affected communities. Persistent parental stress and distress may lead to unresponsive, anxious, or overly harsh parenting and a corresponding increase in emotional and behaviour problems among children. Most parenting interventions emphasize the acquisition of knowledge and skills; however, this overlooks the deleterious effects of chronic stress on parenting. The Caregiver Support Intervention (CSI) aims to strengthen quality of parenting skills by lowering stress and improving psychosocial wellbeing among refugee caregivers of children aged 3-12, while also increasing knowledge and skills related to positive parenting. The CSI is a 9-session psychosocial group intervention delivered by non-specialist providers. It is intended for all adult primary caregivers of children in high-adversity communities, rather than specifically targeting caregivers already showing signs of elevated distress. Methods The primary objective of this study is to assess the effectiveness of the CSI through a parallel group randomized controlled study with Syrian refugee families in North Lebanon. Participants will be primary caregivers of children ages 3-12, with one index child per family. Families will be randomized to the CSI or a waitlist control group. A total of 240 families (480 caregivers) will be recruited into the study. Randomization will be at the family level, and CSI groups will be held separately for women and men. The study will be implemented in two waves. Outcomes for both arms will be assessed at baseline, post-intervention, and at a three-month follow-up. The primary outcome is quality of parenting skills. Secondary outcomes include parental warmth and sensitivity, harsh parenting, parenting knowledge, and child psychosocial wellbeing. Putative mediators of the CSI on parenting are caregiver stress, distress, psychosocial wellbeing, and stress management. Discussion This trial may establish the Caregiver Support Intervention as an effective intervention for strengthening parenting in families living in settings of high adversity, particularly refugee communities. Trial registration: The trial has been registered with the International Society for the Registration of Clinical Trials. Trial Registration: ISRCTN22321773.

2019 ◽  
Author(s):  
Kenneth E Miller ◽  
Maguy Arnous ◽  
Fadila Tossyeh ◽  
Alexandra Chen ◽  
Ioannis Bakolis ◽  
...  

Abstract Background Chronic stress has been shown to negatively impact parenting among refugees and other war-affected communities. Persistent parental stress and distress may lead to unresponsive, anxious, or overly harsh parenting and a corresponding increase in emotional and behaviour problems among children. Most parenting interventions emphasize the acquisition of knowledge and skills; however, this overlooks the deleterious effects of chronic stress on parenting. The Caregiver Support Intervention (CSI) aims to strengthen quality of parenting skills by lowering stress and improving psychosocial wellbeing among refugee parents of children aged 3-12, while also increasing knowledge and skills related to positive parenting. The CSI is a 9-session psychosocial group intervention delivered by non-specialist providers. It is intended for all adult primary caregivers of children in high-adversity communities, rather than specifically targeting caregivers already showing signs of elevated distress.Methods The primary objective of this study is to assess the effectiveness of the CSI through a parallel group randomized controlled study with Syrian refugee families in North Lebanon. Participants will be primary caregivers of children ages 3-12, with one index child per family. Families will be randomized to the CSI or a waitlist control condition. A total of 240 families (480 caregivers) will be recruited into the study. Randomization will be at the family level, and CSI groups will be held separately for women and men. The study will be implemented in two waves. Outcomes for both arms will be assessed at baseline, post-intervention, and at a three-month follow-up. The primary outcome is quality of parenting skills. Secondary outcomes include parental warmth and sensitivity, harsh parenting, parenting knowledge, and child psychosocial wellbeing. Putative mediators of the CSI on parenting are caregiver stress, distress, psychosocial wellbeing, and stress management.Discussion This trial may establish the Caregiver Support Intervention as an effective intervention for strengthening parenting in families living in settings of high adversity, particularly refugee communities.


