Exploring the determinants of successful implementation of a preventive mental health and wellness intervention for Afghan refugee families: a qualitative analysis.

Many refugee children experience trauma in early childhood. Effective, tailored interventions are needed to improve refugee children's access to preventive mental health. We interviewed refugee-serving stakeholders and parents participating in an evidence-based preventive mental health and wellness...

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Publicado en:Health Education Research Vol. 39; no. 2; pp. 119 - 131
Autores principales: Rosenberg, Julia, Ryan, Patricia McDonough, Brown, Camille, Schaffer, Rachel, O'Brien, Caroline, Ganjavi, Fereshteh, Sharifi, Mona
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Apr2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2024
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      pub: Oxford University Press / USA
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        atl: Exploring the determinants of successful implementation of a preventive mental health and wellness intervention for Afghan refugee families: a qualitative analysis.
      aug:
        au:
          Rosenberg, Julia
          Ryan, Patricia McDonough
          Brown, Camille
          Schaffer, Rachel
          O'Brien, Caroline
          Ganjavi, Fereshteh
          Sharifi, Mona
        affil: Department of Pediatrics, Yale University School of Medicine , 333 Cedar Street, New Haven, CT 06510, USA
      sug:
        subj:
          Mental Health Services
          Wellness
          Family Psychosocial Factors
          Refugees Psychosocial Factors
          Refugees In Infancy and Childhood
          Preventive Health Care
          Program Implementation
          Cultural Diversity
          Cultural Sensitivity
          Communication Methods
          Attitude of Health Personnel
          Human
          Male
          Female
          Child, Preschool
          Child
          Adolescence
          Afghanistan
          United States
          Qualitative Studies
          Methodological Research
          Conceptual Framework
          Thematic Analysis
          Parents Psychosocial Factors
          Early Childhood Intervention
          Trauma In Infancy and Childhood
          Mental Health Evaluation
          Consensus
          Goals and Objectives
          Motivation
          Linguistics
          Emotions
          Empowerment
          Multidisciplinary Care Team
          Stakeholder Participation
          Interviews
          Psychological Well-Being
          Self-Efficacy
          Health Education
          Descriptive Statistics
          Comparative Studies
          Funding Source
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Many refugee children experience trauma in early childhood. Effective, tailored interventions are needed to improve refugee children's access to preventive mental health. We interviewed refugee-serving stakeholders and parents participating in an evidence-based preventive mental health and wellness intervention adapted for Afghan refugee children and families who may have experienced trauma. Interview guide development was informed by two implementation science frameworks: the Consolidated Framework for Implementation Research and the Model for Adaptation Design and Impact. A three-person team coded transcripts via rapid qualitative analysis, and the study team reached consensus on themes. Six refugee-serving facilitators and five refugee parents discussed key determinants of successful implementation. Themes included: (i) modeling cultural humility to promote communication about emotions; (ii) needed linguistic support and referral networks to avoid miscommunications and missed communications; (iii) bridging connections between children, families and schools; (iv) different takeaways, or differing goals and expectations between facilitators and participants; and (v) timely, specific cultural considerations to overcome participation barriers. Overall, we found key determinants of successful implementation of a preventive mental health and wellness intervention for refugee children and families included adaptations to enhance cultural humility and sensitivity to cultural context while strengthening communication among facilitators, children and families.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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