Puffer Eve S, Healy Elsa Friis, Green Eric P, Giusto Ali M, Kaiser Bonnie N, Patel Puja, Ayuku David
Department of Psychology and Neuroscience, Duke University, Box 90086417 Chapel Drive, Durham, NC 27708-0086, USA.
Duke Global Health Institute, 310 Trent Drive, Box 90519, Durham, NC 27708, USA.
J Child Fam Stud. 2020 Dec;29(12):3493-3508. doi: 10.1007/s10826-020-01816-z. Epub 2020 Sep 24.
Family-based interventions offer a promising avenue for addressing chronic negative family interactions that contribute to lasting consequences, including family violence and the onset and maintenance of mental health disorders. The purpose of this study was to conduct a mixed-methods, single group pre-post pilot trial of a family therapy intervention ( = 10) delivered by lay counselors in Kenya. Results show that both caregivers and children reported reductions in family dysfunction and improved mental health after the intervention. Point estimates represent change of more than two standard deviations from baseline for the majority of primary outcomes. Treated families also reported a decrease in harsh discipline, intimate partner violence, and alcohol-related problems. These results were corroborated by findings from an observational measure of family functioning and in-depth qualitative interviews. This study presents preliminary evidence of pre-post improvements following a family therapy intervention consisting of streamlined, evidence-informed family therapy strategies to target family dysfunction and mental health.
基于家庭的干预措施为解决长期负面的家庭互动提供了一条很有前景的途径，这种互动会导致包括家庭暴力以及心理健康障碍的发生和维持等持久后果。本研究的目的是在肯尼亚开展一项由非专业顾问提供的家庭治疗干预（n = 10）的混合方法单组前后测试点试验。结果显示，干预后照料者和儿童均报告家庭功能障碍有所减少，心理健康状况有所改善。对于大多数主要结局，点估计值表示相对于基线变化超过两个标准差。接受治疗的家庭还报告严厉管教、亲密伴侣暴力和与酒精相关问题有所减少。家庭功能的观察性测量结果和深入的定性访谈结果证实了这些结果。本研究提供了初步证据，表明在采用简化的、循证家庭治疗策略以解决家庭功能障碍和心理健康问题的家庭治疗干预后，前后测有改善。