2019 ◽  
Vol 10 (1) ◽  
pp. 116
Author(s):  
Ahmad Saifuddin

<p><span>So many problems that occur in children and adolescents, one of which is the increased juvenile delinquency. One of the factors of the problem is the low quality of care or parenting. This article aims to discuss the role of Islamic counseling in improving the quality of care pattern, using qualitative approach then analyze it with literature study method. As a result, parents still have poor parenting skills. In addition, religious knowledge also plays an important role in the practice of parenting. Therefore, Islamic counseling becomes a solution to overcome the problem of parenting. On the one side, Islamic counseling has a role to improve parenting skills. On the other side, Islamic counseling plays a role in improving the ability of parents to internalize religious values in themselves and children. This roles can do with explain religion and parenting concept use counseling and psychology paradigm. There is integration between them.</span></p>


2020 ◽  
Vol 37 (6) ◽  
pp. 377-389
Author(s):  
Ying-Mei Liu ◽  
Yu-Chuan Wen ◽  
Pei-Yin Weng ◽  
Tang-Her Jaing ◽  
Shih-Hsiang Chen

More than one fourth of primary caregivers report clinically significant distress during the hematopoietic stem cell transplantation (HSCT) process. Providing early support to primary caregivers could reduce caregiver distress and improve the quality of life. This study examined the effects of a three-stage caregiver support intervention designed to reduce caregiver distress and improve quality of life during pediatric HSCT hospitalization. A two-group comparative study was conducted with repeated measures. Participants were randomly assigned to an intervention group or a control group. The intervention group received the support intervention 5 days before the transplant, 14 days after transplant, and 1 week before hospital discharge. The control group received standard support provided in the hospital ward. Measures were obtained at all three time points from self-report questionnaires, which were related to anxiety, depression, perceived stress, and quality of life. Findings indicated that primary caregivers in the intervention group ( n = 22) reported significantly lower levels of perceived stress and higher levels of quality of life than the control group ( n = 23) at 14 days after transplant. In the intervention group, caregiver distress significantly decreased from pretransplant through 14 days after transplant, while over the same period caregiver quality of life significantly increased. The intervention effectively changed the trend of distress and quality of life for caregivers of children during the process of HSCT and hospitalization. The findings of this study suggest that it is important to provide early targeted interventions at critical junctures for caregivers at risk of adverse outcomes.


2020 ◽  
Vol 7 ◽  
Author(s):  
Kenneth E. Miller ◽  
Heba Ghalayini ◽  
Maguy Arnous ◽  
Fadila Tossyeh ◽  
Alexandra Chen ◽  
...  

Abstract Background There is robust evidence that compromised parenting, stemming from persistently high stress, mediates the impact of war and displacement on children's mental health and psychosocial wellbeing. Parenting interventions generally prioritize the acquisition of parenting knowledge and skills, while under-attending to parental stress and distress. This paper describes the development of the Caregiver Support Intervention (CSI), a nine-session group intervention for conflict-affected parents of children aged 3–13, that aims to strengthen parenting both indirectly, by lowering stress and improving psychosocial wellbeing among parents, and directly, by increasing knowledge and skill related to positive parenting. Methods We describe the multi-phase, iterative process by which we developed the CSI, and illustrate the essential role of community input in shaping the intervention and strengthening its cultural fit and perceived usefulness. We used focus group data from participants in successive cycles of implementation, feedback, and revision, as well as quantitative data and expert consultation to develop a culturally and empirically grounded intervention. Results This mixed-method, iterative approach to intervention development enabled us to develop a psychosocial intervention for conflict-affected caregivers that is feasible, acceptable, and perceived by participants as useful in addressing their own wellbeing and their parenting. Focus group data support the underlying model in which caregiver wellbeing powerfully influences parenting. Conclusions Programs aimed at strengthening parenting in conflict-affected communities should substantively address caregiver wellbeing. An iterative approach incorporating community feedback can help ensure intervention acceptability and feasibility. We also illustrate the feasibility of involving men in parenting interventions.


