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. 2023 Oct 24;2023(10):CD014722. doi: 10.1002/14651858.CD014722.pub2

Annan 2017.

Study characteristics
Methods Study design: cluster‐RCT
Duration of study: recruitment began in October 2011; data were collected between January 2012‐May 2013.
Country: Thailand
Income classification: lower‐middle‐income country in 2011‐2013
Geographical scope: in 20 rural, periurban, and urban sites in the northwestern province of Tak, Thailand, on the border with Burma
Healthcare setting: schools (primary), multiple community spaces (e.g. schools and community halls)
Participants 1. Age: children 7‐15; caregivers 18+
2. Gender: both
3. Socioeconomic background: 33‐37% of caregivers unemployed, income: mean 4644‐5401 Thai Baht
4. Educational background: most caregivers had primary education or less; 27% of children were not in school.
Inclusion criteria:
a. inclusion criteria included being from Burma/Myanmar and a caregiver (biological or nonbiological) to a child between the ages of 8 and 12 years;
b. participants could speak either Burmese or Karen. Families also were asked screening questions from the Multiple Indicator Cluster Survey to assess for ongoing severe violence; if responses indicated immediate concerns, IRC staff conducted home visits and coordinated more intensive services as needed but did not exclude them from the study.
Exclusion criteria:
A few families were excluded from the study analyses for other concerns related to the validity of survey data but remained enrolled and were included in the intervention.
Stated purpose: prevention (ClinicalTrials.gov); improvement in mental health outcomes of children affected by forced migration
Interventions Name: Happy Families Program (HFP)
Title/name of PW and number: community workers (IRC team members and community‐based facilitators). The total number is not specified but the delivery was carried out by teams in each site, including 2 facilitators for the caregiver and 2 for the child group.
1. Selection: facilitators recruited from the local communities underwent interviews and reference checks prior to selection.
2. Educational background: not specified
3. Training: facilitators were trained to deliver intervention content using principles of social learning theory; training was 5 days long and took place in 2011 for IRC staff—no specifications on training timeline for community facilitators.
4. Supervision: monitoring visits to programme sites every 2 to 3 weeks to monitor facilitator performance using a standardized checklist and to provide tailored supervision and coaching by IFRC staff
5. Incentives/remuneration: not specified
Prevention type: selective prevention – participants were included based upon the presence of a risk factor (children experiencing displacement and poverty).
Intervention details: parenting and family skills intervention, consisting of 14 weekly sessions in which caregivers learn parenting skills and children learn social skills in separate groups and join together in the second hour for in vivo practice and feedback from facilitators, as well as positive family interaction through structured and unstructured play
Control: waiting list
Outcomes Participants’outcomes of interest for this review
  1. Depressive symptoms – Internalizing subscale of the Child Behavior Checklist (CBCL)

  2. Psychological functioning and impairment – Externalizing subscale of the CBCL

  3. Social outcomes – Child Psychosocial Protective Factors Scale


Carers’outcomes of interest for this review
Nil
Economic outcomes
Nil
Time points: baseline, post‐intervention (< 1 month)
Notes Source of funding: USAID displaced children and orphan fund
Notes on validation of instruments (screening and outcomes): authors used the CBCL which is widely validated. The Child Psychosocial Protective Factors Scale was developed for the study.
Additional information: none
Handling the data: no dataset available
Prospective trial registration number: NCT01668992