Journalism ◽  
2021 ◽  
pp. 146488492110058
Author(s):  
Melissa Tully ◽  
Adam Maksl ◽  
Seth Ashley ◽  
Emily K Vraga ◽  
Stephanie Craft

Interest in news literacy inside and outside the academy has grown alongside related concerns about the quality of news and information available. Attempts to fully define, explicate and operationalize news literacy, however, are scattered. Drawing on literature across journalism and mass communication, we propose a definition of news literacy that combines knowledge of news production, distribution and consumption with skills that help audiences assert control over their relationship with news. We propose that knowledge and skills should be conceptualized across five domains: context, creation, content, circulation and consumption. This explication offers a clear, concise and cohesive path for research about news literacy, especially empirical testing to evaluate news literacy and its effectiveness in contributing to relevant behaviours. This framework also offers a consistent, yet flexible, approach to measuring news literacy across diverse contexts.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maija Reblin ◽  
Dana Ketcher ◽  
Rachael McCormick ◽  
Veronica Barrios-Monroy ◽  
Steven K. Sutton ◽  
...  

Abstract Background Informal family caregivers constitute an important and increasingly demanding role in the cancer healthcare system. This is especially true for caregivers of patients with primary malignant brain tumors based on the rapid progression of disease, including physical and cognitive debilitation. Informal social network resources such as friends and family can provide social support to caregivers, which lowers caregiver burden and improves overall quality of life. However, barriers to obtaining needed social support exist for caregivers. To address this need, our team developed and is assessing a multi-component caregiver support intervention that uses a blend of technology and personal contact to improve caregiver social support. Methods We are currently conducting a prospective, longitudinal 2-group randomized controlled trial which compares caregivers who receive the intervention to a wait-list control group. Only caregivers directly receive the intervention, but the patient-caregiver dyads are enrolled so we can assess outcomes in both. The 8-week intervention consists of two components: (1) The electronic Social Network Assessment Program, a web-based tool to visualize existing social support resources and provide a tailored list of additional resources; and (2) Caregiver Navigation, including weekly phone sessions with a Caregiver Navigator to address caregiver social support needs. Outcomes are assessed by questionnaires completed by the caregiver (baseline, 4-week, 8-week) and the cancer patient (baseline, and 8-week). At 8 weeks, caregivers in the wait-list condition may opt into the intervention. Our primary outcome is caregiver well-being; we also explore patient well-being and caregiver and patient health care utilization. Discussion This protocol describes a study testing a novel social support intervention that pairs a web-based social network visualization tool and resource list (eSNAP) with personalized caregiver navigation. This intervention is responsive to a family-centered model of care and calls for clinical and research priorities focused on informal caregiving research. Trial registration clinicaltrials.gov, Registration number: NCT04268979; Date of registration: February 10, 2020, retrospectively registered.


2022 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Nadia Carolina Reina-Gamba ◽  
Judith Medellin-Olaya ◽  
Daira Vanesa Burbano-Rivera ◽  
Hilda Mireya Miranda-Rojas ◽  
Lina Maria Vargas-Escobar ◽  
...  

2021 ◽  
Vol 9 (4) ◽  
pp. 48-55
Author(s):  
P. Vasil'eva ◽  
S. Volkova ◽  
Tengir Zaharov

The article discusses the problem of assessing interdisciplinary knowledge and skills of students, provides a comparative analysis of methods and forms of their assessment. The authors note the relevance of the problem in connection with the updating of the content and teaching methods based on a synergetic approach, the need for adequate comprehensive monitoring of interdisciplinary knowledge, taking into account their multidimensional nature. The article analyzes the methods and criteria for assessing knowledge, provides an overview of traditional and innovative forms of assessing knowledge.


2021 ◽  
Vol 66 (1) ◽  
pp. 88-93
Author(s):  
G.T. Dakina ◽  
◽  
G.A. Zhumakulova ◽  

A modern university teacher is not only a teacher, educator, organizer of students ' activities, researcher of the pedagogical process, consultant, educator, who constantly improves the level of his professionalism and pedagogical skills, leads a creative search for new things. A comprehensive indicator that characterizes the quality of the performance of its functions is professionalism. The professionalism of the higher school teacher consists in the effective implementation of the system of professional knowledge and skills. The article discusses the features of the development of professional and personal qualities of University teachers.


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